,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #hgbi  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,may #aa1 #bjbf,mr4   
,l&sman 7= himself & ,mrs4 ,d+ell7      
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to am5d title ,,xix ( ! ,social
 ,security ,act to require t diagno/ic &
 supplem5tal brea/ exam9ations are      
furni%$ )\t co/ %>+ "u ! ,m$icaid       
program1 & = o!r purposes4  #a4 ,%ort   
title ,?is ,act may be cit$ z ! ,no-,co/
 ,brea/ ,exam9ations 9 ,m$icaid ,act (  
#bjbf4  #b4 ,requir+ t diagno/ic &      
supplem5tal brea/ exam9ations are       
furni%$ )\t co/ %>+ "u ! ,m$icaid       
program  7a7 ,9 g5]al  7#a7 ,9 g5]al    
,subsections 7a77#b7 & 7b77#b7 ( section
 #aiaf ( ! ,social ,security ,act 7#db  
,u4,s4,c4 #acifo7 are ea* am5d$--  7,a7 
9 subp>agraph 7,i71 by /rik+ or at !    
end2  7,b7 9 subp>agraph 7,j71 by /rik+ 
2 & & ins]t+ 1 or2 &  7,c7 by add+ at ! 
end ! foll[+ new subp>agraph3  7,k7     
diagno/ic brea/ exam9ations &           

supplem5tal brea/ exam9ations 7z su*    
t]ms are def9$ 9 section #aije7ll772 &  
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    
,diagno/ic brea/ exam9ations &          
supplem5tal brea/ exam9ations 7z su*    
t]ms are def9$ 9 section #aije7ll774  4 
7b7 ,def9itions ,section #aije ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#acif;d7 is am5d$ by add+ at ! end !    
foll[+ new subsection3  7ll7 ,def9itions
 relat+ to brea/ canc] exam9ations  7#a7
 ,diagno/ic brea/ exam9ation ,! t]m     
diagno/ic brea/ exam9ation means a      
m$ically necess>y & appropriate 79      
accordance ) ,national ,compreh5sive    
,canc] ,network ,guidel9es7 exam9ation (
 ! brea/ 7includ+1 b n limit$ to su* an 
exam9ation us+ diagno/ic mammography1   
brea/ magnetic resonance imag+1 or brea/
 ultras\nd7 t is--  7,a7 us$ to evaluate
 an abnormality se5 or suspect$ f a     

scre5+ exam9ation = brea/ canc]2 or     
7,b7 us$ to evaluate an abnormality     
detect$ by ano!r means ( exam9ation4    
7#b7 ,supplem5tal brea/ exam9ation ,!   
t]m supplem5tal brea/ exam9ation means a
 m$ically necess>y & appropriate 79     
accordance ) ,national ,compreh5sive    
,canc] ,network ,guidel9es7 exam9ation (
 ! brea/ 7includ+1 b n limit$ to su* an 
exam9ation us+ brea/ magnetic resonance 
imag+ or brea/ ultras\nd7 t is-- 7,a7   
us$ to scre5 = brea/ canc] :5 !re is no 
abnormality se5 or suspect$2 &  7,b7    
furni%$ bas$ on p]sonal or family m$ical
 hi/ory or additional factors t may     
increase ! individual's risk ( brea/    
canc]4  4  7c7 ,inclusion ( scre5+      
mammography z a m&atory b5efit  7#a7 ,9 
g5]al ,section #aijb7;a77#aj77;,a7 ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acif;a7a77#aj77;,a77 is am5d$1 9 !     
matt] prec$+ clause 7i71 by ins]t+      
7#ac77;,d71 aft] 7#ac77;,b714  7#b7     
,m$ical assi/ance ,section              
#aije7;a77#ac7 ( ! ,social ,security    

,act 7#db ,u4,s4,c4 #acif;d7a77#ac77 is 
am5d$-- 7,a7 9 subp>agraph 7,b71 by     
/rik+ & at ! end2  7,b7 9 subp>agraph   
7,c71 by add+ & at ! end2 &  7,c7 by    
add+ at ! end ! foll[+ new subp>agraph3 
7,d7 scre5+ mammography 7z def9$ 9      
section #ahfa7;jj77 assign$ a grade ( ,a
 or ,b by ! ,unit$ ,/ates ,prev5tive    
,s]vices ,task ,=ce2  4  7d7 ,effective 
date ,! am5dm5ts made by ?is section    
%all apply ) respect to m$ical assi/ance
 furni%$ on or aft] ! date t is #a ye>  
aft] ! date ( ! enactm5t ( ?is ,act4