,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #heea  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,april #bh1 #bjbf,mr4 
,lawl] 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 titles     
,,xviii & ,,xix ( ! ,social ,security   
,act & title ,,xxvii ( ! ,public ,heal? 
,s]vice ,act to provide no-co/ cov]age =
 annual scre5+ mammography beg9n+ at #cj
 ye>s ( age4  #a4 ,%ort title ,?is ,act 
may be cit$ z ! ,e>ly ,access to ,scre5+
 ,act4  #b4 ,no-co/ cov]age ( annual    
scre5+ mammography beg9n+ at #cj ye>s ( 
age  7a7 ,cov]age "u ,m$ic>e  7#a7 ,9   
g5]al ,section #ahcd7;c7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4 #aciem7c77
 is am5d$--  7,a7 9 p>agraph 7#a77;,a71 
by ins]t+ or 7#c7 aft] p>agraph 7#b72   
7,b7 9 p>agraph 7#b7--  7i7 by /rik+ !  

p>agraph head+ & ins]t+ ,frequ5cy cov]$ 
be=e ,janu>y #a1 #bjbf2 &  7ii7 9       
subp>agraph 7,a71 by /rik+ ,subject &   
ins]t+ ,) respect to scre5+ mammography 
p]=m$ be=e ,janu>y #a1 #bjbf1 subject2 &
  7,c7 by add+ at ! end ! foll[+ new    
p>agraph3  7#c7 ,frequ5cy cov]$ on or   
aft] ,janu>y #a1 #bjbf ,) respect to    
scre5+ mammography p]=m$ on or aft]     
,janu>y #a1 #bjbf--  7,a7 no paym5t may 
be made "u ?is "p = scre5+ mammography  
p]=m$ on a woman "u #cj ye>s ( age2 &   
7,b7 9 ! case ( a woman ov] #bi ye>s (  
age1 paym5t may n be made "u ?is "p =   
scre5+ mammography p]=m$ )9 #aa mon?s   
foll[+ ! mon? 9 :i* a previ\s scre5+    
mammography 0 p]=m$4  4  7#b7           
,prohibition ( co/ %>+ ,section         
#ahcc7;a77#a7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #aciel7a77#a77 is       
am5d$-- 7,a7 9 subp>agraph 7,y71 by     
ins]t+ 7o!r ?an scre5+ mammography 7z   
def9$ 9 section #ahfa7;jj77 p]=m$ on or 
aft] ,janu>y #a1 #bjbf7 aft] 9 ! case ( 
su* s]vices describ$ 9 subp>agraph 7,a72

  7,b7 9 subp>agraph 7,,gg71 by /rik+ & 
at ! end2 &  7,c7 by ins]t+ 1 & 7,,ii7 )
 respect to scre5+ mammography 7z def9$ 
9 section #ahfa7;jj77 p]=m$ on or aft]  
,janu>y #a1 #bjbf1 ! am\nts paid %all be
 %all be #ajj p]c5t ( ! less] ( ! actual
 *>ge = ! s]vices or ! am\nt det]m9$ "u 
! fee s*$ule t applies to su* s]vices "u
 ?is "p be=e ! semicolon at ! end4  7#c7
 ,con=m+ am5dm5t ,section               
#ahfb7;a77#a77;,f7 is am5d$ by /rik+    
section #ahcd7;c77#b7 & ins]t+ section  
#ahcd7;c74  7b7 ,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 ins]t+
 7#ac77;,d71 be=e 7#ag714  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   
ins]t+ 7#ac77;,d71 be=e & 7#ag74  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 ,annual scre5+ mammography ,not)/&+
 ! previ\s provisions ( ?is section1 a  
,/ate may n provide = m$ical assi/ance  
?r\gh enrollm5t ( an individual ) b5*m>k
 cov]age or b5*m>k-equival5t cov]age "u 
?is section unless1 beg9n+ on ,janu>y   
#a1 #bjbf1 = any individual ov] age #bi1
 su* cov]age includes 7& does n impose  
any d$uction1 co/ %>+1 or simil> *>ge =7
 annual scre5+ mammography describ$ 9   
section #aije7;a77#ac77;,d74  4  7#b7   
,inclusion "u diagno/ic1 scre5+1        
prev5tive1 & rehabilitative s]vices     
,section #aije7;a77#ac7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4           
#acif;d7a77#ac77 is am5d$--  7,a7 9     
subp>agraph 7,b71 by /rik+ & at ! end2  
7,b7 9 subp>agraph 7,c71 by add+ & at ! 
end2 &  7,c7 by add+ at ! end ! foll[+  
new subp>agraph3  7,d7 beg9n+ ,janu>y   
#a1 #bjbf1 = individuals ov] age #bi1   
annual scre5+ mammography2  4  7#c7     
,prohibition ( co/ %>+  7,a7 ,9 g5]al   

,section #aiaf ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acifo7 is am5d$--  
7i7 9 subsection 7a77#b7--  7,i7 9      
subp>agraph 7,i71 by /rik+ or at ! end2 
7,,ii7 9 subp>agraph 7,j71 by /rik+ 2 & 
at ! end & ins]t+ 1 or2 &  7,,iii7 by   
add+ at ! end ! foll[+ new subp>agraph3 
7,k7 beg9n+ ,janu>y #a1 #bjbf1 annual   
scre5+ mammography describ$ 9 section   
#aije7;a77#ac77;,d72 &  2 &  7ii7 9     
subsection 7b77#b7-- 7,i7 9 subp>agraph 
7,i71 by /rik+ or at ! end2  7,,ii7 9   
subp>agraph 7,j71 by /rik+ 2 & at ! end 
& ins]t+ 1 or2 &  7,,iii7 by add+ at !  
end ! foll[+ new subp>agraph3  7,k7     
beg9n+ ,janu>y #a1 #bjbf1 annual scre5+ 
mammography describ$ 9 section          
#aije7;a77#ac77;,d72 &  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 annual scre5+
 mammography describ$ 9 section         

#aije7;a77#ac77;,d74  4  7c7 ,cov]age "u
 gr\p heal? plans & gr\p & individual   
heal? insurance  7#a7 ,9 g5]al ,section 
#bgac7;a7 ( ! ,public ,heal? ,s]vice    
,act 7#db ,u4,s4,c4 #cjj;gg-#ac7;a77 is 
am5d$--  7,a7 9 p>agraph 7#b71 by /rik+ 
at ! end &2  7,b7 9 p>agraph 7#c71 by   
/rik+ at ! end ! p]iod & ins]t+ 2 &2 &  
7,c7 9 p>agraph 7#d7-- 7i7 by /rik+ at !
 end ! p]iod & ins]t+ 2 &2  7ii7 by     
/rik+ wom51 su* & ins]t+ wom5--  7,a7   
su*  2 &  7iii7 by add+ at ! end !      
foll[+ new subp>agraph3  7,b7 9 ! case (
 a woman ov] #bi ye>s ( age1 annual     
mammography scre5+4  4  7#b7 ,effective 
date ,! am5dm5ts made by ?is subsection 
%all apply to plan ye>s beg9n+ on or    
aft] ,janu>y #a1 #bjbf4