,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #figd  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,janu>y #h1 #bjbf,mr4 
,arr+ton 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 title      
,,xviii ( ! ,social ,security ,act to   
p]mit additional accr$it+ organizations 
to approve specializ$ ,,ma plans =      
special ne$s individuals4  #a4 ,%ort    
title ,?is ,act may be cit$ z ! ,improv+
 ,,ma ,,snp ,act ( #bjbf4  #b4          
,accr$itation ( specializ$ ,,ma plans = 
special ne$s individuals ,section       
#ahei7;f77#g7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #aciew-#bh7;f77#g77 is  
am5d$--  7#a7 9 ! head+1 by /rik+ ,,ncqa
 approv$ & ins]t+ approv$ by an accr$it+
 organization2  7#b7 by ins]t+ 1 bas$ on
 /&>ds e/abli%$ by ! ,secret>y1 aft]    

approv$2 &  7#c7 by /rik+ 7bas$ on /&>ds
 e/abli%$ by ! ,secret>y7 & ins]t+ or1 =
 #bjbf & subsequ5t ye>s1 by any o!r     
private accr$it+ organization ) an      
application approv$ "u section          
#aheb7;e77#d77;,c7 det]m9$ appropriate  
by ! ,secret>y4