I 
112TH CONGRESS 
2D SESSION 
H. R. 6521 
To provide payment for patient navigator services under title XIX of the 
Social Security Act. 
IN THE HOUSE OF REPRESENTATIVES 
SEPTEMBER 21, 2012 
Mr. ISRAEL (for himself, Mr. RANGEL, Mr. LEWIS of Georgia, Mr. ACKER-
MAN, Mrs. MCCARTHY of New York, Mr. SERRANO, Ms. SLAUGHTER, 
Mr. OWENS, Mrs. CHRISTENSEN, Mrs. LOWEY, Mr. CROWLEY, Mr. 
BISHOP of New York, and Mr. DEUTCH) introduced the following bill; 
which was referred to the Committee on Energy and Commerce 
A BILL 
To provide payment for patient navigator services under title 
XIX of the Social Security Act. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. MEDICAID COVERAGE FOR PATIENT NAVI-
GATOR SERVICES. 
(a) STATE PLAN REQUIREMENT.—Section 1902(a) 
of the Social Security Act (42 U.S.C. 1396a(a)) is amend-
ed— 
(1) in paragraph (82)(C), by striking ‘‘and’’ at 
the end; 
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srobinson on DSK4SPTVN1PROD with
such navigators, such as developing a 
training curriculum. 
‘‘(ii) MEMBERSHIP.—The Secretary 
shall convene a patient navigation advisory 
committee and the members of such com-
mittee shall include— 
‘‘(I) representatives from relevant 
Federal departments and agencies, in-
cluding the National Institutes of 
Health, the Centers for Disease Con-
trol and Prevention, the Health Re-
sources and Services Administration, 
and the Centers for Medicare & Med-
icaid Services; and 
‘‘(II) individuals and representa-
tives of public and private organiza-
tions with expertise in patient naviga-
tion. 
‘‘(3) PATIENT
NAVIGATOR
SERVICES.—The 
term ‘patient navigator service’ means a service that 
is a duty specified under paragraphs (1) through (6) 
of subsection (b) of section 340A of the Public 
Health Service Act and that is provided by a patient 
navigator (as defined in section 340A(l)(3) of the 
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Public Health Service Act), through an eligible enti-
ty.’’. 
(c) TREATMENT AS MEDICAL ASSISTANCE FOR PUR-
POSES OF FMAP.—Section 1905(a) of the Social Security 
Act (42 U.S.C. 1396d(a)) is amended— 
(1) in paragraph (28), by striking ‘‘and’’ at the 
end; 
(2) by redesignating paragraph (29) as para-
graph (30); and 
(3) by inserting after paragraph (28) the fol-
lowing: 
‘‘(29) patient navigator services (as such term 
is defined in section 1902(ll)(3)) that are provided 
in a manner that meets the requirements of section 
1902(a)(84); and’’. 
(d) EFFECTIVE DATE.— 
(1) IN GENERAL.—Subject to paragraph (2), 
the amendments made this section shall apply to pa-
tient navigator services provided after the first day 
of the first calendar year that begins after the date 
of enactment of this Act. 
(2) EXCEPTION FOR STATE LEGISLATION.—In 
the case of a State plan under title XIX of the So-
cial Security Act, which the Secretary of Health and 
Human Services determines requires State legisla-
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tion in order for the respective plan to meet any re-
quirement imposed by amendments made by this 
Act, the respective plan shall not be regarded as fail-
ing to comply with the requirements of such title 
solely on the basis of its failure to meet such an ad-
ditional requirement before the first day of the first 
calendar quarter beginning after the close of the 
first regular session of the State legislature that be-
gins after the date of enactment of this Act. For 
purposes of the previous sentence, in the case of a 
State that has a 2-year legislative session, each year 
of the session shall be considered to be a separate 
regular session of the State legislature. 
Æ 
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