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H. Rept. 115-446,Part 1 1 (2017-12-06)

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                     115TH CONGRESS                                      REPT.115-446
                        1st Session J  HOUSE   OF REPRESENTATIVES            Part 1







                            INDEPENDENCE AT HOME DEMONSTRATION
                            IMPROVEMENT AND EXTENSION ACT OF 2017




                                     DECEMBER 6, 2017.-Ordered to be printed




                        Mr. WALDEN,   from the Committee   on Energy  and Commerce,
                                          submitted  the  following



                                              REPORT


                                            [To accompany H.R. 3263]

                              [Including cost estimate of the Congressional Budget Office]

                      The  Committee   on Energy  and Commerce,   to whom   was referred
                    the bill (H.R. 3263) to amend  title XVIII of the Social Security Act
                    to  extend  the Medicare   independence  at  home  medical  practice
                    demonstration   program,  having considered  the same, report  favor-
                    ably thereon  with an  amendment and recommend that the bill as
                    amended   do pass.

                                                 CONTENTS
                                                                                     Page
                    Purpose and Sum m ary ............................................................................................  2
                    Background and Need for Legislation  ....................................................................  2
                    C om m ittee  A ction  ................................................................................................... .  3
                    C om m ittee  V otes  .....................................................................................................  3
                    Oversight Findings and  Recommendations     ...........................................................  3
                    New Budget Authority, Entitlement Authority, and Tax Expenditures .............     3
                    Congressional Budget Office  Estimate   ...................................................................  4
                    Federal M andates  Statem ent  .................................................................................  6
                    Statement of General Performance Goals and Objectives .................             6
                    Duplication of Federal Program s  ............................................................................  6
                    Com m ittee Cost  Estim ate  .......................................................................................  6
                    Earmark, Limited Tax Benefits, and Limited Tariff Benefits ..............           6
                    Disclosure of Directed  Rule  M akings  .....................................................................  6
                    Advisory Com m ittee  Statem ent  ..............................................................................  6
                    Applicability  to  Legislative  Branch  ........................................................................  6
                    Section-by-Section  Analysis of the  Legislation  ......................................................  7
                    Changes in Existing Law Made by the Bill, as Reported .................             7
                    Exchange of Letters with Additional Committees of Referral ...............         13

                      The  amendment   is as follows:
                      Strike all after the enacting clause and insert the following:


79-006