,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #iccf  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,june #ah1 #bjbf,mr4  
,goldman ( ,texas 7= himself & ,mr4     
,pflug]7 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 ,/ates to take into acc\nt      
p]=mance :5 assign+ individuals to      
manag$ c>e entities "u ! ,m$icaid       
program4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,bett] ,c>e1 ,bett] ,co/    
,act4  #b4 ,requir+ ,/ates to take into 
acc\nt p]=mance :5 assign+ individuals  
to manag$ c>e entities "u ! ,m$icaid    
program  7a7 ,9 g5]al ,section          
#aicb7;a77#d7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acifu-#b7;a77#d77 is   
am5d$---  7#a7 9 subp>agraph            
7,d77ii77,,ii71 by /rik+ ! equitable &  
all t foll[s ?r\gh ! p]iod & ins]t+ !   
p]=mance score ( su* entities1 z det]m9$
 "u ! sy/em e/abli%$ by ! ,/ate "u      
subp>agraph 7,e742 &  7#b7 by add+ at ! 

end ! foll[+ new subp>agraph3  7,e7     
,p]=mance  7i7 ,9 g5]al ,a ,/ate %all-- 
7,i7 e/abli% a sy/em to evaluate !      
p]=mance ( manag$ c>e entities          
p>ticipat+ "u ! ,/ate plan 7or wavi] (  
su* plan7 ( su* ,/ate2 &  7,,ii7 on an  
annual basis1 publi% a report-- 7aa7    
evaluat+ ! diff]5ces 9 default          
enrollm5ts made tak+ into acc\nt !      
p]=mance scores ( manag$ c>e entities "u
 ?is subp>agraph comp>$ to su*          
enrollm5ts t w\ld h be5 made _h su*     
scores n be5 tak5 into acc\nt2 &  7bb7  
quantify+ any e/imat$ r$uction 9        
exp5ditures "u su* plan 7or waiv]7      
attributable to tak+ into acc\nt su*    
scores 9 default enrollm5ts4  7ii7      
,score ,"u ! sy/em e/abli%$ by a ,/ate  
"u clause 7i71 ! ,/ate %all assign a    
p]=mance score = ea* manag$ c>e entity  
describ$ 9 su* clause bas$ on su* co/ & 
outcome measures & su* individual       
satisfaction measures z det]m9$         
appropriate by ! ,/ate4 ,measures us$ "u
 su* sy/em may include1 ) respect to    

individuals enroll$ "u su* entity1      
measures ( ! p]=mance ( su* entity      
7comp>$ to ! risk-adju/$ expect$        
p]=mance ( su* entity7 ) respect to !   
foll[+3  7,i7 ,exp5ditures = m$ical     
assi/ance4  7,,ii7 ,pot5tially avoidable
 hospital readmissions4  7,,iii7        
,pot5tially avoidable em]g5cy dep>tm5t  
visits4  7,,iv7 ,pot5tially avoidable   
hospital admissions4  7,v7 ,satisfaction
 scores f su* individuals & ! rate at   
:i* su* individuals elect to t]m9ate    
enrollm5t ) su* entity4  4  7b7         
,effective date ,! am5dm5ts made by ?is 
section %all apply ) respect to !       
enrollm5t ( individuals 9 manag$ c>e    
entities "u a ,/ate plan "u title ,,xix 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #acif et seq471 or "u a waiv] 
( su* plan1 on or aft] ,janu>y #a1      
#bjbh4