,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #egcf  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,octob] #aj1 #bjbe,mr4
 ,griffi? 7= himself1 ,mr4 ,b]a1 ,mrs4  
,mill]-,meeks1 ,ms4 ,s*ri]1 ,ms4        
,del,bene1 ,mr4 ,ond]1 & ,mr4           
,au*9closs7 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   
include p5icill9 all]gy v]ification &   
evaluation z "p ( ! initial prev5tive   
physical exam9ation "u ! ,m$ic>e        
program4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,p5icill9 ,all]gy           
,v]ification & ,evaluation ,act or !    
,,pave ,act4  #b4 ,f9d+s ,congress makes
 ! foll[+3 7#a7 ,on ,septemb] #bh1      
#aibh1 ,alex&] ,flem+1 a ,scotti%       
bact]iologi/1 discov]$ p5icill91 =ev]   

*ang+ heal?c>e by id5tify+ an effective 
way to treat a wide range ( infections  
:i* op5$ ! door = num]\s successful     
m$ical treatm5ts4  7#b7 ,millions (     
pati5ts believe !y are all]gic to       
p5icill91 b in=mation cit$ by ! ,c5t]s =
 ,disease ,control & ,prev5tion & rec5t 
m$ical j\rnal articles 9 ! ,j\rnal ( !  
,am]ican ,m$ical ,association & !       
,j\rnal ( ,all]gy & ,cl9ical            
,immunology1 %[s t m ?an #ij p]c5t (    
pati5ts :o h a self-report$ p5icill9    
all]gy 9 _! electronic m$ical record c  
safely take p5icill9 aft] v]ification   
te/+4  7#c7 ,a #bjbj m$ical rese>*      
review f\nd1 p5icill9 all]gy is e/imat$ 
to affect approximately #aj p]c5t ( !   
population1 & #ae p]c5t ( hospitaliz$   
pati5ts are label$ ) a p5icill9 all]gy4 
7#d7 ,p5icill9 all]gy label is associat$
 ) poor pati5t outcomes includ+ increas$
 hospital l5g? ( /ay1 increas$          
p]iop]ative infections1 & ov]all        
increas$ mortality accord+ to ! ,new    
,engl& ,j\rnal ( ,m$ic9e4  7#e7 ,a #bjah

 pap] 9 ! ,j\rnal ( ,all]gy & ,cl9ical  
,immunology indicates t p5icill9 all]gy 
evaluation by any means has be5 %[n to  
be a co/-sav+ int]v5tion4  7#f7         
,delabel+ p5icill9 all]gy is an         
important compon5t ( antibiotic /ew>d%ip
 & is endors$ by _m pr(essional         
organizations & public heal? bodies1    
includ+ ! ,am]ican ,academy ( ,all]gy1  
,a/hma  ,immunology4  7#g7 ,a #bjbc /udy
 ( adults #fe & old] ) a p5icill9 all]gy
 label publi%$ 9 ! ,annals ( ,all]gy1   
,a/hma  ,immunology f\nd t #ig p]c5t 7  
disprov$ aft] v]ification te/+4  #c4    
,p5icill9 all]gy v]ification &          
evaluation = s5iors  7a7 ,initial       
prev5tive physical exam9ation ,section  
#ahfa7ww7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #aciex7ww77 is am5d$--   
7#a7 ,9 p>agraph 7#a7-- 7,a7 by ins]t+  
p5icill9 all]gy v]ification & evaluation
 7z def9$ 9 p>agraph 7#e771 aft] 7z     
def9$ 9 p>agraph 7#d7712  7#b7 9        
p>agraph 7#b7-- 7,a7 by r$esignat+      
subp>agraph 7,o7 z subp>agraph 7,p72 &  

7,b7 by ins]t+ aft] subp>agraph 7,n7 !  
foll[+ new subp>agraph3  7,o7 ,p5icill9 
all]gy v]ification & evaluation4  2 &   
7#c7 by add+ at ! end ! foll[+ new      
p>agraph3  7#e7 ,= purposes ( p>agraph  
7#a71 ! t]m p5icill9 all]gy v]ification 
& evaluation means-- 7,a7 id5tification 
( individuals report+ a hi/ory (        
p5icill9 all]gy2  7,b7 consid]ation (   
:e!r ! report$ reaction hi/ory is       
consi/5t ) an all]gy or hyp]s5sitivity  
reaction or c be reevaluat$2  7,c7 !    
provision ( in=mation on ! adv]se       
individual & public heal? impact ( a    
p5icill9 all]gy label2 &  7,d7 a ref]ral
 to an all]gy or immunology speciali/1 z
 appropriate4  4  7b7 ,annual wellness  
visit ,section #ahfa7;hhh77#b7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#aciex7hhh77#b77 is am5d$-- 7#a7 by     
r$esignat+ subp>agraph 7,i7 z           
subp>agraph 7,j72 &  7#b7 by ins]t+ aft]
 subp>agraph 7,h7 ! foll[+ new          
subp>agraph3  7,i7 ,p5icill9 all]gy     
v]ification & evaluation 7z def9$ 9     

subsection 7ww77#e774  4  7c7 ,rule (   
con/ruction ,no?+ 9 ! am5dm5ts made by  
subsection 7a7 or 7b7 %all be con/ru$ to
 prohibit sep>ate paym5t = /ructur$     
p5icill9 all]gy validation & evaluation 
s]vices furni%$ to an individual on !   
same day z an initial prev5tive physical
 exam9ation or an annual wellness visit4
  7d7 ,effective date ,! am5dm5ts made  
by ?is section %all apply to exam9ations
 & visits furni%$ on or aft] ,janu>y #a1
 #bjbg4