,i  #aaith ,,congress  #b;d ,session    
,h4 ,r4 #hebh  ,,in ,,the ,,house ,,of  
,,representatives  ,april #bg1 #bjbf,mr4
 ,smith of ,nebraska 7for himself and   
,ms4 ,matsui7 introduced the following  
bill2 which was referred to the         
,committee on ,ways and ,means1 and in  
addition to the ,committee on ,energy   
and ,commerce1 for a period to be       
subsequently determined by the ,speaker1
 in each case for consideration of such 
provisions as fall within the           
jurisdiction of the committee concerned 
,a ,,bill  ,to amend title ,,xviii of   
the ,social ,security ,act to improve   
access to skilled nursing facilities for
 primary immunodeficiency patients4  #a4
 ,short title  ,this ,act may be cited  
as the ,,pi ,post ,acute ,access ,act4  
#b4 ,improving access to skilled nursing
 facility services for primary          
immunodeficiency patients  7a7 ,in      
general ,section #ahhh7;e77#b77;,a77iii7
 of the ,social ,security ,act 7#db     
,u4,s4,c4 #acieyy7e77#b77;,a77iii77 is  

amended by adding at the end the        
following new subclause3  7,,vii7       
,intravenous immune globulin indicated  
for the treatment of primary immune     
deficiency disease 7identified as of    
,january #a1 #bjbf1 by ,,hcpcs codes    
,j#aefa1 ,j#aefi1 ,j#aegf1 ,j#aefh1     
,j#adei1 ,j#aeed1 ,j#aeeg1 ,j#aeff1 and 
as subsequently modified by the         
,secretary7 and items and services      
related to the furnishing of such       
globulin4  4  7b7 ,effective date ,the  
amendment made by subsection 7a7 shall  
apply to items and services furnished on
 or after ,october #a1 #bjbf4