,,ii  #aai? ,,congress  #a/ ,session    
,s4 #bhcj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #ag          
7legislative day1 ,septemb] #af71 #bjbe 
,mr4 ,k+ introduc$ ! foll[+ bill2 :i* 0 
read twice & ref]r$ to ! ,committee on  
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
improve ! annual wellness visit "u !    
,m$ic>e program4  #a4  ,%ort title  ,?is
 ,act may be cit$ z ! ,wellness &       
,education = ,long] ,lives = ,s5iors    
,act ( #bjbe or ! ,,well ,s5iors ,act ( 
#bjbe4  #b4  ,improvem5ts to ! ,m$ic>e  
annual wellness visit  7a7  ,additional 
elem5ts  7#a7  ,9 g5]al  ,section       
#ahfa7;hhh77#b7 ( ! ,social ,security   
,act 7#db ,u4,s4,c4 #aciex7hhh77#b77 is 
am5d$--  7,a7 9 subp>agraph 7,f71 by    
/rik+ & nutrition & ins]t+ nutrition1   
mobility1 food security1 h\s+ security1 
transportation access1 social support1 &
 o!r social det]m9ants ( heal? z det]m9$
 by ! ,secret>y2  7,b7 by mov+          
subp>agraphs 7,g7 & 7,h7 #b ems to !    

left2  7,c7 by r$esignat+ subp>agraph   
7,i7 z subp>agraph 7,j72 &  7,d7 by     
ins]t+ aft] subp>agraph 7,h7 ! foll[+   
new subp>agraph3  7,i7 ,scre5+ = balance
 to id5tify risk = falls & ref]ral =    
treatm5t z appropriate4  4  7#b7        
,effective date  ,! am5dm5ts made by    
p>agraph 7#a7 %all apply to items &     
s]vices furni%$ on or aft] ,janu>y #a1  
#bjbf4  7b7  ,inc5tive paym5ts  ,section
 #ahcc ( ! ,social ,security ,act 7#db  
,u4,s4,c4 #aciel7 is am5d$ by add+ at ! 
end ! foll[+ new subsection3  7ee7      
,inc5tive paym5ts = annual wellness     
visits t include c]ta9 elem5ts  7#a7  ,9
 g5]al  ,9 ! case ( p]sonaliz$ prev5tion
 plan s]vices 7z def9$ 9 p>agraph 7#a7 (
 section #ahfa7;hhh77 t are furni%$ on  
or aft] ,janu>y #a1 #bjbf1 & t include !
 elem5t describ$ 9 subp>agraph 7,f7 (   
p>agraph 7#b7 ( su* section #ahfa7;hhh7 
& at lea/ #b additional elem5ts describ$
 9 subp>agraphs 7,a7 ?r\gh 7,e7 & 7,g7  
?r\gh 7,j7 ( su* p>agraph 7#b71 9       
addition to ! am\nt ( paym5t t w\ld     

o!rwise be made = su* p]sonaliz$        
prev5tion plan s]vices "u ?is "p1 !re   
also %all be paid an am\nt equal to #aj 
p]c5t ( ! paym5t am\nt = ! s]vice "u ?is
 "p4  7#b7  ,coord9ation ) o!r paym5ts  
,! am\nt ( ! additional paym5t = a      
s]vice "u ?is subsection & subsection   
7m7 %all be det]m9$ )\t reg>d to any    
additional paym5t = ! s]vice "u         
subsection 7m7 & ?is subsection1        
respectively4 ,! am\nt ( ! additional   
paym5t = a s]vice "u ?is subsection &   
subsection 7z7 %all be det]m9$ )\t reg>d
 to any additional paym5t = ! s]vice "u 
subsection 7z7 & ?is subsection1        
respectively4  4  7c7  ,education &     
outrea*  7#a7  ,9 g5]al  ,! ,secret>y ( 
,heal? & ,human ,s]vices 79 ?is section 
ref]r$ to z ! ,secret>y7 %all conduct   
education & outrea* activities reg>d+ ! 
cov]age ( annual wellness visits "u !   
,m$ic>e program1 includ+ *anges to su*  
visits "u ! am5dm5ts made by subsections
 7a7 & 7b74  7#b7  ,national outrea*    
campaign  ,n lat] ?an #a ye> aft] ! date

 ( enactm5t ( ?is ,act1 ! ,secret>y %all
 conduct a national outrea* campaign to 
educate b5efici>ies on ! annual wellness
 visit "u ! ,m$ic>e program4 ,9 conduct+
 su* outrea* campaign1 ! ,secret>y may  
prioritize education & outrea* to       
l[-income b5efici>ies1 non-physician    
provid]s1 & to provid]s work+ &         
b5efici>ies liv+ 9 rural areas or heal? 
pr(essional %ortage areas4  7#c7        
,au?orization ( appropriations  ,!re is 
au?oriz$ to be appropriat$ = fiscal ye>s
 #bjbf ?r\gh #bjcj su* sums z may be    
necess>y to c>ry out ?is subsection4    
7d7  ,inclusion z teleheal? s]vice      
,section #ahcd7m77#d77;,f77i7 ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7m77#d77;,f77i77 is am5d$ by add+ 
at ! end ! foll[+ new s5t5ce3 ,su* t]m  
includes1 ) respect to teleheal? s]vices
 furni%$ on or aft] ,janu>y #a1 #bjbf1  
an annual wellness visit 7z def9$ 9     
section #ahfa7;hhh774  7e7  ,provid]    
eligibility  7#a7  ,9 g5]al  ,section   
#ahfa7;hhh77#c7 ( ! ,social ,security   

,act 7#db ,u4,s4,c4 #aciex7hhh77#c77 is 
am5d$3  7,a7 by /rik+ or at ! end (     
subp>agraph 7,b72  7,b7 by r$esignat+   
subp>agraph 7,c7 z subp>agraph 7,d72 &  
7,c7 by ins]t+ aft] subp>agraph 7,b7 !  
foll[+ new subp>agraph3  7,c7 a physical
 !rapi/1 an occupational !rapi/1 or a   
ph>maci/2 or  4  7#b7  ,effective date  
,! am5dm5ts made by p>agraph 7#a7 %all  
apply to items & s]vices furni%$ on or  
aft] ,janu>y #a1 #bjbf4  7f7  ,guidance 
revision  ,n lat] ?an #a ye> aft] ! date
 ( enactm5t ( ?is ,act1 ! ,secret>y %all
 issue guidance am5d+ section #daj4ae ( 
title #db1 ,code ( ,f$]al ,regulations  
7or any successor regulation71 to       
include guidance on processes1 ov]sight1
 & /&>ds = ! po/-visit foll[-up to      
ensure consi/5cy & compliance ) ! ,heal?
 ,risk ,assessm5t1 p]sonaliz$ prev5tion 
plan1 & ref]rals4  7g7  ,rese>* &       
evaluation  7#a7  ,report  7,a7  ,9     
g5]al  ,n lat] ?an #a ye> aft] ! date ( 
enactm5t ( ?is ,act1 ! ,secret>y1 act+  
?r\gh ! ,adm9i/rator ( ! ,c5t]s =       

,m$ic>e  ,m$icaid ,s]vices 79 ?is       
subsection ref]r$ to z ! ,adm9i/rator71 
%all analyze & publi% a report on !     
preval5ce 9 use ( ! annual wellness     
visit 7z def9$ 9 section #ahfa7;hhh7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#aciex7hhh777 by ,m$ic>e b5efici>ies1   
includ+ curr5t practices &              
recomm5dations = increas+ ! use &       
effectiv5ess ( ! annual wellness visit  
"u ! ,m$ic>e program "u title ,,xviii ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#acie et seq474 ,su* report %all        
include--  7i7 in=mation reg>d+ !       
int]views conduct$ "u subp>agraph 7,b72 
7ii7 data on ! preval5ce ( annual       
wellness visits furni%$ to ,m$ic>e      
b5efici>ies via teleheal? dur+ !        
,,covid-#ai public heal? em]g5cy2 &     
7iii7 utilization & claims data = annual
 wellness visits ov] ! prec$+ #aj ye>s  
brok5 d[n by ,/ate1 demographic gr\ps   
7includ+ age1 race1 e?nicity1 income1 & 
education71 ! type ( provid] furni%+ !  
annual wellness visit1 & :e!r !         

b5efici>y is enroll$ = b5efits "u !     
orig9al ,m$ic>e-fee-=-s]vice program "u 
p>ts ,a & ,b ( title ,,xviii ( ! ,social
 ,security ,act or ! ,m$ic>e ,advantage 
program "u "p ,c ( title ,,xviii ( !    
,social ,security ,act4  7,b7           
,int]views ) /akehold]s  ,! ,adm9i/rator
 %all conduct int]views ) /akehold]s1   
includ+ provid] gr\ps1 on _! conc]ns    
reg>d+ bill+ = & us+ ! annual wellness  
visit "u ! ,m$ic>e program1 includ+ :e!r
 & to :at ext5t p]sonaliz$ prev5tion    
plan s]vices & appropriate ref]rals &   
foll[-up are tak+ place = b5efici>ies :o
 are at p>ticul> risk & :i* ref]ral     
models are mo/ effective4  7#b7  ,focus 
gr\p /udy  ,n lat] ?an #f mon?s aft] !  
date ( enactm5t ( ?is ,act1 ! ,secret>y1
 act+ ?r\gh ! ,adm9i/rator1 %all conduct
 a focus gr\p /udy among provid]s1      
community-bas$ organizations1 &         
b5efici>ies t[>ds increas+ use ( !      
annual wellness visit by ,m$ic>e        
b5efici>ies4 ,! ,secret>y %all "w )     
b5efici>y & /akehold] gr\ps to develop !

 int]view que/ions = su* focus gr\p     
/udy1 & %all include que/ions on--  7,a7
 improv+ ref]rals to community s]vices2 
7,b7 b>ri]s to utilization &            
recomm5dations to increase uptake2 &    
7,c7 ! types ( provid]s 9 practices t   
furni% ! visits4  7#c7  ,au?orization ( 
appropriations  ,!re is au?oriz$ to be  
appropriat$ = fiscal ye>s #bjbf ?r\gh   
#bjcj su* sums z may be necess>y to c>ry
 out ?is subsection4