,i #aai? ,,congress #a/ ,session ,h4 ,r4 #defi ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,july #ba1 #bjbe,mr4 ,mc,garvey 7= himself1 ,ms4 ,de,lauro1 & ,mr4 ,kri%namoor?i7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to am5d titles ,,xix & ,,xxi ( ! ,social ,security ,act & title ,,xxvii ( ! ,public ,heal? ,s]vice ,act to require no-co/ cov]age ( human milk =tifi]4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,support+ ,premature ,infant ,nutrition ,act ( #bjbe4 #b4 ,requir+ no-co/ cov]age ( human milk =tifi] 7a7 ,cov]age "u ,m$icaid 7#a7 ,m&atory cov]age 7,a7 ,9 g5]al ,section #aijb7;a77#aj77;,a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7a77#aj77;,a77 is am5d$ by /rik+ & 7#cj7 & ins]t+ 7#cj71 & 7#cb74 7,b7 ,m$ically ne$y ,section #aijb7;a77#aj77;,c77iv7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7a77#aj77;,c77iv77 is am5d$ by /rik+ & 7#ag7 & ins]t+ 7#ag71 & 7#cb74 7,c7 ,alt]native b5efit plans ,section #aicg7;b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifu-#g7;b77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#i7 ,human milk =tifi] ,not)/&+ ! previ\s provisions ( ?is section1 a ,/ate may n provide = m$ical assi/ance ?r\gh enrollm5t ( an individual ) b5*m>k cov]age or b5*m>k-equival5t cov]age "u ?is section unless1 beg9n+ on ,janu>y #a1 #bjbf1 su* cov]age includes 7& does n impose any d$uction1 co/ %>+1 or simil> *>ge =7 human milk =tifi] describ$ 9 section #aije7;a77#cb74 4 7#b7 ,inclusion z m$ical assi/ance ,section #aije ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7 is am5d$-- 7,a7 9 subsection 7a7-- 7i7 9 p>agraph 7#ca71 by /rik+ & at ! end2 7ii7 by r$esignat+ p>agraph 7#cb7 z p>agraph 7#cc72 & 7iii7 by ins]t+ aft] p>agraph 7#ca7 ! foll[+ new p>agraph3 7#cb7 beg9n+ ,janu>y #a1 #bjbf1 human milk =tifi] 7z describ$ 9 subsection 7kk772 & 2 & 7,b7 by add+ at ! end ! foll[+ new subsection3 7kk7 ,human milk =tifi] 7#a7 ,9 g5]al ,= purposes ( subsection 7a77#cb71 ! t]m human milk =tifi] means a donor human milk-d]iv$ product t is furni%$ to an infant "u #a ye> ( age if a specifi$ pr(essional det]m9es t su* donor human milk-d]iv$ product is m$ically necess>y = ! infant because-- 7,a7 ! infant's ge/ational age at bir? 0 #cd weeks or less2 7,b7 ! infant-- 7i7 _h a bir? weight ( less ?an #ahjj grams2 or 7ii7 has a body weight bel[ heal?y levels1 z det]m9$ by ! specifi$ pr(essional2 or 7,c7 ! infant has a cong5ital or acquir$ condition & su* donor human milk-d]iv$ product w-- 7i7 improve su* condition2 or 7ii7 aid 9 ! recov]y ( ! infant ) respect to su* condition4 7#b7 ,def9itions ,= purposes ( ?is subsection1 ! foll[+ def9itions apply3 7,a7 ,donor human milk-d]iv$ product ,! t]m donor human milk-d]iv$ product means a specialty nutritional product made f donor human milk :]e9 ! donor human milk has be5 conc5trat$ or "o or m compon5ts h be5 remov$4 7,b7 ,specifi$ pr(essional ,! t]m specifi$ pr(essional means a physician1 nurse practition]1 physician's assi/ant1 regi/]$ dietician1 or o!r lic5s$ pr(essional au?oriz$ by ,/ate /atute to make ! det]m9ation describ$ 9 p>agraph 7#a74 4 7#c7 ,prohibition ( co/ %>+ 7,a7 ,9 g5]al ,section #aiaf ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifo7 is am5d$-- 7i7 9 subsection 7a77#b7-- 7,i7 9 subp>agraph 7,i71 by /rik+ at ! end or2 7,,ii7 9 subp>agraph 7,j71 by /rik+ at ! end 2 & & ins]t+ 1 or2 & 7,,iii7 by add+ at ! end ! foll[+ new subp>agraph3 7,k7 beg9n+ ,janu>y #a1 #bjbf1 human milk =tifi] 7z describ$ 9 section #aije7;a77#cb772 & 2 & 7ii7 9 subsection 7b77#b7-- 7,i7 9 subp>agraph 7,i71 by /rik+ at ! end or2 7,,ii7 9 subp>agraph 7,j71 by /rik+ at ! end 2 & & ins]t+ 1 or2 & 7,,iii7 by add+ at ! end ! foll[+ new subp>agraph3 7,k7 beg9n+ ,janu>y #a1 #bjbf1 human milk =tifi] 7z describ$ 9 section #aije7;a77#cb772 & 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 ,beg9n+ ,janu>y #a1 #bjbf1 human milk =tifi] 7z describ$ 9 section #aije7;a77#cb774 4 7b7 ,cov]age "u ! ,*ildr5's ,heal? ,insurance ,plan 7#a7 ,9 g5]al ,section #bajc ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;cc7 is am5d$-- 7,a7 9 subsection 7a71 by /rik+ & 7#h7 & ins]t+ 1 7#h71 & 7#ac72 & 7,b7 9 subsection 7c71 by add+ at ! end ! foll[+ new p>agraph3 7#ac7 ,requir$ cov]age ( human milk =tifi] ,! *ild heal? assi/ance provid$ to a t>get$ l[-income *ild %all include cov]age ( human milk =tifi] 7z describ$ 9 section #aije7;a77#cb774 4 7#b7 ,prohibition ( co/ %>+ ,section #bajc7;e77#b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;cc7e77#b77 is am5d$-- 7,a7 9 ! p>agraph head+1 by ins]t+ human milk =tifi]1 be=e or pregnancy-relat$ assi/ance2 & 7,b7 by ins]t+ human milk =tifi] describ$ 9 section #aije7;a77#cb71 be=e or = pregnancy-relat$ assi/ance4 7#c7 ,effective date 7,a7 ,9 g5]al ,subject to subp>agraph 7,b71 ! am5dm5ts made by ?is subsection %all apply ) respect to *ild heal? assi/ance furni%$ on or aft] ,janu>y #a1 #bjbf4 7,b7 ,exception if ,/ate legislation requir$ ,9 ! case ( a ,/ate *ild heal? plan = *ild heal? assi/ance "u title ,,xxi ( ! ,social ,security ,act :i* ! ,secret>y ( ,heal? & ,human ,s]vices det]m9es requires ,/ate legislation 7o!r ?an legislation appropriat+ funds7 9 ord] = ! plan to meet ! additional requirem5t impos$ by ! am5dm5ts made by ?is subsection1 ! ,/ate *ild heal? plan %all n be reg>d$ z fail+ to comply ) ! requirem5ts ( su* title solely on ! basis ( its failure to meet ?is additional requirem5t be=e ! fir/ day ( ! fir/ cal5d> qu>t] beg9n+ aft] ! close ( ! fir/ regul> session ( ! ,/ate legislature t beg9s aft] ! date ( ! enactm5t ( ?is ,act4 ,= purposes ( ! previ\s s5t5ce1 9 ! case ( a ,/ate t has a #b-ye> legislative session1 ea* ye> ( su* session %all be deem$ to be a sep>ate regul> session ( ! ,/ate legislature4 7c7 ,cov]age "u gr\p heal? plans & gr\p & individual heal? insurance 7#a7 ,9 g5]al ,subp>t ,,ii ( "p ,a ( title ,,xxvii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#aa et seq47 is am5d$ by add+ at ! end ! foll[+ new section3 #bgcj4 ,no-co/ cov]age ( human milk =tifi] ,a gr\p heal? plan1 & a heal? insurance issu] (f]+ gr\p or individual heal? insurance cov]age1 %all provide cov]age =1 & %all n impose any co/ %>+ requirem5ts =1 human milk =tifi] 7z describ$ 9 section #aije7;a77kk7 ( ! ,social ,security ,act74 4 7#b7 ,effective date ,! am5dm5ts made by ?is subsection %all apply to plan ye>s beg9n+ on or aft] ,janu>y #a1 #bjbf4