,,ii  #aai? ,,congress  #b;d ,session   
,s4 #djgj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,m>* #ab1 #bjbf,mr4 ,"y
 7= himself & ,mr4 ,w>nock7 introduc$ ! 
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,f9ance  ,a ,,bill   
,to am5d title ,,xix ( ! ,social        
,security ,act to cov] physician s]vices
 deliv]$ by podiatric physicians to     
ensure access by ,m$icaid b5efici>ies to
 appropriate quality foot & ankle c>e1  
to am5d title ,,xviii ( su* ,act to     
modify ! requirem5ts = diabetic %oes to 
be includ$ "u ,m$ic>e1 & = o!r purposes4
  #a4 ,%ort title ,?is ,act may be cit$ 
z ! ,diabetes ,foot ,heal? ,access &    
,mod]nization ,act ( #bjbf4  #b4        
,recogniz+ doctors ( podiatric m$ic9e z 
physicians "u ! ,m$icaid program  7a7 ,9
 g5]al ,section #aije7;a77#e77;,a7 ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acif;d7a77#e77;,a77 is am5d$ by /rik+  
section #ahfa7r77#a7 & ins]t+ p>agraphs 
7#a7 & 7#c7 ( section #ahfa7r74  7b7    
,effective date  7#a7 ,9 g5]al ,except z

 provid$ 9 p>agraph 7#b71 ! am5dm5t made
 by subsection 7a7 %all apply to s]vices
 furni%$ on or aft] ,janu>y #a1 #bjbf4  
7#b7 ,ext5sion ( effective date = ,/ate 
law am5dm5t ,9 ! case ( a ,/ate plan "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 9   
ord] = ! plan to meet ! additional      
requirem5t impos$ by ! am5dm5t made by  
subsection 7a71 ! ,/ate plan %all n be  
reg>d$ z fail+ to comply ) ! requirem5ts
 ( su* title solely on ! basis ( its    
failure to meet ^! additional           
requirem5ts be=e ! fir/ day ( ! fir/    
cal5d> qu>t] beg9n+ aft] ! close ( !    
fir/ regul> session ( ! ,/ate           
legislature t beg9s aft] ! date (       
enactm5t ( ?is ,act4 ,= purposes ( !    
previ\s s5t5ce1 9 ! case ( a ,/ate t has
 a #b-ye> legislative session1 ea* ye> (
 ! session is consid]$ to be a sep>ate  
regul> session ( ! ,/ate legislature4   
#c4 ,cl>ify+ ,m$ic>e docum5tation       

requirem5ts = !rapeutic %oes = p]sons ) 
diabetes  7a7 ,9 g5]al ,section         
#ahfa7s77#ab7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #aciex7s77#ab77 is am5d$
 to read z foll[s3  7#ab7 extra-dep?    
%oes ) ins]ts or cu/om mold$ %oes )     
ins]ts = an individual ) diabetes1 if-- 
7,a7 a physician z def9$ 9 subsection   
7r7 ( ?is section-- 7i7 docum5ts t !    
individual has p]iph]al neuropa?y t may 
include alt]$ foot s5sation1 weakness1  
or dim9i%$ motor control ( ! l[]        
extremity2 a hi/ory ( pre-ulc]ative     
calluses or o!r ulc]ation ( ! foot2 foot
 de=mity1 previ\s l[] extremity         
amputation1 or poor l[] extremity       
circulation2  7ii7 atte/s t ! individual
 has a diabetes diagnosis & is "u a     
compreh5sive plan ( c>e relat$ to !     
individual's diabetic condition2 &      
7iii7 atte/s t ! individual ne$s su*    
%oes2 &  7,b7 ! %oes are fitt$ & furni%$
 by a physician or o!r qualifi$         
individual 7su* z a p$or?i/ or or?oti/7 
z e/abli%$ by ! ,secret>y2  4  7b7      

,con=m+ am5dm5t ,section #ahgg7;h77#f7 (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #acienn7h77#f77 is am5d$ by ins]t+ aft]
 subp>agraph 7,l7 ! foll[+3  7,m7       
,extra-dep? %oes ) ins]ts or cu/om mold$
 %oes ) ins]ts4  4  7c7 ,effective date 
,! am5dm5t made by subsection 7a7 %all  
apply ) respect to items & s]vices      
furni%$ on or aft] ,janu>y #a1 #bjbh4