,i #aai? ,,congress #a/ ,session ,h4 ,r4 #bagb ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,m>* #ah1 #bjbe,mr4 ,bu*anan 7= himself1 ,mrs4 ,d+ell1 ,mrs4 ,h>%b>g]1 & ,ms4 ,sewell7 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 cl>ify congressional int5t & pres]ve pati5t access to home infusion !rapy "u ! ,m$ic>e program1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,pres]v+ ,pati5t ,access to ,home ,infusion ,act4 #b4 ,pres]vation ( pati5t access to home infusion !rapy "u ,m$ic>e program 7a7 ,inclusion ( ph>macy s]vices ,section #ahfa7;iii77#b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7iii77#b77 is am5d$-- 7#a7 9 subp>agraph 7,a71 by ins]t+ & ph>macy s]vices aft] nurs+ s]vices2 & 7#b7 9 subp>agraph 7,b71 by ins]t+ 1 assessm5ts1 drug prep>ation & comp\nd+1 coord9ation & docum5tation ( infusion !rapy s]vices 9 ! plan ( c>e aft] subsection 7n774 7b7 ,paym5t ,section #ahcd7u77#a77;,a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7u77#a77;,a77 is am5d$-- 7#a7 9 clause 7i71 by /rik+ clause 7iii7 & ins]t+ clauses 7iii7 & 7iv72 7#b7 9 clause 7ii7 by ins]t+ aft] ! fir/ s5t5ce ! foll[+ new s5t5ce3 ,= purposes ( ! previ\s s5t5ce1 a ref]5ce to paym5t to a qualifi$ home infusion !rapy suppli] = an infusion drug adm9i/ration cal5d> day 9 ! home ( su* individual %all ref] to paym5t = ea* day on :i* su* a drug 0 adm9i/]$ to ! individual 7reg>dless ( :e!r a qualifi$ home infusion !rapy suppli] 0 physically pres5t 9 ! home ( su* individual on su* date742 7#c7 9 clause 7iii7-- 7,a7 by /rik+ ,! s+le paym5t am\nt & ins]t+ ! foll[+3 7,i7 ,9 g5]al ,subject to subclause 7,,ii71 ! s+le paym5t am\nt 2 & 7,b7 by add+ at ! end ! foll[+ new subclause3 7,,ii7 ,transitional rule ,= home infusion !rapy furni%$ on or aft] ,janu>y #a1 #bjbf1 & be=e ,janu>y #a1 #bjcj1 ! ,secret>y %all ensure t ! s+le paym5t am\nt det]m9$ "u ?is subp>agraph reflects #e h\rs ( infusion = a p>ticul> !rapy 9 a cal5d> day4 2 & 7#d7 by add+ at ! end ! foll[+ new clause3 7iv7 ,special rule :5 a qualifi$ home infusion !rapy suppli] n physically pres5t 9 ! individual's home ,9 ! case :]e a qualifi$ home infusion !rapy suppli] is n physically pres5t 9 ! individual's home on ! day ! home infusion drug is adm9i/]$ to ! individual1 ! s+le paym5t am\nt "u ?is subsection = items & s]vices describ$ 9 clause 7i7 furni%$ on su* day to su* individual %all be an am\nt equal to #ej p]c5t ( ! am\nt t w\ld h appli$ "u ?is subsection = su* items & s]vices if su* a suppli] _h be5 physically pres5t4 4 7c7 ,p]mitt+ nurse practition]s & physician assi/ants ,to e/abli% & review a home infusion plan ( c>e ,section #ahfa7;iii77#a77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7iii77#a77;,b77 is am5d$ by /rik+ physician 7z def9$ 9 subsection 7r77#a77 & is p]iodically review$ by a physician & ins]t+ physician 7z def9$ 9 subsection 7r77#a77 or a nurse practition] or physician assi/ant 7z ^? t]ms are def9$ 9 subsection 7aa77#e77 & is p]iodically review$ by a physician1 nurse practition]1 or physician assi/ant4 7d7 ,effective date ,! am5dm5ts made by ?is section %all apply ) respect to items & s]vices furni%$ on or aft] ,janu>y #a1 #bjbf4 #c4 ,access to home infusion = non-pump drugs & biologicals 7a7 ,modification ( def9ition ( home infusion drug ,section #ahfa7;iii77#c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7iii77#c77 is am5d$-- 7#a7 9 subp>agraph 7,c71 by ins]t+ &1 9 ! case ( a drug or biological o!r ?an a specifi$ non-pump drug or biological 7z def9$ 9 subp>agraph 7,e771 be=e ?r\gh2 & 7#b7 by add+ at ! end ! foll[+ new subp>agraph3 7,e7 ,! t]m specifi$ non-pump drug or biological means a drug or biological t-- 7i7 is adm9i/]$ intrav5\sly b n ?r\gh a pump t is an item ( durable m$ical equipm5t 7z def9$ 9 subsection 7n772 & 7ii7 is an antibact]ial1 antifungal1 or antiviral 7z categoriz$ by ! ,unit$ ,/ates ,ph>macopeia74 4 7b7 ,cl>ification on bill+ ,section #ahcd7u7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7u77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#h7 ,cl>ification on bill+ = a specifi$ non-pump drug or biological ,9 ! case ( a qualifi$ home infusion suppli] 7z def9$ 9 section #ahfa7;iii77#c77;,d77 t furni%es items & s]vices describ$ 9 subp>agraphs 7,a7 & 7,b7 ( section #ahfa7;iii77#b7 9 coord9ation ) ! furni%+ ( a home infusion drug 7z def9$ 9 section #ahfa7;iii77#c77;,c77 t is a specifi$ non-pump drug or biological 7z def9$ 9 section #ahfa7;iii77#c77;,e77 :]e ! me?od ( infusion utiliz$ 9 furni%+ su* drug or biological does n involve a pump t is an item ( durable m$ical equipm5t1 paym5t "u ?is subsection = ! items & s]vices describ$ 9 subp>agraphs 7,a7 & 7,b7 ( section #ahfa7;iii77#b7 %all be made ) respect to su* drug or biological reg>dless ( :e!r su* drug or biological s furni%$ is payable "u ?is "p4 4 7c7 ,effective date ,! am5dm5ts made by ?is section %all apply ) respect to items & s]vices furni%$ on or aft] ,janu>y #a1 #bjbf4 #d4 ,modification ( paym5t = home infusion supplies ,section #ahcd7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7a77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#bb7 ,special paym5t rule = items & supplies furni%$ 9 conjunction ) home infusion !rapy 7,a7 ,9 g5]al ,not)/&+ ! prec$+ provisions ( ?is subsection1 no paym5t may be made "u ?is subsection ) respect to applicable items & s]vices 7z def9$ 9 subp>agraph 7,b77 t are furni%$ on or aft] ,janu>y #a1 #bjbf1 9 conjunction home infusion !rapy 7z def9$ 9 section #ahfa7;iii77#a77 = :i* paym5t is made "u subsection 7u7 & :i* are s furni%$ on ! same day z su* home infusion !rapy & ) respect to ! same home infusion drug 7z def9$ 9 section #ahfa7;iii77#c77;,c77 = :i* su* paym5t 0 s made4 7,b7 ,applicable items & s]vices def9$ ,= purposes ( subp>agraph 7,a71 ! t]m applicable items & s]vices means tub+1 ca!t]s1 dress+s1 ne$les1 syr+es1 & o!r supplies id5tifi$ by ,,hcpcs code ,a#dbba1 ,a#dbbb1 or ,k#jeeb 7or any successor code74 4