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                    118TH CONGRESS                                   REPT. 118-958
                      2d Session     HOUSE  OF  REPRESENTATIVES          Part 1







                   AMERICAN MEDICAL INNOVATION AND INVESTMENT ACT
                                               OF  2024




                                   DECEMBER 27, 2024.-Ordered to be printed




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



                                           REPORT


                                             together with


                                       SUPPLEMENTAL VIEWS

                                          [To accompany H.R. 8816]

                             [Including cost estimate of the Congressional Budget Office]

                     The  Committee  on Ways  and  Means,  to whom  was referred the
                   bill (H.R. 8816) to amend title XVIII of the Social Security Act to
                   provide  for a cognitive impairment  detection benefit under  the
                   Medicare  program,  and for other purposes, having considered the
                   same,  reports favorably  thereon with  an  amendment and    rec-
                   ommends   that the bill as amended do pass.

                                               CONTENTS

                                                                                 Page
                      I. SUMMARY AND  BACKGROUND   ...............................................................  7
                           A. Purpose and Sum m ary  .....................................................................  7
                           B. Background and Need for Legislation .................... 7
                           C. Legislative  H istory  ........................................................................... .  8
                               B ackground   .....................................................................................  8
                               Com m ittee  H earings  .......................................................................  8
                               Com m ittee  A ction  ...........................................................................  8
                           D . Designated  H earing  ..........................................................................  8
                     II. EXPLANATION     OF  THE  BILL   ..................................................................  9
                           A . Reasons  for  Change  ..........................................................................  9
                           B. Explanation  of Provisions  .................................................................  9
                           C . E ffective  D ate  ....................................................................................  10
                     III. VOTES   OF  THE  COM  M ITTEE   ....................................................................  10
                     IV. BUDGET EFFECTS OF THE BILL ...........................................................  11
                           A. Committee Estimate of Budgetary Effects ..................            11
                           B. Statement Regarding New Budget Authority and Tax Expendi-
                               tures Budget Authority  .................................................................  11


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