,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #fafg  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,novemb] #bj1         
#bjbe,mr4 ,web/] ( ,florida 7= himself1 
,mr4 ,/eube1 ,mr4 ,mann1 ,mr4 ,all51 &  
,mr4 ,gos>7 introduc$ ! foll[+ bill2 :i*
 0 ref]r$ to ! ,committee on ,ways &    
,means1 & 9 addition to ! ,committee on 
,en]gy & ,comm]ce1 = 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 ! ,int]nal 
,rev5ue ,code ( #aihf to provide a      
d$uction = c]ta9 *>ity c>e furni%$ by   
physicians1 to am5d ! ,public ,heal?    
,safety ,act to limit ! liability (     
physicians provid+ c]ta9 *>ity c>e1 & = 
o!r purposes4  #a4 ,%ort title  ,?is    
,act may be cit$ z ! ,help+ ,ev]yone    
,access ,long ,t]m ,heal?c>e ,act (     
#bjbe or ! ,,heal? ,act ( #bjbe4  #b4   
,d$uction = qualifi$ *>ity c>e  7a7 ,9  
g5]al ,"p ,,vii ( sub*apt] ,b ( *apt] #a
 ( subtitle ,a ( ! ,int]nal ,rev5ue     

,code ( #aihf is am5d$ by r$esignat+    
section #bbf z section #bbg & ins]t+    
aft] section #bbe ! foll[+ new section3 
#bbf4 ,qualifi$ *>ity c>e  7a7 ,9 g5]al 
,9 ! case ( a physician 7z def9$ 9      
section #ahfa7r7 ( ! ,social ,security  
,act71 !re %all be all[$ z a d$uction = 
! taxable ye> an am\nt equal to !       
unreimburs$ ,m$ic>e-bas$ value (        
qualifi$ *>ity c>e furni%$ by su*       
taxpay] dur+ su* ye>4  7b7 ,unreimburs$ 
m$ic>e-,bas$ value ,= purposes ( ?is    
section1 ! t]m #8unreimburs$            
,m$ic>e-bas$ value' means1 ) respect to 
qualifi$ *>ity c>e1 ! am\nt payable =   
su* c>e "u ! physician fee s*$ule       
e/abli%$ "u section #ahdh ( ! ,social   
,security ,act4  7c7 ,qualifi$ *>ity c>e
 ,= purposes ( ?is section-- 7#a7 ,9    
g5]al ,! t]m qualifi$ *>ity c>e means   
physicians' s]vices t are furni%$-- 7,a7
 )\t reimbursem5t or ! expectation (    
reimbursem5t1 &  7,b7 to an individual  
enroll$-- 7i7 "u a ,/ate plan "u title  
,,xix ( ! ,social ,security ,act 7or a  

waiv] ( su* plan71 or  7ii7 "u a ,/ate  
*ild heal? plan "u title ,,xxi ( !      
,social ,security ,act 7or a waiv] ( su*
 plan74  7#b7 ,exclusion ,! t]m         
#8qualifi$ *>ity c>e' does n include--  
7,a7 s]vices = :i* fund+ is prohibit$ "u
 sections #ejf & #ejg ( title ,v (      
division ,d ( ! ,fur!r ,consolidat$     
,appropriations ,act1 #bjbd1  7,b7 sex  
reassignm5t surg]ies furni%$ = ! purpose
 ( ! g5d] alt]ation ( a transg5d]       
individual1 or  7,c7 hormone treatm5ts  
furni%$ = ! purpose ( ! g5d] alt]ation (
 a transg5d] individual4  7d7           
,physicians' s]vices ,= purposes ( ?is  
section1 ! t]m #8physicians' s]vices'   
has ! mean+ giv5 su* t]m by section     
#ahfa7q7 ( ! ,social ,security ,act4  4 
7b7 ,d$uction all[$ to non-,itemiz]s    
,section #fc7;b7 ( su* ,code is am5d$-- 
7#a7 9 p>agraph 7#f71 by /rik+ &1  7#b7 
9 p>agraph 7#g71 by /rik+ ! p]iod &     
ins]t+ 1 &1 &  7#c7 by add+ at ! end !  
foll[+ new p>agraph3  7#h7 ! d$uction   
provid$ 9 section #bbg4  4  7c7 ,cl]ical

 am5dm5t ,! table ( sections = "p ,,vii 
( sub*apt] ,b ( *apt] #a is am5d$ by    
r$esignat+ ! item relat+ to section #bbf
 z relat+ to section #bbg & by ins]t+   
aft] ! item relat+ to section #bbc !    
foll[+ new item3  ,sec4 #bbf4 ,qualifi$ 
*>ity c>e4  4  7d7 ,effective date ,!   
am5dm5ts made by ?is section %all apply 
to qualifi$ *>ity c>e 7z def9$ 9 section
 #aii;,b7c7 ( su* ,code7 furni%$ aft]   
,decemb] #ca1 #bjbe4  #c4 ,limitation on
 liability = physicians furni%+ qualifi$
 *>ity c>e ,! ,public ,heal? ,s]vice    
,act is am5d$ by ins]t+ aft] section    
#bbd 7#db ,u4,s4,c4 #bcc7 ! foll[+3     
#bbd;,a4 ,limitation on liability =     
physicians furni%+ qualifi$ *>ity c>e   
7a7 ,limitation on liability ,a         
physician or att5d+ m$ical p]sonnel %all
 n be liable "u ,f$]al or ,/ate law 9   
any civil action = any h>m caus$ by an  
act or omission ( su* physician or      
att5d+ m$ical p]sonnel1 if su* act or   
omission-- 7#a7 occurr$ 9 ! c\rse (     
furni%+ qualifi$ *>ity c>e 7z def9$ 9   

section #aii;,b ( ! ,int]nal ,rev5ue    
,code ( #aihf72 &  7#b7 0 n int5tional1 
kn[+1 reckless1 or grossly neglig5t4    
7b7 ,preemption ,?is section preempts ! 
laws ( a ,/ate or any political         
subdivision ( a ,/ate to ! ext5t t su*  
laws are inconsi/5t ) ?is section1      
unless su* laws provide great]          
protection f liability = a def5dant4  4