,i #aai? ,,congress #a/ ,session ,h4 ,r4 #djgd ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,june #bc1 #bjbe,mr4 ,bacon 7= himself & ,mrs4 ,trahan7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to direct ! ,secret>y ( ,heal? & ,human ,s]vices to issue guidance on cov]age "u ! ,m$icaid program "u title ,,xix ( ! ,social ,security ,act ( c]ta9 pelvic heal? s]vices furni%$ dur+ ! po/p>tum p]iod1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,optimiz+ ,po/p>tum ,outcomes ,act ( #bjbe4 #b4 ,,cms guidance 7a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all issue guidance on cov]age "u ,/ate plans 7or waiv]s ( su* plans7 "u ! ,m$icaid program "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 or ,/ate *ild heal? plans 7or waiv]s ( su* plans7 "u ! ,*ildr5's ,heal? ,insurance ,program "u title ,,xxi ( su* ,act 7#db ,u4,s4,c4 #acig;aa et seq47 ( cov]$ pelvic heal? s]vices furni%$ dur+ ! pr5atal or po/p>tum p]iod4 ,su* guidance %all include-- 7#a7 be/ practices f ,/ates ) respect to innovative or evid5c$-bas$ paym5t models to increase access to cov]$ pelvic heal? s]vices2 7#b7 recomm5dations = ,/ates on available f9anc+ options "u-- 7,a7 ! ,m$icaid program "u title ,,xix ( su* ,act 7#db ,u4,s4,c4 #acif et seq472 & 7,b7 ! ,*ildr5's ,heal? ,insurance ,program "u title ,,xxi ( su* ,act 7#db ,u4,s4,c4 #acig;aa et seq471 specifically funds made available ?r\gh a ,*ildr5's ,heal? ,insurance ,program ,heal? ,s]vices ,initiative2 7#c7 guidance & te*nical assi/ance to ,/ate ag5cies responsible = adm9i/]+ ,/ate plans 7or waiv]s ( su* plans7 "u ! ,m$icaid program "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 reg>d+ additional flexibilities & inc5tives relat$ to scre5+ & ref]ral =1 & access to1 cov]$ pelvic heal? s]vices2 & 7#d7 guidance reg>d+ sugge/$ t]m9ology & diagnosis codes1 su* z ! ,int]national ,classification ( ,diseases code set1 to id5tify wom5 ) pelvic floor dysfunction & disord]s4 7b7 ,,gao /udy ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all conduct a /udy on1 & submit to ,congress a report t addresses1 gaps 9 cov]age =-- 7#a7 cov]$ pelvic heal? s]vices "u ,/ate plans 7or waiv]s ( su* plans7 "u ! ,m$icaid program "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 = po/p>tum wom52 & 7#b7 o!r s]vices = po/p>tum wom5 :o receiv$ m$ical assi/ance "u a ,/ate plan 7or a waiv] ( su* plan7 "u ! ,m$icaid program "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 dur+ _! pregnancy4 7c7 ,def9itions ,9 ?is section3 7#a7 ,! t]m po/p>tum p]iod means ! long] ( ! p]iod ( lactation or ! #f-mon? p]iod beg9n+ on ! la/ day ( a woman's pregnancy4 7#b7 ,! t]m cov]$ pelvic heal? s]vices means-- 7,a7 pelvic floor exam9ations 7z def9$ 9 section #cag,l-#b ( ! ,public ,heal? ,s]vice ,act1 z add$ by section #b ( ?is ,act72 & 7,b7 pelvic heal? physical !rapy 7z def9$ 9 su* section #cag,l-#b74 #c4 ,po/p>tum pelvic heal? education campaign ,"p ,b ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdc et seq47 is am5d$ by ins]t+ aft] section #cag,l-#a 7#db ,u4,s4,c4 #bdg;b-#ac;a7 ! foll[+3 #cag,l-#b4 ,po/p>tum pelvic heal? education campaign 7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 9 collaboration ) ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration & ! heads ( o!r ag5cies1 & 9 consultation ) appropriate heal? pr(essional associations1 %all develop & c>ry out a program-- 7#a7 to educate & tra9 heal? pr(essionals on pelvic floor exam9ations & ! b5efits ( pelvic heal? physical !rapy2 & 7#b7 to educate po/p>tum wom5 on-- 7,a7 ) respect to pelvic floor exam9ations-- 7i7 ! importance ( su* exam9ations dur+ ! po/p>tum p]iod2 7ii7 h[ to obta9 su* an exam9ation1 includ+ in=mation relat+ to obta9+ ref]rals2 & 7iii7 :at is involv$ 9 su* an exam9ation2 & 7,b7 ) respect to pelvic heal? physical !rapy-- 7i7 ! b5efits (1 & availability ( su* physical !rapy2 & 7ii7 h[ to obta9 a ref]ral = su* physical !rapy4 7b7 ,def9itions ,9 ?is section3 7#a7 ,! t]m pelvic floor exam9ation means an exam9ation to assess a pati5t = pelvic heal? relat$ conditions t is compos$ (-- 7,a7 an ext]nal evaluation t includes analysis ( po/ure1 jo9t integrity1 muscle p]=mance1 quality ( movem5t1 & palpation & obs]vation ( ! pelvic floor2 & 7,b7 if deem$ necess>y bas$ on ! heal? c>e pr(essional's cl9ical reason+1 an int]nal vag9al or rectal exam9ation1 or bo?1 to ga!r relevant in=mation ab\t ! tone1 /r5g?1 control1 ability to contract & relax ! muscles ( ! pelvic floor individually & toge!r1 ! condition ( ! surr\nd+ fascia1 & ! position ( ! organs4 7#b7 ,! t]m pelvic heal? physical !rapy means a p]sonaliz$ physical !rapy plan implem5t$ by a pelvic heal? physical !rapi/1 aft] p]=m+ a pelvic floor exam9ation & mak+ a diagnosis1 t is bas$ on be/ available evid5ce to improve ! pati5t condition1 ) respect to ! anatomy ( ! pelvic floor1 improve mobility1 recov] f injury1 prev5t future injury1 & manage pa9 & *ronic conditions4 7#c7 ,! t]m pelvic heal? relat$ condition includes ur9>y dysfunction1 b[el dysfunction1 musculoskeletal dysfunction1 sexual dysfunction1 canc]-relat$ rehabilitation1 & ! pre-p>tum /ate & pre-p>tum conditions4 7c7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section #b1jjj1jjj = ea* ( fiscal ye>s #bjbf ?r\gh #bjcj4 4