,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #bcdc  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #be1 #bjbe,ms4   
,salaz> 7= h]self1 ,ms4 ,p+ree1 ,mr4    
,smi? ( ,new ,j]sey1 ,mr4 ,johnson (    
,georgia1 ,mr4 ,ow5s1 ,ms4 ,norton1     
,mrs4 ,kim1 ,mr4 ,r\z]1 & ,mr4 ,tonko7  
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 provide =     
cov]age & paym5t ( ,alpha-#a ,antitryps9
 ,defici5cy ,disord] treatm5t "u "p ,b (
 su* title1 & = o!r purposes4  #a4 ,%ort
 title ,?is ,act may be cit$ z ! ,john  
,w4 ,wal% ,alpha-#a ,home ,infusion ,act
 ( #bjbe4  #b4 ,m$ic>e cov]age (        
,alpha-#a ,antitryps9 ,disord] treatm5t 
7a7 ,9 g5]al ,section #ahfa ( ! ,social 
,security ,act 7#db ,u4,s4,c4 #aciex7 is

 am5d$--  7#a7 9 subsection 7s77#b7--   
7,a7 by /rik+ & at ! end ( subp>agraph  
7,,ii72  7,b7 by ins]t+ & at ! end (    
subp>agraph 7,,jj72 &  7,c7 by ins]t+ at
 ! end ! foll[+ new subp>agraph3  7,,kk7
 ,alpha-#a ,antitryps9 ,defici5cy       
,disord] treatm5t 7z def9$ 9 subsection 
7nnn772  2 &  7#b7 by add+ at ! end !   
foll[+ new subsection3  7nnn7 ,alpha-#a 
,antitryps9 ,defici5cy ,disord] treatm5t
  7#a7 ,! t]m ,alpha-#a ,antitryps9     
,defici5cy ,disord] treatm5t means      
augm5tation !rapy 7z def9$ 9 p>agraph   
7#b77;,c77 furni%$ by qualifi$ home     
infusion !rapy suppli]s 7z def9$ 9      
p>agraph 7#b77;,d77 :i* are furni%$ 9 ! 
individual's home 7z def9$ 9 p>agraph   
7#b77;,b77 to an individual-- 7,a7 :o is
 "u ! c>e ( an applicable provid]2  7,b7
 :o is enroll$ "u bo? p>ts ,a & ,b ( ?is
 title1 & is n enroll$ 9 an ,,ma plan "u
 "p ,c ( su* title2 &  7,c7 :o requires 
augm5tation !rapy 7z def9$ 9 p>agraph   
7#b77;,c774  7#b7 ,= purposes ( ?is     
subsection3 7,a7 ,! t]m applicable      

provid] means--  7i7 a physician2  7ii7 
a nurse practition]2 &  7iii7 a         
physician assi/ant4  7,b7 ,! t]m home   
means a place ( resid5ce us$ z ! home ( 
an individual 7z def9$ = purposes (     
subsection 7n774  7,c7 ,! t]m           
augm5tation !rapy means an ,alpha-#a    
,prote9ase ,inhibitor indicat$ = *ronic 
augm5tation & ma9t5ance !rapy 9 adults )
 cl9ical evid5ce ( emphysema due to     
sev]e h]$it>y defici5cy ( ,alpha-#a     
,antitryps94  7,d7 ,! t]m qualifi$ home 
infusion !rapy suppli] has ! mean+ giv5 
su* t]m 9 subsection 7iii77#c77;,d77i74 
4  7b7 ,paym5t = intrav5\s adm9i/ration 
kits & nurs+ s]vices = ,alpha-#a        
,antitryps9 ,defici5cy ,disord] treatm5t
 ,section #ahcd ( ! ,social ,security   
,act 7#db ,u4,s4,c4 #aciem7 is am5d$ by 
add+ at ! end ! foll[+ new subsection3  
7aa7 ,paym5t = intrav5\s adm9i/ration   
kits & nurs+ s]vices = ,alpha-#a        
,antitryps9 ,defici5cy ,disord] treatm5t
 ,! ,secret>y %all implem5t a paym5t    
sy/em "u :i* paym5t is made "u ?is title

 to a qualifi$ home infusion !rapy      
suppli] 7z def9$ 9 section              
#ahfa7nnn77#c77;,d77 = intrav5\s        
adm9i/ration kits & nurs+ s]vices = up  
to #b h\rs ( c>e by a qualifi$ home     
infusion !rapy suppli] 9 coord9ation ) !
 furni%+ ( augm5tation !rapy 7z def9$ 9 
section #ahfa7nnn77#b77;,c774  4  7c7   
,con=m+ am5dm5ts  7#a7 ,paym5t ref]5ce  
,section #ahcc7;a77#a7 ( ! ,social      
,security ,act 7#db ,u4,s4,c4           
#aciel7a77#a77 is am5d$-- 7,a7 by /rik+ 
& be=e 7,,hh72 &  7,b7 by ins]t+ be=e ! 
semicolon at ! end ! foll[+3 1 & 7,,ii7 
) respect to intrav5\s adm9i/ration kits
 & nurs+ s]vices describ$ 9 section     
#ahcd7;aa7 = ,alpha-#a ,antitryps9      
,disord] treatm5t 7z def9$ 9 subsection 
7nnn77#a771 ! am\nt paid = su* kits &   
s]vices %all be an am\nt equal to #hj   
p]c5t ( ! less] ( ! actual *>ge = !     
s]vices or ! am\nt det]m9$ "u section   
#ahcd7;aa74  7#b7 ,direct paym5t ,! fir/
 s5t5ce ( section #ahdb7;b77#f7 ( !     
,social ,security ,act 7#db ,u4,s4,c4   

#acieu7b77#f77 is am5d$--  7,a7 by /rik+
 & be=e 7,j72 &  7,b7 by ins]t+ be=e !  
p]iod at ! end ! foll[+3 1 & 7,k7 9 !   
case ( intrav5\s adm9i/ration kits &    
nurs+ s]vices describ$ 9 section        
#ahcd7;aa71 paym5t %all be made to !    
qualifi$ home infusion !rapy suppli] 7z 
def9$ 9 section #ahfa7nnn77#b77;,d774   
7#c7 ,exclusion f home heal? s]vices    
,section #ahfa7m7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciex7m77 is am5d$1
 9 ! fir/ s5t5ce1 by ins]t+ ! foll[+    
be=e ! p]iod at ! end3 & intrav5\s      
adm9i/ration kits & nurs+ s]vices       
describ$ 9 section #ahcd7;aa7 =         
,alpha-#a ,antitryps9 ,defici5cy        
,disord] treatm5t 7z def9$ 9 subsection 
7nnn77#a774  7d7 ,effective date ,!     
am5dm5ts made by ?is section %all apply 
to items & s]vices furni%$ on or aft]   
,janu>y #a1 #bjbg4