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                   118TH CONGRESS                                   REPT. 118-952
                      2d Session    HOUSE   OF REPRESENTATIVES          Part 1







                            ENSURING PATIENT ACCESS TO CRITICAL
                            BREAKTHROUGH PRODUCTS ACT OF 2024




                   DECEMBER 24, 2024.-Committed to the Committee of the Whole House on the State
                                    of the Union and ordered to be printed




                    Mr. SMITH  of Missouri, from the Committee on Ways and Means,
                                        submitted the following



                                           REPORT


                                             together with


                                         DISSENTING VIEWS

                                         [To accompany H.R. 1691]

                             [Including cost estimate of the Congressional Budget Office]

                     The  Committee  on Ways  and Means,  to whom  was  referred the
                   bill (H.R. 1691) to amend title XVIII of the Social Security Act to
                   ensure prompt  coverage of breakthrough  devices under the Medi-
                   care program, and for other purposes, having considered the same,
                   reports favorably thereon with  an amendment and recommends
                   that the bill as amended do pass.

                                              CONTENTS

                                                                                Page
                      I. SUMMARY AND BACKGROUND   ...............................................................  3
                           A. Purpose and  Sum m ary  .....................................................................  3
                           B. Background and Need for Legislation .................... 3
                           C. Legislative  H istory  ........................................................................... .  4
                              B ackground .....................................................................................  4
                              Com m ittee  H earings  .......................................................................  4
                              Com m ittee  A ction  ...........................................................................  4
                           D . Designated  H earing  ..........................................................................  4
                     II. EXPLANATION    OF  THE   BILL  ..................................................................  4
                           A . Reasons  for  Change  ..........................................................................  4
                           B. Explanation  of Provisions  .................................................................  5
                           C . E ffective  D ate  ................................................................................... .  5
                    III. VOTES OF THE COM M ITTEE ...................................................................  5
                    IV. BUDGET EFFECTS  OF THE BILL ............................................................  6
                           A. Committee Estimate of Budgetary Effects ..................           6


59-006

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