,i #aai? ,,congress #a/ ,session ,h4 ,r4 #ajif ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,febru>y #f1 #bjbe,ms4 ,sal9as 7= h]self1 ,mrs4 ,watson ,coleman1 ,ms4 ,norton1 ,mr4 ,doggett1 & ,mr4 ,goldman ( ,new ,york7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committee on ,ways & ,means1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to am5d title ,,xviii ( ! ,social ,security ,act to require cov]age ( #c prim>y c>e visits )\t co/ %>+ ea* ye> "u ! ,m$ic>e program4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,help+ ,out ,pati5ts = ,emotional & ,m5tal ,wellbe+ ,act or ! ,,hope & ,m5tal ,wellbe+ ,act ( #bjbe4 #b4 ,requir+ cov]age ( #c prim>y c>e visits )\t co/ %>+ ea* ye> "u ,m$ic>e 7a7 ,m$ic>e 7#a7 ,9 g5]al ,section #ahcc ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel7 is am5d$-- 7,a7 9 subsection 7a77#a7-- 7i7 by /rik+ & be=e 7,,hh72 & 7ii7 by ins]t+ be=e ! semicolon at ! end ! foll[+3 1 & 7,,ii7 ) respect to ! fir/ #c prim>y c>e visits 7z def9$ 9 section #ahfa7nnn77 furni%$ to an individual dur+ a ye> 7beg9n+ ) #bjbf7 = :i* paym5t may be made "u a specifi$ outpati5t paym5t provision describ$ 9 subsection 7cc77#b71 ! am\nts paid %all be #ajj p]c5t ( ! less] ( ! actual *>ge or ! paym5t am\nt o!rwise recogniz$ "u su* respective specifi$ outpati5t paym5t provision = su* visit2 & 7,b7 9 subsection 7b71 9 ! fir/ s5t5ce-- 7i7 by /rik+ & be=e 7#ac72 7ii7 9 p>agraph 7#ac71 by /rik+ 44 & ins]t+ a p]iod2 & 7iii7 by ins]t+ be=e ! p]iod at ! end ! foll[+3 1 & 7#ac7 %all n apply ) respect to ! fir/ #c prim>y c>e visits 7z def9$ 9 section #ahfa7nnn77 furni%$ to an individual dur+ a ye> 7beg9n+ ) #bjbf7 = :i* paym5t may be made "u a specifi$ outpati5t paym5t provision describ$ 9 subsection 7cc77#b74 7#b7 ,m$ic>e ,advantage ,section #aheb7;a77#a77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#bb7;a77#a77;,b77 is am5d$-- 7,a7 9 clause 7iv7-- 7i7 by r$esignat+ subclause 7,,viii7 z subclause 7,,ix72 & 7ii7 by ins]t+ aft] subclause 7,,vii7 ! foll[+ new subclause3 7,,viii7 ! fir/ #c prim>y c>e visits 7z def9$ 9 section #ahfa7nnn77 furni%$ to an enrollee dur+ a ye> 7beg9n+ ) #bjbf74 2 & 7,b7 9 clause 7v71 by /rik+ & 7,,vii7 & ins]t+ 7,,vii71 & 7,,viii74 7#c7 ,def9ition ,section #ahfa ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7nnn7 ,prim>y c>e visit ,! t]m prim>y c>e visit means outpati5t m5tal & behavioral heal? s]vices1 nonspecialty m$ical s]vices1 & c>e coord9ation s]vices furni%$ = ! prev5tion1 diagnosis1 treatm5t1 or managem5t ( a physical1 m5tal1 or behavioral heal? condition4 4 7b7 ,m$icaid 7#a7 ,9 g5]al ,section #aiaf ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifo7 is am5d$-- 7,a7 9 subsection 7a77#b7-- 7i7 9 subp>agraph 7,i71 by /rik+ or at ! end2 7ii7 9 subp>agraph 7,j71 by /rik+ 2 & at ! end & ins]t+ 1 or2 & 7iii7 by add+ at ! end ! foll[+ new subp>agraph3 7,k7 ! fir/ #c prim>y c>e visits 7z def9$ 9 section #ahfa7nnn77 furni%$ to an individual dur+ a ye> 7beg9n+ ) #bjbf7 = :i* paym5t may be made "u ?is title2 & 2 & 7,b7 9 subsection 7b77#b7-- 7i7 9 subp>agraph 7,i71 by /rik+ or at ! end2 7ii7 9 subp>agraph 7,j71 by /rik+ 2 & at ! end & ins]t+ 1 or2 & 7iii7 by add+ at ! end ! foll[+ new subp>agraph3 7,k7 ! fir/ #c prim>y c>e visits 7z def9$ 9 section #ahfa7nnn77 furni%$ to an individual dur+ a ye> 7beg9n+ ) #bjbf72 & 4 7#b7 ,application to alt]native co/ %>+ ,section #aiaf;,a7b77#c77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifo-#a7;b77#c77;,b77 is am5d$ by add+ at ! end ! foll[+ new clause3 7xv7 ,! fir/ #c prim>y c>e visits 7z def9$ 9 section #ahfa7nnn77 furni%$ to an individual dur+ a ye> 7beg9n+ ) #bjbf74 4