,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #hgaf  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,may #g1 #bjbf,ms4    
,williams ( ,georgia 7= h]self1 ,ms4    
,norton1 ,ms4 ,wilson ( ,florida1 ,mrs4 
,beatty1 & ,ms4 ,ross7 introduc$ !      
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce1 & 9    
addition to ! ,committees on ,ways &    
,means1 & ,education & ,work=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 
titles ,,xix & ,,xxi ( ! ,social        
,security ,act1 title ,,xxvii ( !       
,public ,heal? ,s]vice ,act1 ! ,employee
 ,retirem5t ,security ,act ( #aigd1 & ! 
,int]nal ,rev5ue ,code ( #aihf to       
require cov]age ( self-measur$ blood    
pressure monitor+ = pregnant & po/p>tum 
individuals4  #a4 ,%ort title ,?is ,act 
may be cit$ z ! ,blood ,pressure ,m&at$ 
,accessible ,telemetry ,track+ =        
,eclampsia ,risk ,safegu>ds ,act or !   

,blood ,pressure ,,matt]s ,act4  #b4    
,requir+ cov]age ( self-measur$ blood   
pressure monitor+ = pregnant & po/p>tum 
individuals  7a7 ,cov]age "u ,m$icaid   
7#a7 ,9 g5]al ,section #aije ( ! ,social
 ,security ,act 7#db ,u4,s4,c4 #acif;d7 
is am5d$--  7,a7 9 subsection 7a7-- 7i7 
9 p>agraph 7#ca71 by /rik+ & at ! end2  
7ii7 by r$esignat+ p>agraph 7#cb7 z     
p>agraph 7#cc72 &  7iii7 by ins]t+ aft] 
p>agraph 7#ca7 ! foll[+ new p>agraph3   
7#cb7 self-measur$ blood pressure       
monitor+ = pregnant & po/p>tum          
individuals 7z def9$ 9 subsection       
7ll77#a772 &  2 &  7,b7 by add+ at ! end
 ! foll[+ new subsection3  7ll7         
,self-,measur$ blood pressure monitor+ =
 pregnant & po/p>tum individuals  7#a7  
,9 g5]al  ,= purposes ( subsection      
7a77#cb71 ! t]m self-measur$ blood      
pressure monitor+ = pregnant & po/p>tum 
individuals--  7,a7 means a specifi$    
blood pressure measurem5t device furni%$
 to an individual dur+ pregnancy 7& dur+
 ! #ab-mon? p]iod beg9n+ on ! la/ day ( 

! pregnancy1 or1 9 ! case ( an          
individual :o is eligible = m$ical      
assi/ance "u ! ,/ate plan "u p>agraph   
7#e7 or 7#af7 ( section #aijb7;e71 dur+ 
! p]iod = :i* su* individual rema9s s   
eligible71 )\t reg>d to :e!r su*        
individual is diagnos$ ) a hyp]t5sive   
disord]2 &  7,b7 does n include m ?an #a
 su* device furni%$ to an individual    
dur+ a #b-ye> p]iod4  7#b7  ,specifi$   
blood pressure managem5t device def9$   
,9 ?is subsection1 ! t]m specifi$ blood 
pressure managem5t device means a device
 t--  7,a7 c be us$ by an individual to 
measure _! own blood pressure )\t !     
assi/ance ( a heal? c>e provid]2  7,b7  
has be5 cle>$ = m>ket "u section #eaj7k7
 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic   
,act2 &  7,c7 is li/$ z a validat$      
device on ! ,validat$ ,device ,li/+     
website ma9ta9$ by ! ,am]ican ,m$ical   
,association4  4  7#b7 ,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 /rik+ 
& 7#cj7 & ins]t+ 7#cj71 & 7#cb74  7,b7  
,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 ,self-measur$ blood pressure       
monitor+ = pregnant & po/p>tum          
individuals ,not)/&+ ! previ\s          
provisions ( ?is section1 a ,/ate may n 
provide = m$ical assi/ance ?r\gh        
enrollm5t ( an individual ) b5*m>k      
cov]age or b5*m>k-equival5t cov]age "u  
?is section unless1 beg9n+ on ! date t  
is #abj days aft] ! date ( enactm5t (   
?is p>agraph1 su* cov]age includes1 =   
any pregnant or po/p>tum individual1    
m$ical assi/ance = self-measur$ blood   
pressure monitor+ 9 accordance ) section
 #aije7ll74  4  7#c7 ,prohibition ( co/ 
%>+  7,a7 ,9 g5]al ,subsections 7a77#b7 
& 7b77#b7 ( section #aiaf ( ! ,social   
,security ,act 7#db ,u4,s4,c4 #acifo7   
are ea* am5d$--  7i7 9 subp>agraph 7,i71
 by /rik+ or at ! end2  7ii7 9          

subp>agraph 7,j71 by /rik+ 2 & & ins]t+ 
1 or2 &  7iii7 by add+ at ! end ! foll[+
 subp>agraph3  7,k7 self-measur$ blood  
pressure monitor+ = pregnant & po/p>tum 
individuals 7z def9$ 9 section          
#aije7ll77#a772 &  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    
,self-measur$ blood pressure monitor+ = 
pregnant & po/p>tum individuals 7z def9$
 9 section #aije7ll77#a774  4  7#d7     
,effective date  7,a7 ,9 g5]al ,subject 
to subp>agraph 7,b71 ! am5dm5ts made by 
?is subsection %all apply ) respect to  
items & s]vices furni%$ on or aft] !    
date t is #abj days aft] ! date (       
enactm5t ( ?is section4  7,b7 ,exception
 if ,/ate legislation requir$ ,9 ! case 
( a ,/ate plan = m$ical assi/ance "u    
title ,,xix ( ! ,social ,security ,act  
7#db ,u4,s4,c4 #acif et seq47 :i* !     
,secret>y ( ,heal? & ,human ,s]vices    

det]m9es requires ,/ate legislation 7o!r
 ?an legislation appropriat+ funds7 9   
ord] = ! plan to meet ! additional      
requirem5t impos$ by ! am5dm5ts made by 
?is subsection1 ! ,/ate plan %all n be  
reg>d$ z fail+ to comply ) ! requirem5ts
 ( su* title solely on ! basis ( its    
failure to meet ?is additional          
requirem5t be=e ! fir/ day ( ! fir/     
cal5d> qu>t] beg9n+ aft] ! close ( !    
fir/ regul> session ( ! ,/ate           
legislature t beg9s aft] ! date ( !     
enactm5t ( ?is subsection4 ,= purposes (
 ! previ\s s5t5ce1 9 ! case ( a ,/ate t 
has a #b-ye> legislative session1 ea*   
ye> ( su* session %all be deem$ to be a 
sep>ate regul> session ( ! ,/ate        
legislature4  7b7 ,cov]age "u ,,*ip     
7#a7 ,9 g5]al ,section #bajc7;c7 ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#acig;cc7c77 is am5d$ by add+ at ! end !
 foll[+ new p>agraph3  7#ac7 ,requir$   
cov]age ( self-measur$ blood pressure   
monitor+ = pregnant & po/p>tum          
individuals ,reg>dless ( ! type (       

cov]age elect$ by a ,/ate "u subsection 
7a71 9 ! case ( a ,/ate t elects to     
provide pregnancy-relat$ assi/ance      
pursuant to section #baab1 !            
pregnancy-relat$ assi/ance provid$ = a  
t>get$ l[-income pregnant woman 7z su*  
t]ms are def9$ = purposes ( su*         
section71 %all include cov]age (        
self-measur$ blood pressure monitor+ 9  
accordance ) section #aije7ll74  4  7#b7
 ,effective date  7,a7 ,9 g5]al ,subject
 to subp>agraph 7,b71 ! am5dm5ts made by
 ?is subsection %all apply ) respect to 
items & s]vices furni%$ on or aft] !    
date t is #abj days aft] ! date (       
enactm5t ( ?is section4  7,b7 ,exception
 if ,/ate legislation requir$ ,9 ! case 
( a ,/ate *ild heal? plan = *ild heal?  
assi/ance "u title ,,xxi ( ! ,social    
,security ,act 7#db ,u4,s4,c4 #acig;aa  
et seq47 :i* ! ,secret>y ( ,heal? &     
,human ,s]vices det]m9es requires ,/ate 
legislation 7o!r ?an legislation        
appropriat+ funds7 9 ord] = ! plan to   
meet ! additional requirem5t impos$ by !

 am5dm5ts made by ?is subsection1 !     
,/ate plan %all n be reg>d$ z fail+ to  
comply ) ! requirem5ts ( su* title      
solely on ! basis ( its failure to meet 
?is additional requirem5t be=e ! fir/   
day ( ! fir/ cal5d> qu>t] beg9n+ aft] ! 
close ( ! fir/ regul> session ( ! ,/ate 
legislature t beg9s aft] ! date ( !     
enactm5t ( ?is subsection4 ,= purposes (
 ! previ\s s5t5ce1 9 ! case ( a ,/ate t 
has a #b-ye> legislative session1 ea*   
ye> ( su* session %all be deem$ to be a 
sep>ate regul> session ( ! ,/ate        
legislature4  7c7 ,cov]age "u private   
heal? insurance  7#a7 ,am5dm5ts to !    
,public ,heal? ,s]vice ,act ,"p ,d (    
title ,,xxvii ( ! ,public ,heal? ,s]vice
 ,act 7#db ,u4,s4,c4 #cjj;gg-#aaa et    
seq47 is am5d$ by add+ at ! end ! foll[+
 new section3  #bgii;,a-#ab4 ,cov]age ( 
self-measur$ blood pressure monitor+ =  
pregnant & po/p>tum individuals  7a7 ,9 
g5]al ,subject to ! limitation "u       
subsection 7b71 a gr\p heal? plan1 & a  
heal? insurance issu] (f]+ gr\p or      

individual heal? insurance cov]age--    
7#a7 %all provide cov]age (1 & may n    
impose any co/ %>+ requirem5ts =1       
specifi$ blood pressure managem5t       
devices furni%$ to an individual dur+   
pregnancy 7& dur+ ! #ab-mon? p]iod      
beg9n+ on ! la/ day ( ! pregnancy72 &   
7#b7 may n require t su* individual be  
diagnos$ ) a hyp]t5sive disord] z a     
condition ( su* cov]age4  7b7           
,limitation ,a gr\p heal? plan or heal? 
insurance issu] (f]+ gr\p or individual 
heal? insurance cov]age is n requir$ "u 
?is section to provide cov]age ( m ?an  
#a specifi$ blood pressure managem5t    
device furni%$ to an individual dur+ a  
#b-ye> p]iod4  7c7 ,specifi$ blood      
pressure managem5t device def9$ ,9 ?is  
section1 ! t]m specifi$ blood pressure  
managem5t device has ! mean+ giv5 su*   
t]m 9 section #aije7ll77#b7 ( ! ,social 
,security ,act4  4  7#b7 ,am5dm5ts to ! 
,employee ,retirem5t ,income ,security  
,act ( #aigd  7,a7 ,9 g5]al ,subp>t ,b (
 "p #g ( subtitle ,b ( title ,i ( !     

,employee ,retirem5t ,income ,security  
,act ( #aigd 7#bi ,u4,s4,c4 #aahe et    
seq47 is am5d$ by add+ at ! end ! foll[+
 new section3  #gbg4 ,cov]age (         
self-measur$ blood pressure monitor+ =  
pregnant & po/p>tum individuals  7a7 ,9 
g5]al ,subject to ! limitation "u       
subsection 7b71 a gr\p heal? plan1 & a  
heal? insurance issu] (f]+ gr\p heal?   
insurance cov]age--  7#a7 %all provide  
cov]age (1 & may n impose any co/ %>+   
requirem5ts =1 specifi$ blood pressure  
managem5t devices furni%$ to an         
individual dur+ pregnancy 7& dur+ !     
#ab-mon? p]iod beg9n+ on ! la/ day ( !  
pregnancy72 &  7#b7 may n require t su* 
individual be diagnos$ ) a hyp]t5sive   
disord] z a condition ( su* cov]age4    
7b7 ,limitation ,a gr\p heal? plan or   
heal? insurance issu] (f]+ gr\p heal?   
insurance cov]age is n requir$ "u ?is   
section to provide cov]age ( m ?an #a   
specifi$ blood pressure managem5t device
 furni%$ to an individual dur+ a #b-ye> 
p]iod4  7c7 ,specifi$ blood pressure    

managem5t device def9$ ,9 ?is section1 !
 t]m specifi$ blood pressure managem5t  
device has ! mean+ giv5 su* t]m 9       
section #aije7ll77#b7 ( ! ,social       
,security ,act4  4  7,b7 ,cl]ical       
am5dm5t ,! table ( cont5ts 9 section #a 
( ! ,employee ,retirem5t ,income        
,security ,act ( #aigd 7#bi ,u4,s4,c4   
#ajja et seq47 is am5d$ by ins]t+ aft] !
 item relat+ to section #gbf ! foll[+3  
,sec4 #gbg4 ,cov]age ( self-measur$     
blood pressure monitor+ = pregnant &    
po/p>tum individuals4  4  7#c7 ,am5dm5ts
 to ! ,int]nal ,rev5ue ,code ( #aihf    
7,a7 ,9 g5]al ,sub*apt] ,b ( *apt] #ajj 
( ! ,int]nal ,rev5ue ,code ( #aihf is   
am5d$ by add+ at ! end ! foll[+ new     
section3  #ihbg4 ,cov]age ( self-measur$
 blood pressure monitor+ = pregnant &   
po/p>tum individuals  7a7 ,9 g5]al      
,subject to ! limitation "u subsection  
7b71 a gr\p heal? plan-- 7#a7 %all      
provide cov]age (1 & may n impose any   
co/ %>+ requirem5ts =1 specifi$ blood   
pressure managem5t devices furni%$ to an

 individual dur+ pregnancy 7& dur+ !    
#ab-mon? p]iod beg9n+ on ! la/ day ( !  
pregnancy72 &  7#b7 may n require t su* 
individual be diagnos$ ) a hyp]t5sive   
disord] z a condition ( su* cov]age4    
7b7 ,limitation ,a gr\p heal? plan is n 
requir$ "u ?is section to provide       
cov]age ( m ?an #a specifi$ blood       
pressure managem5t device furni%$ to an 
individual dur+ a #b-ye> p]iod4  7c7    
,specifi$ blood pressure managem5t      
device def9$ ,9 ?is section1 ! t]m      
specifi$ blood pressure managem5t device
 has ! mean+ giv5 su* t]m 9 section     
#aije7ll77#b7 ( ! ,social ,security     
,act4  4  7,b7 ,cl]ical am5dm5t ,! table
 ( sections = sub*apt] ,b ( *apt] #ajj (
 ! ,int]nal ,rev5ue ,code ( #aihf is    
am5d$ by add+ at ! end ! foll[+ new     
item3  ,sec4 #ihbg4 ,cov]age (          
self-measur$ blood pressure monitor+ =  
pregnant & po/p>tum individuals4  4     
7#d7 ,effective date ,! am5dm5ts made by
 ?is subsection %all apply ) respect to 
plan ye>s beg9n+ on or aft] ! date t is 

#abj days aft] ! date ( enactm5t ( ?is  
section4