,"o ,hundr$ ,?irte5? ,congress ( !      
,unit$ ,/ates ( ,am]ica  ,at ! ,fir/    
,session ,begun & held at ! ,city (     
,wa%+ton on ,?ursday1 ! ?ird day (      
,janu>y1 two ?\s& & ?irte5  ,h4 ,j4     
,,res4 #ei  ,,jo9t ,,resolution  ,mak+  
cont9u+ appropriations = fiscal ye>     
#bjad1 & = o!r purposes4  ,t  ,a        
,bip>tisan ,budget ,agreem5t  #a4 ,%ort 
title & table ( cont5ts  7a7 ,%ort title
 ,?is division may be cit$ z !          
,bip>tisan ,budget ,act ( #bjac4  7b7   
,table ( cont5ts ,! table ( cont5ts (   
?is division is z foll[s3  ,division    
,a--,budget ,en=cem5t & ,deficit        
,r$uction ,sec4 #a4 ,%ort title & table 
( cont5ts4 ,title ,i--,budget ,en=cem5t 
,subtitle ,a--,am5dm5ts to ! ,balanc$   
,budget & ,em]g5cy ,deficit ,control    
,act ( #aihe ,sec4 #aja4 ,am5dm5ts to ! 
,balanc$ ,budget & ,em]g5cy ,deficit    
,control ,act ( #aihe4 ,subtitle        
,b--,e/abli%+ a ,congressional budget   
,sec4 #aaa4 ,fiscal ye> #bjad budget    
resolution4 ,sec4 #aab4 ,limitation on  

advance appropriations 9 ! ,s5ate4 ,sec4
 #aac4 ,rule ( con/ruction 9 ! ,h\se (  
,repres5tatives4 ,sec4 #aad4 ,additional
 ,s5ate budget en=cem5t4 ,sec4 #aae4    
,au?ority = fiscal ye> #bjae budget     
resolution 9 ! ,h\se ( ,repres5tatives4 
,sec4 #aaf4 ,au?ority = fiscal ye> #bjae
 budget resolution 9 ! ,s5ate4 ,sec4    
#aag4 ,exclusion ( sav+s f ,,paygo      
scorec>ds4 ,sec4 #aah4 ,ex]cise (       
rulemak+ p[]s4 ,subtitle ,c--,te*nical  
,corrections ,sec4 #aba4 ,te*nical      
corrections to ! ,balanc$ ,budget &     
,em]g5cy ,deficit ,control ,act ( #aihe4
 ,sec4 #abb4 ,te*nical corrections to ! 
,congressional ,budget ,act ( #aigd4    
,title ,,ii--,prev5tion ( ,wa/e1 ,fraud1
 & ,abuse ,sec4 #bja4 ,improv+ !        
collection ( unemploym5t insurance      
ov]paym5ts4 ,sec4 #bjb4 ,/r5g!n+        
,m$icaid ,?ird-,p>ty ,liability4 ,sec4  
#bjc4 ,re/riction on access to ! dea?   
ma/] file4 ,sec4 #bjd4 ,id5tification ( 
inmates reque/+ or receiv+ improp]      
paym5ts4 ,title ,,iii--,natural         

,res\rces ,sec4 #cja4 ,ultra-deepwat] & 
unconv5tional natural gas & o!r         
petroleum res\rces4 ,sec4 #cjb4 ,am5dm5t
 to ! ,m9]al ,leas+ ,act4 ,sec4 #cjc4   
,approval ( agreem5t ) ,mexico4 ,sec4   
#cjd4 ,am5dm5t to ! ,out] ,cont95tal    
,%elf ,l&s ,act4 ,sec4 #cje4 ,f$]al oil 
& gas royalty prepaym5t cap4 ,sec4 #cjf4
 ,/rategic ,petroleum ,res]ve4 ,title   
,,iv--,f$]al ,civilian & ,milit>y       
,retirem5t ,sec4 #dja4 ,increase 9      
contributions to ,f$]al ,employees      
,retirem5t ,sy/em = new employees4 ,sec4
 #djb4 ,=eign ,s]vice ,p5sion ,sy/em4   
,sec4 #djc4 ,annual adju/m5t ( retir$   
pay & reta9] pay am\nts = retir$ memb]s 
( ! ,arm$ ,=ces "u age #fb4 ,title      
,v--,high] ,education ,sec4 #eja4       
,default r$uction program4 ,sec4 #ejb4  
,elim9ation ( nonpr(it s]vic+ contracts4
 ,title ,,vi--,transportation ,sec4     
#fja4 ,aviation security s]vice fees4   
,sec4 #fjb4 ,transportation co/         
reimbursem5t4 ,sec4 #fjc4 ,/]ile areas  
at airports4 ,title ,,vii--,miscellane\s

 ,provisions ,sec4 #gja4 ,ext5sion (    
cu/oms us] fees4 ,sec4 #gjb4 ,limitation
 on all[able gov]nm5t contractor        
comp5sation co/s4 ,sec4 #gjc4 ,p5sion   
,b5efit ,gu>anty ,corporation premium   
rate increases4 ,sec4 #gjd4             
,cancellation ( ,unobligat$ ,balances4  
,sec4 #gje4 ,cons]vation plann+ te*nical
 assi/ance us] fees4 ,sec4 #gjf4 ,self  
plus "o cov]age4  7c7 ,ref]5ces ,except 
z expressly provid$ o!rwise1 any ref]5ce
 to ?is ,act conta9$ 9 any division (   
?is ,act %all be treat$ z ref]r+ only to
 ! provisions ( t division4  ,i ,budget 
,en=cem5t  ,a ,am5dm5ts to ! ,balanc$   
,budget & ,em]g5cy ,deficit ,control    
,act ( #aihe  #aja4 ,am5dm5ts to !      
,balanc$ ,budget & ,em]g5cy ,deficit    
,control ,act ( #aihe  7a7 ,revis$      
discretion>y sp5d+ limits ,section      
#bea7;c7 ( ! ,balanc$ ,budget & ,em]g5cy
 ,deficit ,control ,act ( #aihe is am5d$
 by /rik+ p>agraphs 7#a7 ?r\gh 7#aj7 &  
ins]t+ ! foll[+ new p>agraphs3  7#a7 =  
fiscal ye> #bjad--  7,a7 = ! revis$     

security category1 #ebj1dfd1jjj1jjj 9   
new budget au?ority2 &  7,b7 = ! revis$ 
nonsecurity category1 #dia1ggc1jjj1jjj 9
 new budget au?ority2  7#b7 = fiscal ye>
 #bjae--  7,a7 = ! revis$ security      
category1 #eba1bgb1jjj1jjj 9 new budget 
au?ority2 &  7,b7 = ! revis$ nonsecurity
 category1 #dib1cef1jjj1jjj 9 new budget
 au?ority2  7#c7 = fiscal ye> #bjaf--   
7,a7 = ! revis$ security category1      
#egg1jjj1jjj1jjj 9 new budget au?ority2 
&  7,b7 = ! revis$ nonsecurity category1
 #ecj1jjj1jjj1jjj 9 new budget au?ority2
  7#d7 = fiscal ye> #bjag--  7,a7 = !   
revis$ security category1               
#eij1jjj1jjj1jjj 9 new budget au?ority2 
&  7,b7 = ! revis$ nonsecurity category1
 #eda1jjj1jjj1jjj 9 new budget au?ority2
  7#e7 = fiscal ye> #bjah--  7,a7 = !   
revis$ security category1               
#fjc1jjj1jjj1jjj 9 new budget au?ority2 
&  7,b7 = ! revis$ nonsecurity category1
 #eec1jjj1jjj1jjj 9 new budget au?ority2
  7#f7 = fiscal ye> #bjai--  7,a7 = !   
revis$ security category1               

#faf1jjj1jjj1jjj 9 new budget au?ority2 
&  7,b7 = ! revis$ nonsecurity category1
 #eff1jjj1jjj1jjj 9 new budget au?ority2
  7#g7 = fiscal ye> #bjbj--  7,a7 = !   
revis$ security category1               
#fcj1jjj1jjj1jjj 9 new budget au?ority2 
&  7,b7 = ! revis$ nonsecurity category1
 #egh1jjj1jjj1jjj 9 new budget au?ority2
 &  7#h7 = fiscal ye> #bjba--  7,a7 = ! 
revis$ security category1               
#fdd1jjj1jjj1jjj 9 new budget au?ority2 
&  7,b7 = ! revis$ nonsecurity category1
 #eij1jjj1jjj1jjj 9 new budget au?ority2
  4  7b7 ,direct sp5d+ adju/m5ts =      
fiscal ye>s #bjad & #bjae  7#a7 ,section
 #bea;,a ( ! ,balanc$ ,budget & ,em]g5cy
 ,deficit ,control ,act ( #aihe1 z      
r$esignat$ by subsection 7d71 is am5d$  
by add+ at ! end ! foll[+ new p>agraph3 
7#aj7 ,implem5t+ direct sp5d+ r$uctions 
= fiscal ye>s #bjad & #bjae  7,a7 ,,omb 
%all make ! calculations necess>y to    
implem5t ! direct sp5d+ r$uctions       
calculat$ pursuant to p>agraphs 7#c7 &  
7#d7 )\t reg>d to ! am5dm5t made to     

section #bea7;c7 revis+ ! discretion>y  
sp5d+ limits = fiscal ye>s #bjad & #bjae
 by ! ,bip>tisan ,budget ,act ( #bjac4  
7,b7 ,p>agraph 7#e77;,b7 %all n be      
implem5t$ = fiscal ye>s #bjad & #bjae4  
4  7#b7 ,p>agraph 7#e77;,b7 ( section   
#bea;,a ( ! ,balanc$ ,budget & ,em]g5cy 
,deficit ,control ,act ( #aihe1 z       
r$esignat$ by subsection 7d77#b77;,c7 ( 
?is section1 is am5d$ by /rik+ ,on &    
ins]t+ ,except z provid$ by p>agraph    
7#aj71 on4  7c7 ,ext5sion ( direct sp5d+
 r$uctions = fiscal ye>s #bjbb & #bjbc  
,p>agraph 7#f71 z r$esignat$ by         
subsection 7d77#b77;,c7 ( ?is section1 (
 section #bea;,a ( ! ,balanc$ ,budget & 
,em]g5cy ,deficit ,control ,act ( #aihe 
is am5d$ by ins]t+ 7,a7 be=e ,on ! date 
& by add+ at ! end ! foll[+ new         
subp>agraph3  7,b7 ,on ! dates ,,omb    
issues its seque/ration preview reports 
= fiscal ye> #bjbb & = fiscal ye> #bjbc1
 pursuant to section #bed7;c71 !        
,presid5t %all ord] a seque/ration1     
effective ^u issuance su* t--  7i7 !    

p]c5tage r$uction = nonexempt direct    
sp5d+ = ! def5se function is ! same     
p]c5t z ! p]c5tage r$uction = nonexempt 
direct sp5d+ = ! def5se function =      
fiscal ye> #bjba calculat$ "u p>agraph  
7#c77;,b72 &  7ii7 ! p]c5tage r$uction =
 nonexempt direct sp5d+ = nondef5se     
functions is ! same p]c5t z ! p]c5tage  
r$uction = nonexempt direct sp5d+ =     
nondef5se functions = fiscal ye> #bjba  
calculat$ "u p>agraph 7#d77;,b74  4  7d7
 ,con=m+ am5dm5ts ,"p ,c ( title ,,ii ( 
! ,balanc$ ,budget & ,em]g5cy ,deficit  
,control ,act ( #aihe 7#b ,u4,s4,c4 #ijj
 et seq47 is am5d$--  7#a7 9 section    
#bej7;c77#d7 7#b ,u4,s4,c4              
#ijj7;c77#d771 by add+ at ! end !       
foll[+3  7,d7 ,! t]m revis$ security    
category means discretion>y             
appropriations 9 budget function #jej4  
7,e7 ,! t]m revis$ nonsecurity category 
means discretion>y appropriations o!r   
?an 9 budget function #jej4  7,f7 ,! t]m
 category means ! subsets ( discretion>y
 appropriations 9 section #bea7;c74     

,discretion>y appropriations 9 ea* ( !  
categories %all be ^? designat$ 9 ! jo9t
 explanatory /atem5t accompany+ !       
conf]5ce report on ! ,balanc$ ,budget   
,act ( #aiig4 ,new acc\nts or activities
 %all be categoriz$ only aft]           
consultation ) ! ,committees on         
,appropriations & ! ,budget ( ! ,h\se ( 
,repres5tatives & ! ,s5ate & t          
consultation %all1 to ! ext5t           
practicable1 include writt5             
communication to su* committees t af=ds 
su* committees ! opportunity to comm5t  
be=e (ficial action is tak5 ) respect to
 new acc\nts or activities4  2 &  7#b7 9
 section #bea;,a 7#b ,u4,s4,c4 #ija;a7--
  7,a7 by /rik+1 9 ! matt] prec$+       
p>agraph 7#a71 ,unless ?r\gh z foll[s3 &
 ins]t+ ! foll[+3 ,discretion>y         
appropriations & direct sp5d+ acc\nts   
%all be r$uc$ 9 accordance ) ?is section
 z foll[s32  7,b7 by /rik+ p>agraphs    
7#a7 & 7#b72  7,c7 by r$esignat+        
p>agraphs 7#c7 ?r\gh 7#aa7 z p>agraphs  
7#a7 ?r\gh 7#i71 respectively2  7,d7 9  

p>agraph 7#b71 z r$esignat$1 by /rik+   
p>agraph 7#c7 & ins]t+ p>agraph 7#a72   
7,e7 9 p>agraph 7#c71 z r$esignat$1 by  
/rik+ p>agraph 7#d7 ea* place x appe>s &
 ins]t+ p>agraph 7#b72  7,f7 9 p>agraph 
7#d71 z r$esignat$1 by /rik+ p>agraph   
7#d7 ea* place x appe>s & ins]t+        
p>agraph 7#b72  7,g7 9 p>agraph 7#e71 z 
r$esignat$--  7i7 by /rik+ p>agraph 7#e7
 ea* place x appe>s & ins]t+ p>agraph   
7#c72 &  7ii7 by /rik+ p>agraph 7#f7 ea*
 place x appe>s & ins]t+ p>agraph 7#d72 
7,h7 9 p>agraph 7#f71 z r$esignat$--    
7i7 by /rik+ p>agraph 7#d7 & ins]t+     
p>agraph 7#b72 &  7ii7 by /rik+         
p>agraphs 7#e7 & 7#f7 & ins]t+ p>agraphs
 7#c7 & 7#d72  7,i7 9 p>agraph 7#g71 z  
r$esignat$--  7i7 by /rik+ p>agraph 7#h7
 & ins]t+ p>agraph 7#f72 &  7ii7 by     
/rik+ p>agraph 7#f7 ea* place x appe>s &
 ins]t+ p>agraph 7#d72 &  7,j7 9        
p>agraph 7#i71 z r$esignat$1 by /rik+   
p>agraph 7#d7 & ins]t+ p>agraph 7#b74   
,b ,e/abli%+ a ,congressional budget    
#aaa4 ,fiscal ye> #bjad budget          

resolution  7a7 ,fiscal ye> #bjad ,= !  
purpose ( en=c+ ! ,congressional ,budget
 ,act ( #aigd = fiscal ye> #bjad1 &     
en=c+1 9 ! ,s5ate1 budget>y po9ts ( ord]
 9 prior concurr5t resolutions on !     
budget1 ! allocations1 aggregates1 &    
levels provid$ = 9 subsection 7b7 %all  
apply 9 ! same mann] z = a concurr5t    
resolution on ! budget = fiscal ye>     
#bjad ) appropriate budget>y levels =   
fiscal ye> #bjad & = fiscal ye>s #bjae  
?r\gh #bjbc4  7b7 ,committee            
allocations1 aggregates1 & levels ,!    
,*airm5 ( ! ,committee on ! ,budget ( ! 
,h\se ( ,repres5tatives & ! ,s5ate %all 
ea* submit a /atem5t = publication 9 !  
,congressional ,record z soon z         
practicable aft] ! date ( enactm5t ( ?is
 ,act t includes--  7#a7 = ! ,committee 
on ,appropriations ( t ,h\se1 committee 
allocations = fiscal ye> #bjad consi/5t 
) ! discretion>y sp5d+ limits set =? 9  
?is ,act = ! purpose ( en=c+ section    
#cjb ( ! ,congressional ,budget ,act (  
#aigd2  7#b7 = all committees ( t ,h\se 

o!r ?an ! ,committee on ,appropriations1
 committee allocations =--  7,a7 fiscal 
ye> #bjad2  7,b7 fiscal ye>s #bjad ?r\gh
 #bjah 9 ! ,s5ate only2 &  7,c7 fiscal  
ye>s #bjad ?r\gh #bjbc2  consi/5t ) !   
,may #bjac basel9e ( ! ,congressional   
,budget ,(fice adju/$ to acc\nt = !     
budget>y effects ( ?is ,act &           
legislation enact$ prior to ?is ,act b n
 includ$ 9 ! ,may #bjac basel9e ( !     
,congressional ,budget ,(fice1 = !      
purpose ( en=c+ section #cjb ( !        
,congressional ,budget ,act ( #aigd2    
7#c7 aggregate sp5d+ levels = fiscal ye>
 #bjad 9 accordance ) ! allocations     
e/abli%$ "u p>agraphs 7#a7 & 7#b71 = !  
purpose ( en=c+ section #caa ( !        
,congressional ,budget ,act ( #aigd2    
7#d7 aggregate rev5ue levels =--  7,a7  
fiscal ye> #bjad2  7,b7 fiscal ye>s     
#bjad ?r\gh #bjah 9 ! ,s5ate only2 &    
7,c7 fiscal ye>s #bjad ?r\gh #bjbc2     
consi/5t ) ! ,may #bjac basel9e ( !     
,congressional ,budget ,(fice adju/$ to 
acc\nt = ! budget>y effects ( ?is ,act &

 legislation enact$ prior to ?is ,act b 
n includ$ 9 ! ,may #bjac basel9e ( !    
,congressional ,budget ,(fice1 = !      
purpose ( en=c+ section #caa ( !        
,congressional ,budget ,act ( #aigd2 &  
7#e7 9 ! ,s5ate only1 levels ( ,social  
,security rev5ues & outlays = fiscal ye>
 #bjad & = ! p]iods ( fiscal ye>s #bjad 
?r\gh #bjah & #bjad ?r\gh #bjbc consi/5t
 ) ! ,may #bjac basel9e ( !             
,congressional ,budget ,(fice adju/$ to 
acc\nt = ! budget>y effects ( ?is ,act &
 legislation enact$ prior to ?is ,act b 
n includ$ 9 ! ,may #bjac basel9e ( !    
,congressional ,budget ,(fice1 = !      
purpose ( en=c+ sections #cjb & #caa ( !
 ,congressional ,budget ,act ( #aigd4   
7c7 ,fur!r adju/m5ts ,aft] ! date (     
enactm5t ( ?is ,act1 ! ,*airman ( !     
,committee on ! ,budget ( ! ,h\se (     
,repres5tatives may r$uce ! aggregates1 
allocations1 & o!r budget>y levels      
includ$ 9 ! /atem5t ( ! ,*airman ( !    
,committee on ! ,budget ( ! ,h\se (     
,repres5tatives ref]r$ to 9 subsection  

7b7 to reflect ! budget>y effects ( any 
legislation enact$ dur+ ! #aac?         
,congress t r$uces ! deficit4  #aab4    
,limitation on advance appropriations 9 
! ,s5ate  7a7 ,po9t ( ord] aga9/ advance
 appropriations 9 ! ,s5ate  7#a7 ,9     
g5]al  7,a7 ,po9t ( ord] ,except z      
provid$ 9 p>agraph 7#b71 x %all n be 9  
ord] 9 ! ,s5ate to consid] any bill1    
jo9t resolution1 motion1 am5dm5t1       
am5dm5t betwe5 ! ,h\ses1 or conf]5ce    
report t w\ld provide an advance        
appropriation4  7,b7 ,def9ition ,9 ?is  
subsection1 ! t]m advance appropriation 
means any new budget au?ority provid$ 9 
a bill or jo9t resolution mak+          
appropriations = fiscal ye> #bjad t fir/
 becomes available = any fiscal ye> aft]
 #bjad or any new budget au?ority       
provid$ 9 a bill or jo9t resolution mak+
 appropriations = fiscal ye> #bjae t    
fir/ becomes available = any fiscal ye> 
aft] #bjae4  7#b7 ,exceptions ,advance  
appropriations may be provid$--  7,a7 = 
fiscal ye>s #bjae & #bjaf = programs1   

projects1 activities1 or acc\nts        
id5tifi$ 9 a /atem5t submitt$ to !      
,congressional ,record by ! ,*airman ( !
 ,committee on ! ,budget ( ! ,s5ate "u !
 head+ ,acc\nts ,id5tifi$ = ,advance    
,appropriations 9 an aggregate am\nt n  
to exce$ #bh1heb1jjj1jjj 9 new budget   
au?ority 9 ea* fiscal ye>2  7,b7 = !    
,corporation = ,public ,broadca/+2 &    
7,c7 = ! ,dep>tm5t ( ,vet]ans ,affairs =
 ! ,m$ical ,s]vices1 ,m$ical ,support & 
,compliance1 & ,m$ical ,facilities      
acc\nts ( ! ,vet]ans ,heal?             
,adm9i/ration4  7#c7 ,sup]majority waiv]
 & appeal  7,a7 ,waiv] ,9 ! ,s5ate1     
p>agraph 7#a7 may be waiv$ or susp5d$   
only by an affirmative vote ( ?ree-fif?s
 ( ! ,memb]s1 duly *os5 & sworn4  7,b7  
,appeal ,an affirmative vote (          
?ree-fif?s ( ! ,memb]s ( ! ,s5ate1 duly 
*os5 & sworn1 %all be requir$ to su/a9  
an appeal ( ! rul+ ( ! ,*air on a po9t (
 ord] rais$ "u p>agraph 7#a74  7#d7 ,=m 
( po9t ( ord] ,a po9t ( ord] "u p>agraph
 7#a7 may be rais$ by a ,s5ator z       

provid$ 9 section #cac7;e7 ( !          
,congressional ,budget ,act ( #aigd4    
7#e7 ,conf]5ce reports ,:5 ! ,s5ate is  
consid]+ a conf]5ce report on1 or an    
am5dm5t betwe5 ! ,h\ses 9 relation to1 a
 bill1 ^u a po9t ( ord] be+ made by any 
,s5ator pursuant to ?is subsection1 &   
su* po9t ( ord] be+ su/a9$1 su* mat]ial 
conta9$ 9 su* conf]5ce report or am5dm5t
 betwe5 ! ,h\ses %all be /rick51 & !    
,s5ate %all proce$ to consid] ! "q (    
:e!r ! ,s5ate %all rec$e f its am5dm5t &
 concur ) a fur!r am5dm5t1 or concur 9 !
 ,h\se am5dm5t ) a fur!r am5dm5t1 z !   
case may be1 :i* fur!r am5dm5t %all     
consi/ ( only t portion ( ! conf]5ce    
report or ,h\se am5dm5t1 z ! case may   
be1 n s /rick54 ,any su* motion 9 !     
,s5ate %all be debatable4 ,9 any case 9 
:i* su* po9t ( ord] is su/a9$ aga9/ a   
conf]5ce report 7or ,s5ate am5dm5t d]iv$
 f su* conf]5ce report by op]ation ( ?is
 p>agraph71 no fur!r am5dm5t %all be 9  
ord]4  7#f7 ,inapplicability ,9 !       
,s5ate1 section #djb ( ,s4 ,con4 ,res4  

#ac 7#aaa? ,congress7 %all no long]     
apply4  7b7 ,expiration ,subsection 7a7 
%all expire if a concurr5t resolution on
 ! budget = fiscal ye> #bjae is agre$ to
 by ! ,s5ate & ,h\se ( ,repres5tatives  
pursuant to section #cja ( !            
,congressional ,budget ,act ( #aigd4    
#aac4 ,rule ( con/ruction 9 ! ,h\se (   
,repres5tatives ,9 ! ,h\se (            
,repres5tatives1 = ! rema9d] ( ! #aac?  
,congress1 ! provisions ( ,h4 ,con4     
,res4 #be 7#aac? ,congress71 z deem$ 9  
=ce by ,h4 ,res4 #bdc 7#aac? ,congress71
 %all rema9 9 =ce to ! ext5t its        
budget>y levels are n sup]s$$ by ?is    
subtitle or by fur!r action ( ! ,h\se ( 
,repres5tatives4  #aad4 ,additional     
,s5ate budget en=cem5t  7a7 ,s5ate      
pay-,z-,y-,g scorec>d  7#a7 ,9 g5]al    
,effective on ! date ( enactm5t ( ?is   
,act1 = ! purpose ( en=c+ section #bja (
 ,s4 ,con4 ,res4 #ba 7#aaj? ,congress71 
! ,*airman ( ! ,committee on ! ,budget (
 ! ,s5ate %all r$uce any balances (     
direct sp5d+ & rev5ues = any fiscal ye> 

to z]o4  7#b7 ,fiscal ye> #bjae ,aft]   
,april #ae1 #bjad1 b n lat] ?an ,may    
#ae1 #bjad1 = ! purpose ( en=c+ section 
#bja ( ,s4 ,con4 ,res4 #ba 7#aaj?       
,congress71 ! ,*airman ( ! ,committee on
 ! ,budget ( ! ,s5ate %all r$uce any    
balances ( direct sp5d+ & rev5ues = any 
fiscal ye> to z]o4  7#c7 ,publication   
,^u resett+ ! ,s5ate paygo scorec>d     
pursuant to p>agraph 7#b71 ! ,*airman ( 
! ,committee on ! ,budget ( ! ,s5ate    
%all publi% a notification ( su* action 
9 ! ,congressional ,record4  7b7 ,fur!r 
adju/m5ts ,) respect to any allocations1
 aggregates1 or levels set or adju/m5ts 
made pursuant to ?is subtitle1 sections 
#dab ?r\gh #dad ( ,s4 ,con4 ,res4 #ac   
7#aaa? ,congress7 %all rema9 9 effect4  
7c7 ,deficit-,neutral res]ve fund ,to   
replace seque/ration ,! ,*airman ( !    
,committee on ! ,budget ( ! ,s5ate may  
revise ! allocations ( a committee or   
committees1 aggregates1 & o!r           
appropriate levels & limits set pursuant
 to ?is subtitle = "o or m bills1 jo9t  

resolutions1 am5dm5ts1 motions1 or      
conf]5ce reports t am5d section #bea;,a 
( ! ,balanc$ ,budget & ,em]g5cy ,deficit
 ,control ,act ( #aihe 7#b ,u4,s4,c4    
#ija;a7 to repeal or revise ! en=cem5t  
proc$ures e/abli%$ "u t section1 by !   
am\nts provid$ 9 su* legislation = ^?   
purposes1 provid$ t su* legislation w\ld
 n increase ! deficit ov] ! p]iod ( !   
total ( fiscal ye>s #bjad ?r\gh #bjbc4  
,= purposes ( det]m9+ deficit-neutrality
 "u ?is subsection1 ! ,*airman may      
include ! e/imat$ effects ( any am5dm5t 
or am5dm5ts to ! discretion>y sp5d+     
limits 9 section #bea7;c7 ( ! ,balanc$  
,budget & ,em]g5cy ,deficit ,control    
,act ( #aihe 7#b ,u4,s4,c4 #ija7;c774   
7d7 ,additional deficit-,neutral res]ve 
funds ,9 ! ,s5ate only1 sections #cjb1  
#cjc1 #cjd1 #cje1 #cjf1 #cjg1 #cjh1     
#cji1 #caj1 #caa1 #cab1 #cac1 #cad1     
#cae1 #caf1 #cag1 #cah1 #cai1 #cbj1     
#cbb1 #cbc1 #cbd1 #cbe1 #cbf1 #cbg1     
#cbh1 #cbi1 #ccj1 #cca1 #ccb1 #ccc1     
#ccd1 #cce1 #cch1 #cci1 #cdj1 #cda1     

#cdd1 #cdh1 #cdi1 #cej1 #cec1 #ced1     
#cef1 #cfa1 #cfc1 #cfd1 #cfe1 #cff1     
#cfg1 #cfh1 #cfi1 #cga1 #cgf1 #cgh1     
#cgi1 & #chc ( ,s4 ,con4 ,res4 #h 7#aac?
 ,congress71 z pass$ ! ,s5ate1 %all h   
=ce & effect4  7e7 ,expiration          
,subsections 7a77#b71 7c71 & 7d7 %all   
expire if a concurr5t resolution on !   
budget = fiscal ye> #bjae is agre$ to by
 ! ,s5ate & ,h\se ( ,repres5tatives     
pursuant to section #cja ( !            
,congressional ,budget ,act ( #aigd4    
#aae4 ,au?ority = fiscal ye> #bjae      
budget resolution 9 ! ,h\se (           
,repres5tatives  7a7 ,fiscal ye> #bjae  
,if a concurr5t resolution on ! budget =
 fiscal ye> #bjae has n be5 adopt$ by   
,april #ae1 #bjad1 = ! purpose ( en=c+ !
 ,congressional ,budget ,act ( #aigd1 ! 
allocations1 aggregates1 & levels       
provid$ = 9 subsection 7b7 %all apply 9 
! ,h\se ( ,repres5tatives aft] ,april   
#ae1 #bjad1 9 ! same mann] z = a        
concurr5t resolution on ! budget =      
fiscal ye> #bjae ) appropriate budget>y 

levels = fiscal ye> #bjae & = fiscal    
ye>s #bjaf ?r\gh #bjbd4  7b7 ,committee 
allocations1 aggregates1 & levels ,9 !  
,h\se ( ,repres5tatives1 ! ,*airman ( ! 
,committee on ! ,budget %all submit a   
/atem5t = publication 9 ! ,congressional
 ,record aft] ,april #ae1 #bjad1 b n    
lat] ?an ,may #ae1 #bjad1 conta9+--     
7#a7 = ! ,committee on ,appropriations1 
committee allocations = fiscal ye> #bjae
 at ! total level z set =? 9 section    
#bea7;c77#b7 ( ! ,balanc$ ,budget &     
,em]g5cy ,deficit ,control ,act ( #aihe 
= ! purpose ( en=c+ section #cjb ( !    
,congressional ,budget ,act ( #aigd2    
7#b7 = all committees o!r ?an !         
,committee on ,appropriations1 committee
 allocations = fiscal ye> #bjae & = !   
p]iod ( fiscal ye>s #bjae ?r\gh #bjbd at
 ! levels includ$ 9 ! mo/ rec5t basel9e 
( ! ,congressional ,budget ,(fice1 z    
adju/$ = ! budget>y effects ( any       
provision ( law enact$ dur+ ! p]iod     
beg9n+ on ! date su* basel9e is issu$ & 
end+ on ! date ( submission ( su*       

/atem5t1 = ! purpose ( en=c+ section    
#cjb ( ! ,congressional ,budget ,act (  
#aigd2 &  7#c7 aggregate sp5d+ levels = 
fiscal ye> #bjae & aggregate rev5ue     
levels = fiscal ye> #bjae & = ! p]iod ( 
fiscal ye>s #bjae ?r\gh #bjbd1 at !     
levels includ$ 9 ! mo/ rec5t basel9e ( !
 ,congressional ,budget ,(fice1 z adju/$
 = ! budget>y effects ( any provision ( 
law enact$ dur+ ! p]iod beg9n+ on ! date
 su* basel9e is issu$ & end+ on ! date (
 submission ( su* /atem5t1 = ! purpose (
 en=c+ section #caa ( ! ,congressional  
,budget ,act ( #aigd4  7c7 ,additional  
matt] ,! /atem5t ref]r$ to 9 subsection 
7b7 may also include = fiscal ye> #bjae1
 ! matt] conta9$ 9 title ,,iv 7res]ve   
funds7 & 9 sections #fja1 #fjc7;a71     
#fje7;a71 & #fji ( ,h4 ,con4 ,res4 #be  
7#aac? ,congress71 z adopt$ by ! ,h\se1 
updat$ by "o fiscal ye>1 includ+ updat$ 
am\nts = section #fja4  7d7 ,fiscal ye> 
#bjae allocation to ! ,committee on     
,appropriations ,if ! /atem5t ref]r$ to 
9 subsection 7b7 is n fil$ by ,may #ae1 

#bjad1 !n ! matt] ref]r$ to 9 subsection
 7b77#a7 %all be submitt$ by ! ,*airman 
( ! ,committee on ! ,budget =           
publication 9 ! ,congressional ,record  
on ! next day t ! ,h\se (               
,repres5tatives is 9 session4  7e7      
,adju/m5ts ,! ,*airman ( ! ,committee on
 ! ,budget ( ! ,h\se ( ,repres5tatives  
may adju/ ! levels includ$ 9 ! /atem5t  
ref]r$ to 9 subsection 7b7 to reflect ! 
budget>y effects ( any legislation      
enact$ dur+ ! #aac? ,congress t r$uces !
 deficit or z o!rwise necess>y4  7f7    
,application ,subsections 7a71 7b71 7c71
 7d71 & 7e7 %all no long] apply if a    
concurr5t resolution on ! budget =      
fiscal ye> #bjae is agre$ to by ! ,s5ate
 & ,h\se ( ,repres5tatives pursuant to  
section #cja ( ! ,congressional ,budget 
,act ( #aigd4  #aaf4 ,au?ority = fiscal 
ye> #bjae budget resolution 9 ! ,s5ate  
7a7 ,fiscal ye> #bjae ,= ! purpose (    
en=c+ ! ,congressional ,budget ,act (   
#aigd1 aft] ,april #ae1 #bjad1 & en=c+  
budget>y po9ts ( ord] 9 prior concurr5t 

resolutions on ! budget1 ! allocations1 
aggregates1 & levels provid$ = 9        
subsection 7b7 %all apply 9 ! ,s5ate 9 !
 same mann] z = a concurr5t resolution  
on ! budget = fiscal ye> #bjae )        
appropriate budget>y levels = fiscal    
ye>s #bjad & #bjaf ?r\gh #bjbd4  7b7    
,committee allocations1 aggregates1 &   
levels ,aft] ,april #ae1 #bjad1 b n lat]
 ?an ,may #ae1 #bjad1 ! ,*airman ( !    
,committee on ! ,budget ( ! ,s5ate %all 
file--  7#a7 = ! ,committee on          
,appropriations1 committee allocations =
 fiscal ye>s #bjad & #bjae consi/5t ) ! 
discretion>y sp5d+ limits set =? 9 ?is  
,act = ! purpose ( en=c+ section #cjb ( 
! ,congressional ,budget ,act ( #aigd2  
7#b7 = all committees o!r ?an !         
,committee on ,appropriations1 committee
 allocations = fiscal ye>s #bjad1 #bjae1
 #bjae ?r\gh #bjai1 & #bjae ?r\gh #bjbd 
consi/5t ) ! mo/ rec5t basel9e ( !      
,congressional ,budget ,(fice = !       
purpose ( en=c+ section #cjb ( !        
,congressional ,budget ,act ( #aigd2    

7#c7 aggregate sp5d+ levels = fiscal    
ye>s #bjad & #bjae 9 accordance ) !     
allocations e/abli%$ "u p>agraphs 7#a7 &
 7#b71 = ! purpose ( en=c+ section #caa 
( ! ,congressional ,budget ,act ( #aigd2
  7#d7 aggregate rev5ue levels = fiscal 
ye>s #bjad1 #bjae1 #bjae ?r\gh #bjai1 & 
#bjae ?r\gh #bjbd consi/5t ) ! mo/ rec5t
 basel9e ( ! ,congressional ,budget     
,(fice = ! purpose ( en=c+ section #caa 
( ! ,congressional ,budget ,act ( #aigd2
 &  7#e7 levels ( ,social ,security     
rev5ues & outlays = fiscal ye>s #bjad1  
#bjae1 #bjae ?r\gh #bjai1 & #bjae ?r\gh 
#bjbd consi/5t ) ! mo/ rec5t basel9e ( !
 ,congressional ,budget ,(fice = !      
purpose ( en=c+ sections #cjb & #caa ( !
 ,congressional ,budget ,act ( #aigd4   
7c7 ,additional ,matt] ,! fil+ ref]r$ to
 9 subsection 7b7 may also include1 =   
fiscal ye> #bjae1 ! res]ve funds includ$
 9 section #aad7;c7 & 7d7 ( ?is ,act1   
updat$ by "o fiscal ye>4  7d7 ,sup]s$+  
previ\s /atem5t ,9 ! ,s5ate1 ! fil+     
ref]r$ to 9 subsection 7b7 %all sup]s$e 

! /atem5t ref]r$ to 9 section #aaa7;b7 (
 ?is ,act4  7e7 ,expiration ,?is section
 %all expire if a concurr5t resolution  
on ! budget = fiscal ye> #bjae is agre$ 
to by ! ,s5ate & ,h\se ( ,repres5tatives
 pursuant to section #cja ( !           
,congressional ,budget ,act ( #aigd4    
#aag4 ,exclusion ( sav+s f ,,paygo      
scorec>ds  7a7 ,/atutory ,pay-,z-,y-,g  
scorec>ds ,not)/&+ section #a7;c7 ( ?is 
division1 ! budget>y effects ( ?is ,act 
%all n be ent]$ on ei!r ,,paygo scorec>d
 ma9ta9$ pursuant to section #d7;d7 ( ! 
,/atutory ,pay-,z-,y-,g ,act ( #bjaj4   
7b7 ,s5ate ,,paygo scorec>ds ,not)/&+   
section #a7;c7 ( ?is division1 !        
budget>y effects ( ?is ,act %all n be   
ent]$ on any ,,paygo scorec>d ma9ta9$ = 
purposes ( section #bja ( ,s4 ,con4     
,res4 #ba 7#aaj? ,congress74  #aah4     
,ex]cise ( rulemak+ p[]s ,! provisions (
 ?is subtitle are enact$ by !           
,congress--  7#a7 z an ex]cise ( !      
rulemak+ p[] ( ! ,h\se ( ,repres5tatives
 & ! ,s5ate1 respectively1 & z su* !y   

%all be consid]$ z "p ( ! rules ( ea*   
,h\se1 respectively1 or ( t ,h\se to :i*
 !y specifically apply1 & su* rules %all
 sup]s$e o!r rules only to ! ext5t t !y 
are inconsi/5t !re)2 &  7#b7 ) full     
recognition ( ! con/itutional "r ( ei!r 
,h\se to *ange su* rules 7s f> z relat+ 
to su* ,h\se7 at any "t1 9 ! same mann]1
 & to ! same ext5t z 9 ! case ( any o!r 
rule ( su* ,h\se4  ,c ,te*nical         
,corrections  #aba4 ,te*nical           
corrections to ! ,balanc$ ,budget &     
,em]g5cy ,deficit ,control ,act ( #aihe 
,! ,balanc$ ,budget & ,em]g5cy ,deficit 
,control ,act ( #aihe is am5d$ z foll[s3
  7#a7 ,9 section #beb7;b77#b77;,b71    
/rike applicable to budget ye> & ins]t  
applicable to ! budget ye>4  7#b7 ,9    
section #beb7;c77#a77;,c77i71 /rike     
p>agraph 7#a7 & ins]t subsection 7b74   
7#c7 ,9 section #bed7;c77#c77;,a71 /rike
 subsection #beb7;b7 & ins]t section    
#beb7;b74  7#d7 ,9 section #bed7;f77#d71
 /rike subsection #beb7;b7 & ins]t      
section #beb7;b74  7#e7 ,9 section      

#bee7;a71 /rike section #bca;b7a71      
#bca;b7f77#b71 #bca;c7a71 & #bca;c7f7 ( 
title #de ,unit$ ,/ates ,code & ins]t   
sections #c & #d ( ! ,railroad          
,retirem5t ,act ( #aicg 7#de ,u4,s4,c4  
#bca et seq474  7#f7 ,9 section         
#bee7;h71 9 ! item relat+ to ,f$]al     
,pell ,grants1 /rike section #dja ,title
 ,,iv & ins]t section #dja ( title ,,iv4
  7#g7 ,9 ! fir/ subsection 7j7 (       
section #bee 7relat+ to ,split ,treatm5t
 ,programs71 move ! m>g9s = ! li/ items 
two ems to ! "r4  7#h7 ,r$esignate !    
second subsection 7j7 ( section #bee    
7relat+ to ,id5tification ( ,programs7 z
 subsection 7k74  7#i7 ,9 section       
#beg7;b77#b77;,a77i71 /rike diff]5es &  
ins]t diff]5ces4  7#aj7 ,9 section      
#beh7;a77#a71 /rike section #bed7;j7 &  
ins]t section #bed7;i74  #abb4 ,te*nical
 corrections to ! ,congressional ,budget
 ,act ( #aigd ,! ,congressional ,budget 
,act ( #aigd is am5d$ z foll[s3  7#a7 ,9
 sections #cja7;a77#f7 & #cja7;a77#g71  
/rike ,= purposes & ins]t = purposes4   

7#b7 ,9 section #cja7;a71 9 ! matt]     
foll[+ p>agraph 7#g71 /rike old age &   
ins]t old-age4  7#c7 ,9 section         
#cjb7;g77#b77;,a71 /rike committee on ! 
,budget & ins]t ,committee on ! ,budget4
  7#d7 ,9 section #cje7;a77#a71 /rike   
clause #b7l77#f7 ( rule ,,xi & ins]t    
clause #d ( rule ,,xiii4  7#e7 ,9       
section #cje7;a77#e71 /rike provisions (
 rule ,,xxiii & ins]t provisions ( rule 
,,xviii4  7#f7 ,9 section #cje7;b77#a71 
/rike section #cjd7;a7 & ins]t section  
#cjd4  7#g7 ,9 section #cjf /rike ,no & 
ins]t 7a7 ,9 ! ,s5ate4--,9 ! ,s5ate1 no1
 /rike ( ei!r ,h\se & 9 t ,h\se1 /rike (
 t ,h\se1 & add at ! end ! foll[+ new   
subsection3  7b7 ,9 ! ,h\se (           
,repres5tatives ,9 ! ,h\se (            
,repres5tatives1 no bill or jo9t        
resolution1 or am5dm5t !reto1 or        
conf]5ce report !reon1 deal+ ) any matt]
 :i* is )9 ! jurisdiction ( ! ,committee
 on ! ,budget %all be consid]$ unless x 
is a bill or jo9t resolution :i* has be5
 report$ by ! ,committee on ! ,budget   

7or f ! consid]ation ( :i* su* committee
 has be5 dis*>g$7 or unless x is an     
am5dm5t to su* a bill or jo9t           
resolution4  4  7#h7 ,9 section         
#cjh7;d71 9 ! subsection head+1 /rike   
,scorekeep+ ,guidel9es4-- & ins]t       
,scorekeep+ ,guidel9es4--4  7#i7 ,9     
section #caj7;c77#a77;,a77i7 & 7ii71    
/rike "u t p>agraph by m ?an & ins]t "u 
t p>agraph by m ?an--4  7#aj7 ,9 section
 #cad7;d77#b71 /rike subp>agraph 7,a71  
r$esignate subp>agraphs 7,b7 & 7,c7 z   
subp>agraphs 7,a7 & 7,b7 respectively1 9
 subp>agraph 7,a71 z r$esignat$1 /rike  
"u subp>agraph 7,a7 & ins]t "u p>agraph 
7#a71 & 9 subp>agraph 7,b71 z           
r$esignat$1 /rike "u subp>agraph 7,b7 & 
ins]t "u subp>agraph 7,a74  7#aa7 ,9    
section #cae1 add at ! end ! foll[+ new 
s5t5ce3 ,9 ! case ( a report$ bill or   
jo9t resolution consid]$ pursuant to a  
special ord] ( bus9ess1 a po9t ( ord] "u
 section #cjc %all be det]m9$ on ! basis
 ( ! text made 9 ord] z an orig9al bill 
or jo9t resolution = ! purpose ( am5dm5t

 or to ! text on :i* ! previ\s "q is    
ord]$ directly to passage1 z ! case may 
be44  7#ab7 ,9 section #dja7;b77#b71    
/rike section #cjb7;b7 & ins]t section  
#cjb7;a74  7#ac7 ,9 section #dja7;c71   
add at ! end ! foll[+ new p>agraph3     
7#c7 ,9 ! ,h\se ( ,repres5tatives1      
subsections 7a7 & 7b7 %all n apply to   
new au?ority describ$ 9 ^? subsections  
to ! ext5t t a provision 9 a bill or    
jo9t resolution1 or an am5dm5t !reto or 
a conf]5ce report !reon1 e/abli%es      
prospectively = a ,f$]al (fice or       
position a specifi$ or m9imum level (   
comp5sation to be fund$ by annual       
discretion>y appropriations4  4  7#ad7  
,9 section #dba7e77;,a77i77,,ii71 /rike 
subp>agraph 7,b77 & ins]t subp>agraph   
7,b74  7#ae7 ,9 section #eje7;c71 /rike 
section #djf7;b7 bo? places x appe>s &  
ins]t section #dje7;b74  7#af7 ,9       
section #ijd7;c77#b71 /rike             
#beh;,a7b77#c77;,c77,i7 & #beh7;h77#c7 &
 ins]t #beh;,a7b77#c77;,c77i7 &         
#beh;,b7h77#c71 respectively1 & /rike & 

#cad7;e7 & ins]t #cad7;e71 & #cad7;f74  
7#ag7 ,9 section #ijd7;d77#c71 /rike    
#beh;,a7b77#c77;,c77,i7 & #beh7;h77#c7 &
 ins]t #beh;,a7b77#c77;,c77i7 &         
#beh;,b7h77#c71 respectively1 & /rike & 
#cab7;c7 & ins]t #cab7;c71 #cad7;e71 &  
#cad7;f74  ,,ii ,prev5tion ( ,wa/e1     
,fraud1 & ,abuse  #bja4 ,improv+ !      
collection ( unemploym5t insurance      
ov]paym5ts  7a7 ,9 g5]al ,section #cjc (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #ejc7 is am5d$ by add+ at ! end !      
foll[+3  7m7 ,9 ! case ( a cov]$        
unemploym5t comp5sation debt 7z def9$ "u
 section #fdjb7;f77#d7 ( ! ,int]nal     
,rev5ue ,code ( #aihf7 t rema9s         
uncollect$ z ( ! date t is #a ye> aft] !
 debt 0 f9ally det]m9$ to be due &      
collect$1 ! ,/ate to :i* su* debt is ow$
 %all take action to recov] su* debt "u 
section #fdjb7;f7 ( ! ,int]nal ,rev5ue  
,code ( #aihf4  4  7b7 ,effective date  
,! am5dm5t made by subsection 7a7 %all  
take effect ^u ! date ( enactm5t ( ?is  
,act4  #bjb4 ,/r5g!n+ ,m$icaid          

,?ird-,p>ty ,liability  7a7 ,paym5t =   
pr5atal & prev5tive p$iatric c>e & 9    
cases involv+ m$ical support ,section   
#aijb7;a77#be7 ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acif;a7a77#be77 is 
am5d$--  7#a7 9 subp>agraph 7,e77i71 by 
ins]t+ be=e ! semicolon at ! end !      
foll[+3 1 except t ! ,/ate may1 if !    
,/ate det]m9es do+ s is co/-effective & 
w n adv]sely affect access to c>e1 only 
make su* paym5t if a ?ird p>ty s liable 
has n made paym5t )9 #ij days aft] !    
date ! provid] ( su* s]vices has        
initially submitt$ a claim to su* ?ird  
p>ty = paym5t = su* s]vices2 &  7#b7 9  
subp>agraph 7,f77i71 by /rik+ #cj days  
aft] su* s]vices are furni%$ & ins]t+   
#ij days aft] ! date ! provid] ( su*    
s]vices has initially submitt$ a claim  
to su* ?ird p>ty = paym5t = su* s]vices1
 except t ! ,/ate may make su* paym5t )9
 #cj days aft] su* date if ! ,/ate      
det]m9es do+ s is co/-effective &       
necess>y to ensure access to c>e44  7b7 
,recov]y ( ,m$icaid exp5ditures f       

b5efici>y liability settlem5ts  7#a7    
,/ate plan requirem5ts ,section         
#aijb7;a77#be7 ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acif;a7a77#be77 is 
am5d$--  7,a7 9 subp>agraph 7,b71 by    
/rik+ to ! ext5t ( su* legal liability2 
&  7,b7 9 subp>agraph 7,h71 by /rik+    
paym5t by any o!r p>ty = su* heal? c>e  
items or s]vices & ins]t+ any paym5ts by
 su* ?ird p>ty4  7#b7 ,assignm5t (      
rights ( paym5t ,section                
#aiab7;a77#a77;,a7 ( su* ,act 7#db      
,u4,s4,c4 #acifk7a77#a77;,a77 is am5d$  
by /rik+ paym5t = m$ical c>e f any ?ird 
p>ty & ins]t+ any paym5t f a ?ird p>ty t
 has a legal liability to pay = c>e &   
s]vices available "u ! plan4  7#c7 ,li5s
 ,section #aiag7;a77#a77;,a7 ( su* ,act 
7#db ,u4,s4,c4 #acifp7a77#a77;,a77 is   
am5d$ to read z foll[s3  7,a7 pursuant  
to--  7i7 ! judgm5t ( a c\rt on acc\nt (
 b5efits incorrectly paid on behalf (   
su* individual1 or  7ii7 rights acquir$ 
by or assign$ to ! ,/ate 9 accordance ) 
section #aijb7;a77#be77;,h7 or section  

#aiab7;a77#a77;,a71 or  4  7c7          
,effective date ,! am5dm5ts made by ?is 
section %all take effect on ,octob] #a1 
#bjad4  #bjc4 ,re/riction on access to !
 dea? ma/] file  7a7 ,9 g5]al ,!        
,secret>y ( ,comm]ce %all n disclose to 
any p]son in=mation conta9$ on ! ,dea?  
,ma/] ,file ) respect to any deceas$    
individual at any "t dur+ !             
#c-;cal5d>-ye> p]iod beg9n+ on ! date ( 
! individual's dea?1 unless su* p]son is
 c]tifi$ "u ! program e/abli%$ "u       
subsection 7b74  7b7 ,c]tification      
program  7#a7 ,9 g5]al ,! ,secret>y (   
,comm]ce %all e/abli% a program--  7,a7 
to c]tify p]sons :o are eligible to     
access ! in=mation describ$ 9 subsection
 7a7 conta9$ on ! ,dea? ,ma/] ,file1 &  
7,b7 to p]=m p]iodic & uns*$ul$ audits (
 c]tifi$ p]sons to det]m9e ! compliance 
by su* c]tifi$ p]sons ) ! requirem5ts ( 
! program4  7#b7 ,c]tification ,a p]son 
%all n be c]tifi$ "u ! program e/abli%$ 
"u p>agraph 7#a7 unless su* p]son       
c]tifies t access to ! in=mation        

describ$ 9 subsection 7a7 is appropriate
 because su* p]son--  7,a7 has--  7i7 a 
legitimate fraud prev5tion int]e/1 or   
7ii7 a legitimate bus9ess purpose       
pursuant to a law1 gov]nm5tal rule1     
regulation1 or fiduci>y duty1 &  7,b7   
has sy/ems1 facilities1 & proc$ures 9   
place to safegu>d su* in=mation1 &      
exp]i5ce 9 ma9ta9+ ! confid5tiality1    
security1 & appropriate use ( su*       
in=mation1 pursuant to requirem5ts      
simil> to ! requirem5ts ( section       
#fajc7p77#d7 ( ! ,int]nal ,rev5ue ,code 
( #aihf1 &  7,c7 agrees to satisfy !    
requirem5ts ( su* section #fajc7p77#d7 z
 if su* section appli$ to su* p]son4    
7#c7 ,fees  7,a7 ,9 g5]al ,! ,secret>y (
 ,comm]ce %all e/abli% "u section #igja 
( title #ca1 ,unit$ ,/ates ,code1 a     
program = ! *>ge ( fees suffici5t to    
cov] 7b n to exce$7 all co/s associat$ )
 evaluat+ applications = c]tification & 
audit+1 inspect+1 & monitor+ c]tifi$    
p]sons "u ! program4 ,any fees s        
collect$ %all be deposit$ & cr$it$ z    

(fsett+ collections to ! acc\nts f :i*  
su* co/s are paid4  7,b7 ,report ,!     
,secret>y ( ,comm]ce %all report on an  
annual basis to ! ,committee on ,f9ance 
( ! ,s5ate & ! ,committee on ,ways &    
,means ( ! ,h\se ( ,repres5tatives on ! 
total fees collect$ dur+ ! prec$+ ye> & 
! co/ ( adm9i/]+ ! c]tification program 
"u ?is subsection = su* ye>4  7c7       
,imposition ( p5alty  7#a7 ,9 g5]al ,any
 p]son :o is c]tifi$ "u ! program       
e/abli%$ "u subsection 7b71 :o receives 
in=mation describ$ 9 subsection 7a71 &  
:o dur+ ! p]iod ( "t describ$ 9         
subsection 7a7--  7,a7 discloses su*    
in=mation to any p]son o!r ?an a p]son  
:o meets ! requirem5ts ( subp>agraphs   
7,a71 7,b71 & 7,c7 ( subsection 7b77#b71
  7,b7 discloses su* in=mation to any   
p]son :o uses ! in=mation = any purpose 
n li/$ "u subsection 7b77#b77;,a7 or :o 
fur!r discloses ! in=mation to a p]son  
:o does n meet su* requirem5ts1 or  7,c7
 uses any su* in=mation = any purpose n 
li/$ "u subsection 7b77#b77;,a71  & any 

p]son to :om su* in=mation is disclos$  
:o fur!r discloses or uses su* in=mation
 z describ$ 9 ! prec$+ subp>agraphs1    
%all pay a p5alty ( #a1jjj = ea* su*    
disclosure or use4  7#b7 ,limitation on 
p5alty  7,a7 ,9 g5]al ,! total am\nt ( !
 p5alty impos$ "u ?is subsection on any 
p]son = any cal5d> ye> %all n exce$     
#bej1jjj4  7,b7 ,exception = willful    
violations ,subp>agraph 7,a7 %all n     
apply 9 ! case ( violations "u p>agraph 
7#a7 t ! ,secret>y ( ,comm]ce det]m9es  
to be willful or int5tional violations4 
7d7 ,dea? ,ma/] ,file ,= purposes ( ?is 
section1 ! t]m ,dea? ,ma/] ,file means  
in=mation on ! "n1 social security      
acc\nt numb]1 date ( bir?1 & date ( dea?
 ( deceas$ individuals ma9ta9$ by !     
,commission] ( ,social ,security1 o!r   
?an in=mation t 0 provid$ to su*        
,commission] "u section #bje7r7 ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#dje7r774  7e7 ,exemption f ,fre$om (   
,in=mation ,act requirem5t ) respect to 
c]ta9 records ( deceas$ individuals     

7#a7 ,9 g5]al ,no ,f$]al ag5cy %all be  
compell$ to disclose ! in=mation        
describ$ 9 subsection 7a7 to any p]son  
:o is n c]tifi$ "u ! program e/abli%$ "u
 subsection 7b74  7#b7 ,treatm5t (      
in=mation ,= purposes ( section #eeb (  
title #e1 ,unit$ ,/ates ,code1 ?is      
section %all be consid]$ a /atute       
describ$ 9 subsection 7b77#c7 ( su*     
section #eeb4  7f7 ,effective date  7#a7
 ,9 g5]al ,except z provid$ 9 p>agraph  
7#b71 ?is section %all take effect on ! 
date t is #ij days aft] ! date ( !      
enactm5t ( ?is ,act4  7#b7 ,,foia       
exemption ,subsection 7e7 %all take     
effect on ! date ( ! enactm5t ( ?is     
,act4  #bjd4 ,id5tification ( inmates   
reque/+ or receiv+ improp] paym5ts  7a7 
,in=mation provid$ to ! ,prison] ,update
 ,process+ ,sy/em 7,,pups7  7#a7        
,section #bjb7x77#c77;,b77i77,i7        
,section #bjb7x77#c77;,b77i77,i7 ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#djb7x77#c77;,b77i77,i77 is am5d$ by--  
7,a7 ins]t+ fir/1 middle1 & la/ be=e    

names2  7,b7 /rik+ ! comma aft] ! words 
social security acc\nt numb]s & ins]t+  
or taxpay] id5tification numb]s1 prison 
assign$ inmate numb]s1 la/ kn[n         
addresses12  7,c7 ins]t+ dates ( release
 or anticipat$ dates ( release1 dates ( 
"w release1 be=e &1 to ! ext5t          
available2 &  7,d7 by ins]t+ & clause   
7iv7 ( ?is subp>agraph aft] p>agraph    
7#a74  7#b7 ,section                    
#afaa7;e77#a77;,i77i77,i7 ,section      
#afaa7;e77#a77;,i77i77,i7 ( ! ,social   
,security ,act 7#db ,u4,s4,c4           
#achb7;e77#a77;,i77i77,i77 is am5d$ by--
  7,a7 ins]t+ fir/1 middle1 & la/ be=e  
names2  7,b7 /rik+ ! comma aft] ! words 
social security acc\nt numb]s & ins]t+  
or taxpay] id5tification numb]s1 prison 
assign$ inmate numb]s1 la/ kn[n         
addresses12  7,c7 ins]t+ dates ( release
 or anticipat$ dates ( release1 dates ( 
"w release1 be=e &1 to ! ext5t          
available2 &  7,d7 by ins]t+ & clause   
7iv7 ( ?is subp>agraph aft] ?is         
p>agraph4  7b7 ,au?ority ( ,secret>y ( !

 ,treasury to access ,,pups  7#a7       
,section #bjb7x77#c77;,b7 ,section      
#bjb7x77#c77;,b7 ( ! ,social ,security  
,act 7#db ,u4,s4,c4 #djb7x77#c77;,b77 is
 am5d$--  7,a7 9 clause 7iv71 by ins]t+ 
be=e ! p]iod ! foll[+3 1 = /ati/ical &  
rese>* activities conduct$ by ,f$]al &  
,/ate ag5cies1 & to ! ,secret>y ( !     
,treasury = ! purposes ( tax            
adm9i/ration1 debt collection1 &        
id5tify+1 prev5t+1 & recov]+ improp]    
paym5ts "u f$]ally fund$ programs2 &    
7,b7 by add+ at ! end ! foll[+3  7v7    
7,i7 ,! ,commission] may disclose       
in=mation receiv$ pursuant to ?is       
p>agraph to any (fic]1 employee1 ag5t1  
or contractor ( ! ,dep>tm5t ( !         
,treasury ^: (ficial duties require su* 
in=mation to assi/ 9 ! id5tification1   
prev5tion1 & recov]y ( improp] paym5ts  
or 9 ! collection ( del9qu5t debts ow$  
to ! ,unit$ ,/ates1 includ+ paym5ts     
c]tifi$ by ! head ( an executive1       
judicial1 or legislative pay+ ag5cy1 &  
paym5ts made to individuals ^:          

eligibility1 or cont9u+ eligibility1 to 
p>ticipate 9 a ,f$]al program 7includ+  
^? adm9i/]$ by a ,/ate or political     
subdivision !re(7 is be+ review$4       
7,,ii7 ,not)/&+ ! provisions ( section  
#eeb;a ( title #e1 ,unit$ ,/ates ,code1 
or any o!r provision ( ,f$]al or ,/ate  
law1 ! ,secret>y ( ! ,treasury may      
comp>e in=mation disclos$ "u subclause  
7,i7 ) any o!r p]sonally id5tifiable    
in=mation d]iv$ f a ,f$]al sy/em (      
records or simil> records ma9ta9$ by a  
,f$]al contractor1 a ,f$]al grantee1 or 
an entity adm9i/]+ a ,f$]al program or  
activity1 & may r$isclose su* comp>ison 
( in=mation to any pay+ or adm9i/]+     
ag5cy & to ! head ( ! ,f$]al ,bureau (  
,prisons & ! head ( any ,/ate ag5cy *>g$
 ) ! adm9i/ration ( prisons ) respect to
 inmates :om ! ,secret>y ( ! ,treasury  
has det]m9$ may h be5 issu$1 or         
facilitat$ 9 ! issuance (1 an improp]   
paym5t4  7,,iii7 ,! comp>ison (         
in=mation disclos$ "u subclause 7,i7    
%all n be consid]$ a mat*+ program =    

purposes ( section #eeb;a ( title #e1   
,unit$ ,/ates ,code4  4  7#b7 ,section  
#afaa7;e77#a77;,i7 ,section             
#afaa7;e77#a77;,i7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #achb7;e77#a77;,i77
 is am5d$--  7,a7 9 clause 7iii71 by    
ins]t+ be=e ! p]iod ! foll[+3 1 =       
/ati/ical & rese>* activities conduct$  
by ,f$]al & ,/ate ag5cies1 & to !       
,secret>y ( ! ,treasury = ! purposes (  
tax adm9i/ration1 debt collection1 &    
id5tify+1 prev5t+1 & recov]+ improp]    
paym5ts "u f$]ally fund$ programs2 &    
7,b7 by add+ at ! end ! foll[+3  7v7    
7,i7 ,! ,commission] may disclose       
in=mation receiv$ pursuant to ?is       
p>agraph to any (fic]1 employee1 ag5t1  
or contractor ( ! ,dep>tm5t ( !         
,treasury ^: (ficial duties require su* 
in=mation to assi/ 9 ! id5tification1   
prev5tion1 & recov]y ( improp] paym5ts  
or 9 ! collection ( del9qu5t debts ow$  
to ! ,unit$ ,/ates1 includ+ paym5ts     
c]tifi$ by ! head ( an executive1       
judicial1 or legislative pay+ ag5cy1 &  

paym5ts made to individuals ^:          
eligibility1 or cont9u+ eligibility1 to 
p>ticipate 9 a ,f$]al program 7includ+  
^? adm9i/]$ by a ,/ate or political     
subdivision !re(7 is be+ review$4       
7,,ii7 ,not)/&+ ! provisions ( section  
#eeb;a ( title #e1 ,unit$ ,/ates ,code1 
or any o!r provision ( ,f$]al or ,/ate  
law1 ! ,secret>y ( ! ,treasury may      
comp>e in=mation disclos$ "u subclause  
7,i7 ) any o!r p]sonally id5tifiable    
in=mation d]iv$ f a ,f$]al sy/em (      
records or simil> records ma9ta9$ by a  
,f$]al contractor1 a ,f$]al grantee1 or 
an entity adm9i/]+ a ,f$]al program or  
activity & may r$isclose su* comp>ison (
 in=mation to any pay+ or adm9i/]+ ag5cy
 & to ! head ( ! ,f$]al ,bureau (       
,prisons & ! head ( any ,/ate ag5cy *>g$
 ) ! adm9i/ration ( prisons ) respect to
 inmates :om ! ,secret>y ( ! ,treasury  
has det]m9$ may h be5 issu$1 or         
facilitat$ 9 ! issuance (1 an improp]   
paym5t4  7,,iii7 ,! comp>ison (         
in=mation disclos$ "u subclause 7,i7    

%all n be consid]$ a mat*+ program =    
purposes ( section #eeb;a ( title #e1   
,unit$ ,/ates ,code4  4  7c7 ,con=m+    
am5dm5t to ! ,d ,n ,pay ,initiative     
,section #e7;a77#b7 ( ! ,improp]        
,paym5ts ,elim9ation & ,recov]y         
,improvem5t ,act ( #bjab 7#ca ,u4,s4,c4 
#ccba note7 is am5d$ by add+ at ! end ! 
foll[+3  7,f7 ,in=mation reg>d+         
inc>c]at$ individuals ma9ta9$ by !      
,commission] ( ,social ,security "u     
sections #bjb7x7 & #afaa7;e7 ( ! ,social
 ,security ,act4  4  ,,iii ,natural     
,res\rces  #cja4 ,ultra-deepwat] &      
unconv5tional natural gas & o!r         
petroleum res\rces  7a7 ,repeal         
,subtitle ,j ( title ,,ix ( ! ,en]gy    
,policy ,act ( #bjje 7#db ,u4,s4,c4     
#afcga et seq47 is repeal$4  7b7        
,rescission ,any unobligat$ funds       
appropriat$ = c>ry+ out ! subtitle      
repeal$ by subsection 7a7 are resc9d$4  
#cjb4 ,am5dm5t to ! ,m9]al ,leas+ ,act  
,section #ce7;b7 ( ! ,m9]al ,leas+ ,act 
7#cj ,u4,s4,c4 #aia7;b77 is am5d$ to    

read z foll[s--  7b7 ,d$uction =        
adm9i/rative co/s ,9 det]m9+ ! am\nt (  
paym5ts to ! ,/ates "u ?is section1     
beg9n+ 9 fiscal ye> #bjad & = ea* ye>   
!reaft]1 ! am\nt ( su* paym5ts %all be  
r$uc$ by #b p]c5t = any adm9i/rative or 
o!r co/s incurr$ by ! ,unit$ ,/ates 9   
c>ry+ out ! program au?oriz$ by ?is     
,act1 & ! am\nt ( su* r$uction %all be  
deposit$ to miscellane\s receipts ( !   
,treasury4  4  #cjc4 ,approval (        
agreem5t ) ,mexico ,! ,agreem5t betwe5 !
 ,unit$ ,/ates ( ,am]ica & ! ,unit$     
,mexican ,/ates ,conc]n+ ,transb\nd>y   
,hydroc>bon ,res]voirs 9 ! ,gulf (      
,mexico1 sign$ at ,los ,cabos1 ,febru>y 
#bj1 #bjab1 is h]eby approv$4  #cjd4    
,am5dm5t to ! ,out] ,cont95tal ,%elf    
,l&s ,act ,! ,out] ,cont95tal ,%elf ,l&s
 ,act 7#dc ,u4,s4,c4 #acca et seq47 is  
am5d$ by add+ at ! end ! foll[+3  #cb4  
,transb\nd>y hydroc>bon agreem5ts  7a7  
,au?orization ,aft] ! date ( enactm5t ( 
! ,bip>tisan ,budget ,act ( #bjac1 !    
,secret>y may implem5t ! t]ms ( any     

transb\nd>y hydroc>bon agreem5t = !     
managem5t ( transb\nd>y hydroc>bon      
res]voirs ent]$ into by ! ,presid5t &   
approv$ by ,congress4 ,9 implem5t+ su*  
an agreem5t1 ! ,secret>y %all protect ! 
int]e/s ( ! ,unit$ ,/ates to promote    
dome/ic job creation & ensure !         
exp$iti\s & ord]ly developm5t &         
cons]vation ( dome/ic m9]al res\rces 9  
accordance ) all applicable ,unit$      
,/ates laws gov]n+ ! exploration1       
developm5t1 & production ( hydroc>bon   
res\rces on ! ,out] ,cont95tal ,%elf4   
7b7 ,submission to congress  7#a7 ,9    
g5]al ,no lat] ?an #ahj days aft] all   
p>ties to a transb\nd>y hydroc>bon      
agreem5t h agre$ to its t]ms1 a         
transb\nd>y hydroc>bon agreem5t t does n
 con/itute a treaty 9 ! judgm5t ( !     
,presid5t %all be submitt$ by !         
,secret>y to--  7,a7 ! ,speak] ( ! ,h\se
 ( ,repres5tatives2  7,b7 ! ,majority   
,lead] ( ! ,s5ate2  7,c7 ! ,*air ( !    
,committee on ,natural ,res\rces ( !    
,h\se ( ,repres5tatives2 &  7,d7 ! ,*air

 ( ! ,committee on ,en]gy & ,natural    
,res\rces ( ! ,s5ate4  7#b7 ,cont5ts (  
submission ,! submission %all include-- 
7,a7 any am5dm5ts to ?is ,act or o!r    
,f$]al law necess>y to implem5t !       
agreem5t2  7,b7 an analysis ( ! economic
 impacts su* agreem5t & any am5dm5ts    
necessitat$ by ! agreem5t w h on dome/ic
 exploration1 developm5t1 & production (
 hydroc>bon res\rces on ! ,out]         
,cont95tal ,%elf2 &  7,c7 a detail$     
description ( any regulations expect$ to
 be issu$ by ! ,secret>y to implem5t !  
agreem5t4  7c7 ,implem5tation ( specific
 transb\nd>y agreem5t ) ,mexico ,!      
,secret>y may take actions z necess>y to
 implem5t ! t]ms ( ! ,agreem5t betwe5 ! 
,unit$ ,/ates ( ,am]ica & ! ,unit$      
,mexican ,/ates ,conc]n+ ,transb\nd>y   
,hydroc>bon ,res]voirs 9 ! ,gulf (      
,mexico1 sign$ at ,los ,cabos1 ,febru>y 
#bj1 #bjab1 includ+--  7#a7 approv+     
unitization agreem5ts & relat$          
arrangem5ts = ! exploration1 developm5t1
 or production ( oil & natural gas f    

transb\nd>y res]voirs or geological     
/ructures2  7#b7 mak+ available1 9 !    
limit$ mann] necess>y "u ! agreem5t &   
subject to ! protections (              
confid5tiality provid$ by ! agreem5t1   
in=mation relat+ to ! exploration1      
developm5t1 & production ( oil & natural
 gas f a transb\nd>y res]voir or        
geological /ructure t may be consid]$   
confid5tial1 privileg$1 or propriet>y   
in=mation "u law2  7#c7 tak+ actions    
consi/5t ) an exp]t det]m9ation "u !    
agreem5t2 &  7#d7 ensur+ only           
appropriate inspection /aff at ! ,bureau
 ( ,safety & ,environm5tal ,en=cem5t or 
o!r ,f$]al ag5cy p]sonnel designat$ by !
 ,bureau1 ! op]ator1 or ! lessee h      
au?ority to /op "w on any in/allation or
 o!r device or vessel p]man5tly or      
tempor>ily atta*$ to ! seab$ ( ! ,unit$ 
,/ates t may be erect$ !reon = ! purpose
 ( res\rce exploration1 developm5t or   
production activities z approv$ by !    
,secret>y4  7d7 ,sav+s provisions ,no?+ 
9 ?is section %all be con/ru$--  7#a7 to

 au?orize ! ,secret>y to p>ticipate 9   
any negotiations1 conf]5ces1 or         
consultations ) ,cuba reg>d+            
exploration1 developm5t1 or production (
 hydroc>bon res\rces 9 ! ,gulf ( ,mexico
 along ! ,unit$ ,/ates m>itime bord] )  
,cuba or ! area kn[n by ! ,dep>tm5t ( ! 
,int]ior z ! ,ea/]n ,gap2 or  7#b7 z    
affect+ ! sov]eign rights & !           
jurisdiction t ! ,unit$ ,/ates has "u   
int]national law ov] ! ,out] ,cont95tal 
,%elf t app]ta9s to x4  4  #cje4 ,f$]al 
oil & gas royalty prepaym5t cap  7a7 ,9 
g5]al ,section #aaa7;i7 ( ! ,f$]al ,oil 
& ,gas ,royalty ,managem5t ,act ( #aihb 
7#cj ,u4,s4,c4 #agba7;i77 is am5d$ by   
/rik+ 7i7 ,^u & all t foll[s ?r\gh ,=   
purposes & ins]t+ ! foll[+3  7i7        
,limitation on int]e/  7#a7 ,9 g5]al    
,int]e/ %all n be paid on any excessive 
ov]paym5t4  7#b7 ,excessive ov]paym5t   
def9$ ,= purposes  4  7b7 ,effective    
date ,! am5dm5t made by subsection 7a7  
%all take effect on ,july #a1 #bjad4    
#cjf4 ,/rategic ,petroleum ,res]ve  7a7 

,repeal ( au?ority ,to acquire 9-,k9d   
royalty crude oil ,section #afj7;a7 ( ! 
,en]gy ,policy & ,cons]vation ,act 7#db 
,u4,s4,c4 #fbdj7;a77 is am5d$ to read z 
foll[s3  7a7 ,! ,secret>y may acquire1  
place 9 /orage1 transport1 or ex*ange   
petroleum products acquir$ by pur*ase or
 ex*ange4  4  7b7 ,rescission ( funds   
,any unobligat$ balances available 9 !  
,,spr ,petroleum ,acc\nt 9 ! ,treasury  
on ! date ( enactm5t ( ?is section are  
p]man5tly resc9d$4  ,,iv ,f$]al         
,civilian & ,milit>y ,retirem5t  #dja4  
,increase 9 contributions to ,f$]al     
,employees ,retirem5t ,sy/em = new      
employees  7a7 ,def9ition  7#a7 ,9 g5]al
 ,section #hdja ( title #e1 ,unit$      
,/ates ,code1 is am5d$--  7,a7 9        
p>agraph 7#cf71 by /rik+ & at ! end2    
7,b7 9 p>agraph 7#cg71 by /rik+ ! p]iod 
& ins]t+ 2 &2 &  7,c7 by add+ at ! end !
 foll[+3  7#ch7 ! t]m fur!r revis$      
annuity employee means any individual   
:o--  7,a7 on ,decemb] #ca1 #bjac--  7i7
 is n an employee or ,memb] cov]$ "u ?is

 *apt]2  7ii7 is n p]=m+ civilian s]vice
 :i* is cr$itable s]vice "u section     
#hdaa2 &  7iii7 has less ?an #e ye>s (  
cr$itable civilian s]vice "u section    
#hdaa2 &  7,b7 aft] ,decemb] #ca1 #bjac1
 becomes employ$ z an employee or       
becomes a ,memb] cov]$ "u ?is *apt]     
p]=m+ s]vice :i* is cr$itable s]vice "u 
section #hdaa4  4  7#b7 ,te*nical       
am5dm5t ,section #hdja7cg77;,b7 ( title 
#e1 ,unit$ ,/ates ,code1 is am5d$ by    
ins]t+ & be=e ,janu>y #a1 #bjad1 aft]   
aft] ,decemb] #ca1 #bjab14  7b7         
,increase 9 individual contributions    
,section #hdbb7;a77#c7 ( title #e1      
,unit$ ,/ates ,code1 is am5d$--  7#a7 9 
subp>agraph 7,a71 by ins]t+ or fur!r    
revis$ annuity employees aft] revis$    
annuity employees2 &  7#b7 by add+ at ! 
end ! foll[+3  7,c7 ,! applicable       
p]c5tage "u ?is p>agraph = civilian     
s]vice by fur!r revis$ annuity employees
 %all be z foll[s3  ,employee#aj4f;,aft]
 ,decemb] #ca1 #bjac4 ,congressional    
employee#aj4f;,aft] ,decemb] #ca1 #bjac4

 ,memb]#aj4f;,aft] ,decemb] #ca1 #bjac4 
,law en=cem5t (fic]1 firefight]1 memb] (
 ! ,capitol ,police1 memb] ( ! ,supreme 
,c\rt ,police1 or air traffic controll] 
#aa4a;,aft] ,decemb] #ca1 #bjac4 ,nucle>
 mat]ials c\ri]#aa4a;,aft] ,decemb] #ca1
 #bjac4 ,cu/oms & bord] protection (fic]
 #aa4a;,aft] ,decemb] #ca1 #bjac4  4    
7c7 ,gov]nm5t contributions ,section    
#hdbc7;a77#b7 ( title #e1 ,unit$ ,/ates 
,code1 is am5d$--  7#a7 by /rik+ 7#b7 & 
ins]t+ 7#b77;,a72 &  7#b7 by add+ at !  
end ! foll[+3  7,b7  7i7 ,subject to    
clauses 7ii7 & 7iii71 = purposes ( any  
p]iod 9 any ye> beg9n+ aft] ,decemb]    
#ca1 #bjac1 ! normal-co/ p]c5tage "u ?is
 subsection %all be det]m9$ & appli$ z  
if section #dja7;b7 ( ! ,bip>tisan      
,budget ,act ( #bjac _h n be5 enact$4   
7ii7 ,any contributions "u ?is          
subsection 9 excess ( ! am\nts :i* 7b = 
clause 7i77 w\ld o!rwise h be5 payable  
%all be appli$ t[>d r$uc+ ! unfund$     
liability ( ! ,civil ,s]vice ,retirem5t 
,sy/em4  7iii7 ,aft] ! unfund$ liability

 ( ! ,civil ,s]vice ,retirem5t ,sy/em   
has be5 elim9at$1 z det]m9$ by ! ,(fice1
 ,gov]nm5t contributions "u ?is         
subsection %all be det]m9$ & made       
disreg>d+ ?is subp>agraph4  7iv7 ,!     
prec$+ provisions ( ?is subp>agraph %all
 be disreg>d$ = purposes ( det]m9+ !    
contributions payable by ! ,unit$ ,/ates
 ,po/al ,s]vice & ! ,po/al ,regulatory  
,commission4  4  7d7 ,annuity           
calculation ,section #hdae7;d7 ( title  
#e1 ,unit$ ,/ates ,code1 is am5d$ by    
ins]t+ or a fur!r revis$ annuity        
employee aft] a revis$ annuity employee4
  #djb4 ,=eign ,s]vice ,p5sion ,sy/em   
7a7 ,def9ition  7#a7 ,9 g5]al ,section  
#heb ( ! ,=eign ,s]vice ,act ( #aihj    
7#bb ,u4,s4,c4 #djga;a7 is am5d$--  7,a7
 by r$esignat+ p>agraphs 7#h71 7#i71 &  
7#aj7 z p>agraphs 7#i71 7#aj71 & 7#aa71 
respectively2 &  7,b7 by ins]t+ aft]    
p>agraph 7#g7 ! foll[+3  7#h7 ! t]m     
fur!r revis$ annuity p>ticipant means   
any individual :o--  7,a7 on ,decemb]   
#ca1 #bjac--  7i7 is n a p>ticipant2    

7ii7 is n p]=m+ s]vice :i* is cr$itable 
s]vice "u section #hed2 &  7iii7 has    
less ?an #e ye>s cr$itable s]vice "u    
section #hed2 &  7,b7 aft] ,decemb] #ca1
 #bjac1 becomes a p>ticipant p]=m+      
s]vice :i* is cr$itable s]vice "u       
section #hed2  4  7#b7 ,te*nical am5dm5t
 ,section #heb7g77;,b7 ( ! ,=eign       
,s]vice ,act ( #aihj 7#bb ,u4,s4,c4     
#djga;a7#g77;,b77 is am5d$ by ins]t+ &  
be=e ,janu>y #a1 #bjad1 aft] aft]       
,decemb] #ca1 #bjab14  7b7 ,d$uctions & 
)hold+s f pay ,section #hef7;a77#b7 ( ! 
,=eign ,s]vice ,act ( #aihj 7#bb        
,u4,s4,c4 #djga;e7a77#b77 is am5d$--    
7#a7 9 subp>agraph 7,a71 by ins]t+ or a 
fur!r revis$ annuity p>ticipant aft]    
revis$ annuity p>ticipant2 &  7#b7 by   
add+ at ! end ! foll[+3  7,c7 ,!        
applicable p]c5tage = a fur!r revis$    
annuity p>ticipant %all be z foll[s3    
#aa4ae;,aft] ,decemb] #ca1 #bjac4  4    
7c7 ,gov]nm5t contributions ,section    
#heg ( ! ,=eign ,s]vice ,act ( #aihj    
7#bb ,u4,s4,c4 #djga;f7 is am5d$ by add+

 at ! end ! foll[+3  7c7  7#a7 ,subject 
to p>agraphs 7#b7 & 7#c71 = purposes (  
any p]iod 9 any ye> beg9n+ aft] ,decemb]
 #ca1 #bjac1 ! normal-co/ p]c5tage "u   
?is section %all be det]m9$ & appli$ z  
if section #djb7;b7 ( ! ,bip>tisan      
,budget ,act ( #bjac _h n be5 enact$4   
7#b7 ,any contributions "u ?is section 9
 excess ( ! am\nts :i* 7b = p>agraph    
7#a77 w\ld o!rwise h be5 payable %all be
 appli$ t[>d r$uc+ ! unfund$ liability (
 ! ,=eign ,s]vice ,retirem5t &          
,disability ,sy/em4  7#c7 ,aft] !       
unfund$ liability ( ! ,=eign ,s]vice    
,retirem5t & ,disability ,sy/em has be5 
elim9at$1 z det]m9$ by ! ,secret>y (    
,/ate1 ,gov]nm5t contributions "u ?is   
section %all be det]m9$ & made disreg>d+
 ?is subsection4  4  #djc4 ,annual      
adju/m5t ( retir$ pay & reta9] pay      
am\nts = retir$ memb]s ( ! ,arm$ ,=ces  
"u age #fb  7a7 ,,cpi m9us "o p]c5t     
,section #adja;a7b7 ( title #aj1 ,unit$ 
,/ates ,code1 is am5d$--  7#a7 9        
p>agraph 7#a71 by /rik+ p>agraphs 7#b7 &

 7#c7 & ins]t+ p>agraph 7#b71 7#c71 or  
7#d72  7#b7 by r$esignat+ p>agraphs 7#d7
 & 7#e7 z p>agraphs 7#e7 & 7#f71        
respectively2 &  7#c7 by ins]t+ aft]    
p>agraph 7#c7 ! foll[+ new p>agraph     
7#d73  7#d7 ,r$uc$ p]c5tage = retir$    
memb]s "u age #fb  7,a7 ,9 g5]al        
,effective on ,decemb] #a ( ea* ye>1 !  
retir$ pay ( ea* memb] & =m] memb] "u   
#fb ye>s ( age entitl$ to t pay %all be 
adju/$ 9 accordance ) ?is p>agraph      
in/ead ( p>agraph 7#b7 or 7#c74  7,b7   
,,cpi m9us "o ,if ! p]c5t det]m9$ "u    
p>agraph 7#b7 is great] ?an #a p]c5t1 ! 
,secret>y %all increase ! retir$ pay (  
ea* memb] & =m] memb] by ! diff]5ce     
betwe5--  7i7 ! p]c5t det]m9$ "u        
p>agraph 7#b72 &  7ii7 #a p]c5t4  7,c7  
,no negative adju/m5t ,if ! p]c5t       
det]m9$ "u p>agraph 7#b7 is equal to or 
less ?an #a p]c5t1 ! ,secret>y %all n   
increase ! retir$ pay ( memb]s & =m]    
memb]s "u ?is p>agraph4  7,d7 ,revis$   
adju/m5t ^u rea*+ age #fb ,:5 a memb] or
 =m] memb] ^: retir$ pay has be5 subject

 to adju/m5t "u ?is p>agraph becomes #fb
 ye>s ( age1 ! ,secret>y ( ,def5se %all 
recompute ! retir$ pay ( ! memb] or =m] 
memb]1 to be effective on ! date ( !    
next adju/m5t ( retir$ pay "u ?is       
subsection1 s z to be ! am\nt equal to !
 am\nt ( retir$ pay to :i* ! memb] or   
=m] memb] w\ld be entitl$ on t date if  
increases 9 ! retir$ pay ( ! memb] or   
=m] memb] _h be5 comput$ z provid$ 9    
p>agraph 7#b7 or z specifi$ 9 section   
#adaj ( ?is title1 z applicable1 r ?an  
?is p>agraph4  7,e7 ,inapplicability (  
cat*-up rule ,p>agraph 7#e7 %all n apply
 9 ! case ( adju/m5ts made1 or n made1 z
 a result ( application ( ?is p>agraph4 
4  7b7 ,re/oral ( full retirem5t am\nt  
at age #fb ,section #adaj7a7 ( title    
#aj1 ,unit$ ,/ates ,code1 is am5d$ by   
/rik+ p>agraph 7#c7 & ins]t+ p>agraph   
7#c7 or 7#d74  7c7 ,effective date ,!   
am5dm5ts made by subsections 7a7 & 7b7  
%all take effect on ,decemb] #a1 #bjae4 
,v ,high] ,education  #eja4 ,default    
r$uction program ,effective ,july #a1   

#bjad1 section #dbh;,f7a77#a7 ( ! ,high]
 ,education ,act ( #aife 7#bj ,u4,s4,c4 
#ajgh-f7;a77#a77 is am5d$--  7#a7 9     
subp>agraph 7,a71 by /rik+ clause 7ii7 &
 ins]t+ ! foll[+3  7ii7 beg9n+ ,july #a1
 #bjad1 assign ! loan to ! ,secret>y if 
! gu>anty ag5cy has be5 unable to sell !
 loan "u clause 7i74  2 &  7#b7 9       
subp>agraph 7,d71 by /rik+ clause 7i7 & 
ins]t+ ! foll[+3  7i7 ! gu>anty ag5cy-- 
7,i7 %all1 9 ! case ( a sale made on or 
aft] ,july #a1 #bjad1 repay ! ,secret>y 
#ajj p]c5t ( ! am\nt ( ! pr9cipal       
balance out/&+ at ! "t ( su* sale1      
multipli$ by ! re9surance p]c5tage 9    
effect :5 paym5t "u ! gu>anty agreem5t 0
 made ) respect to ! loan2 &  7,,ii7    
may1 9 ! case ( a sale made on or aft]  
,july #a1 #bjad1 9 ord] to defray       
collection co/s--  7aa7 *>ge to ! borr[]
 an am\nt n to exce$ #af p]c5t ( !      
out/&+ pr9cipal & int]e/ at ! "t ( !    
loan sale2 &  7bb7 reta9 su* am\nt f !  
proce$s ( ! loan sale2 &  4  #ejb4      
,elim9ation ( nonpr(it s]vic+ contracts 

,! ,high] ,education ,act ( #aife 7#bj  
,u4,s4,c4 #ajja et seq47 is am5d$--     
7#a7 9 section #def 7#bj ,u4,s4,c4      
#ajhg;f7--  7,a7 9 subsection 7a71 by   
/rik+ p>agraph 7#d72 &  7,b7 by /rik+   
subsection 7c72 &  7#b7 9 section       
#deh7;a7 7#bj ,u4,s4,c4 #ajhg;h7a771 by 
/rik+ p>agraph 7#b74  ,,vi              
,transportation  #fja4 ,aviation        
security s]vice fees  7a7 ,air c>ri]    
fees  7#a7 ,repeal ,section             
#ddidj7;a77#b7 ( title #di1 ,unit$      
,/ates ,code1 is repeal$4  7#b7 ,con=m+ 
am5dm5t ,section #ddidj7;d77#a7 ( su*   
title is am5d$ by /rik+ 1 & may impose a
 fee "u subsection 7a77#b714  7#c7      
,effective date ,! repeal made by       
p>agraph 7#a7 & ! am5dm5t made by       
p>agraph 7#b7 %all ea* take effect on   
,octob] #a1 #bjad4  7b7 ,re/ructur+ (   
pass5g] fee ,section #ddidj7;c7 ( su*   
title is am5d$ to read z foll[s3  7c7   
,limitation on fee ,fees impos$ "u      
subsection 7a77#a7 %all be #e4fj p]     
"o-way trip 9 air transportation or     

intra/ate air transportation t orig9ates
 at an airport 9 ! ,unit$ ,/ates4  4    
7c7 ,deposit ( receipts 9 g5]al fund    
,section #ddidj7;i7 ( su* title is am5d$
 to read z foll[s3  7i7 ,deposit (      
receipts 9 g5]al fund  7#a7 ,9 g5]al    
,beg9n+ 9 fiscal ye> #bjad1 out ( fees  
receiv$ 9 a fiscal ye> "u subsection    
7a77#a71 aft] am\nts are made available 
9 ! fiscal ye> "u section #ddibc7;h71 ! 
next funds d]iv$ f su* fees 9 ! fiscal  
ye>1 9 ! am\nt specifi$ = ! fiscal ye> 9
 p>agraph 7#d71 %all be cr$it$ z (fsett+
 receipts & deposit$ 9 ! g5]al fund ( ! 
,treasury4  7#b7 ,fee levels ,!         
,secret>y ( ,homel& ,security %all      
impose ! fee au?oriz$ by subsection     
7a77#a7 s z to collect 9 a fiscal ye> at
 lea/ ! am\nt specifi$ 9 p>agraph 7#d7 =
 ! fiscal ye> = mak+ deposits "u        
p>agraph 7#a74  7#c7 ,relation%ip to o!r
 provisions ,subsections 7b7 & 7f7 %all 
n apply to am\nts to be us$ = mak+      
deposits "u ?is subsection4  7#d7       
,fiscal ye> am\nts ,= purposes (        

p>agraphs 7#a7 & 7#b71 ! fiscal ye>     
am\nts are z foll[s3  7,a7 #cij1jjj1jjj 
= fiscal ye> #bjad4  7,b7 #a1aij1jjj1jjj
 = fiscal ye> #bjae4  7,c7              
#a1bej1jjj1jjj = fiscal ye> #bjaf4  7,d7
 #a1bhj1jjj1jjj = fiscal ye> #bjag4     
7,e7 #a1cbj1jjj1jjj = fiscal ye> #bjah4 
7,f7 #a1cfj1jjj1jjj = fiscal ye> #bjai4 
7,g7 #a1djj1jjj1jjj = fiscal ye> #bjbj4 
7,h7 #a1ddj1jjj1jjj = fiscal ye> #bjba4 
7,i7 #a1dhj1jjj1jjj = fiscal ye> #bjbb4 
7,j7 #a1ebj1jjj1jjj = fiscal ye> #bjbc4 
4  7d7 ,imposition ( fee increase ,!    
,secret>y ( ,homel& ,security %all      
implem5t ! fee increase au?oriz$ by !   
am5dm5t made by subsection 7b7--  7#a7  
beg9n+ on ,july #a1 #bjad2 &  7#b7 ?r\gh
 ! publication ( notice ( su* fee 9 !   
,f$]al ,regi/]1 not)/&+ section #igja ( 
title #ca1 ,unit$ ,/ates ,code1 & !     
proc$ural requirem5ts ( section #eec (  
title #e1 ,unit$ ,/ates ,code4  7e7     
,cont9u$ availability ( exi/+ balances  
,! am5dm5ts made by ?is section %all n  
affect ! availability ( funds made      

available "u section #ddidj7;i7 ( title 
#di1 ,unit$ ,/ates ,code1 be=e ! date ( 
enactm5t ( ?is ,act4  #fjb4             
,transportation co/ reimbursem5t  7a7   
,repeal ,sections #eecaf & #eecag (     
*apt] #eec ( title #df1 ,unit$ ,/ates   
,code1 are repeal$4  7b7 ,table (       
sections am5dm5t ,! table ( sections at 
! beg9n+ ( *apt] #eec ( title #df1      
,unit$ ,/ates ,code1 is am5d$ by /rik+ !
 items relat+ to section #eecaf &       
#eecag4  #fjc4 ,/]ile areas at airports 
,section #ddijc ( title #di1 ,unit$     
,/ates ,code1 is am5d$ by add+ at ! end 
! foll[+3  7n7 ,pass5g] exit po9ts f    
/]ile area  7#a7 ,9 g5]al ,! ,secret>y (
 ,homel& ,security %all ensure t !      
,transportation ,security ,adm9i/ration 
is responsible = monitor+ pass5g] exit  
po9ts f ! /]ile area ( airports at :i* !
 ,transportation ,security ,adm9i/ration
 provid$ su* monitor+ z ( ,decemb] #a1  
#bjac4  7#b7 ,/]ile area def9$ ,9 ?is   
section1 ! t]m /]ile area has ! mean+   
giv5 t t]m 9 section #aedj4e ( title    

#di1 ,code ( ,f$]al ,regulations 7or any
 correspond+ simil> regulation or rul+74
  4  ,,vii ,miscellane\s ,provisions    
#gja4 ,ext5sion ( cu/oms us] fees       
,section #acjca7;j77#c7 ( ! ,consolidat$
 ,omnibus ,budget ,reconciliation ,act (
 #aihe 7#ai ,u4,s4,c4 #eh;c7j77#c77 is  
am5d$--  7#a7 9 subp>agraph 7,a71 by    
/rik+ ,octob] #bb1 #bjba & ins]t+       
,septemb] #cj1 #bjbc2 &  7#b7 9         
subp>agraph 7,b77i71 by /rik+ ,octob]   
#bi1 #bjba & ins]t+ ,septemb] #cj1      
#bjbc4  #gjb4 ,limitation on all[able   
gov]nm5t contractor comp5sation co/s    
7a7 ,limitation  7#a7 ,civilian         
contracts ,section #dcjd7;a77#af7 (     
title #da1 ,unit$ ,/ates ,code1 is am5d$
 to read z foll[s3  7#af7 ,co/s (       
comp5sation ( contractor & subcontractor
 employees = a fiscal ye>1 reg>dless ( !
 contract fund+ s\rce1 to ! ext5t t su* 
comp5sation exce$s #dhg1jjj p] ye>1     
adju/$ annually to reflect ! *ange 9 !  
,employm5t ,co/ ,index = all work]s1 z  
calculat$ by ! ,bureau ( ,labor         

,/ati/ics1 except t ! head ( an         
executive ag5cy may e/abli% "o or m     
n>r[ly t>get$ exceptions = sci5ti/s1    
eng9e]s1 or o!r speciali/s ^u a         
det]m9ation t su* exceptions are ne$$ to
 ensure t ! executive ag5cy has cont9u$ 
access to ne$$ skills & capabilities4  4
  7#b7 ,def5se contracts ,section       
#bcbd7;e77#a77,p7 ( title #aj1 ,unit$   
,/ates ,code1 is am5d$ to read z foll[s3
  7,p7 ,co/s ( comp5sation ( contractor 
& subcontractor employees = a fiscal    
ye>1 reg>dless ( ! contract fund+ s\rce1
 to ! ext5t t su* comp5sation exce$s    
#dhg1jjj p] ye>1 adju/$ annually to     
reflect ! *ange 9 ! ,employm5t ,co/     
,index = all work]s1 z calculat$ by !   
,bureau ( ,labor ,/ati/ics1 except t !  
head ( an executive ag5cy may e/abli% "o
 or m n>r[ly t>get$ exceptions =        
sci5ti/s1 eng9e]s1 or o!r speciali/s ^u 
a det]m9ation t su* exceptions are ne$$ 
to ensure t ! executive ag5cy has       
cont9u$ access to ne$$ skills &         
capabilities4  4  7b7 ,con=m+ am5dm5ts  

7#a7 ,repeal ,section #aabg ( title #da1
 ,unit$ ,/ates ,code1 is h]eby repeal$4 
7#b7 ,cl]ical am5dm5t ,! table (        
sections at ! beg9n+ ( *apt] #aa ( title
 #da1 ,unit$ ,/ates ,code1 is am5d$ by  
/rik+ ! item relat+ to section #aabg4   
7c7 ,applicability ,?is section & !     
am5dm5ts made by ?is section %all apply 
only ) respect to co/s ( comp5sation    
incurr$ "u contracts ent]$ into on or   
aft] ! date t is #ahj days aft] ! date (
 ! enactm5t ( ?is ,act4  7d7 ,reports   
7#a7 ,9 g5]al ,n lat] ?an #fj days aft] 
! end ( ea* fiscal ye>1 ! ,director ( ! 
,(fice ( ,managem5t & ,budget %all      
submit a report on contractor           
comp5sation to--  7,a7 ! ,committee on  
,arm$ ,s]vices ( ! ,s5ate2  7,b7 !      
,committee on ,arm$ ,s]vices ( ! ,h\se (
 ,repres5tatives2  7,c7 ! ,committee on 
,homel& ,security & ,gov]nm5tal ,affairs
 ( ! ,s5ate2  7,d7 ! ,committee on      
,ov]sight & ,gov]nm5t ,re=m ( ! ,h\se ( 
,repres5tatives2  7,e7 ! ,committee on  
,appropriations ( ! ,s5ate2 &  7,f7 !   

,committee on ,appropriations ( ! ,h\se 
( ,repres5tatives4  7#b7 ,elem5ts ,!    
report requir$ "u p>agraph 7#a7 %all    
include--  7,a7 ! total numb] (         
contractor employees1 by executive      
ag5cy1 9 ! n>r[ly t>get$ exception      
positions describ$ "u subsection 7a7    
dur+ ! prec$+ fiscal ye>2  7,b7 !       
taxpay]-fund$ comp5sation am\nts receiv$
 by ea* contractor employee 9 a n>r[ly  
t>get$ exception position dur+ su*      
fiscal ye>2 &  7,c7 ! duties & s]vices  
p]=m$ by contractor employees 9 ! n>r[ly
 t>get$ exception positions dur+ su*    
fiscal ye>4  7e7 ,review ,n lat] ?an #ij
 days aft] ! date ( ! enactm5t ( ?is    
,act1 ! ,secret>y ( ,def5se & !         
,director ( ! ,(fice ( ,managem5t &     
,budget %all report to ,congress on     
alt]native b5*m>ks & indu/ry /&>ds =    
comp5sation1 includ+ :e!r any su*       
b5*m>ks or /&>ds w\ld provide a m       
appropriate measure ( all[able          
comp5sation = ! purposes ( section      
#bcbd7;e77#a77,p7 ( title #aj1 ,unit$   

,/ates ,code1 & section #dcjd7;a77#af7 (
 title #da1 ,unit$ ,/ates ,code1 z am5d$
 by ?is ,act4  #gjc4 ,p5sion ,b5efit    
,gu>anty ,corporation premium rate      
increases  7a7 ,flat-,rate premium      
increases ,section #djjf7;a77#c77;,a77i7
 ( ! ,employee ,retirem5t ,income       
,security ,act ( #aigd 7#bi ,u4,s4,c4   
#acjf7;a77#c77;,a77i77 is am5d$--  7#a7 
9 subclause 7,,ii71 by /rik+ & at ! end2
  7#b7 9 subclause 7,,iii71 by ins]t+ & 
be=e ,janu>y #a1 #bjae1 aft] ,decemb]   
#ca1 #bjac2 &  7#c7 by ins]t+ aft]      
subclause 7,,iii7 ! foll[+3  7,,iv7 =   
plan ye>s beg9n+ aft] ,decemb] #ca1     
#bjad1 & be=e ,janu>y #a1 #bjaf1 #eg2 & 
7,v7 = plan ye>s beg9n+ aft] ,decemb]   
#ca1 #bjae1 & be=e ,janu>y #a1 #bjag1   
#fd4  4  7b7 ,flat-,rate premium rate   
index$ to wages  7#a7 ,9 g5]al ,section 
#djjf7;a77#c7 ( su* ,act 7#bi ,u4,s4,c4 
#acjf7;a77#c77 is am5d$--  7,a7 by      
r$esignat+ subp>agraphs 7,g7 ?r\gh 7,j7 
z subp>agraphs 7,h7 ?r\gh 7,k71         
respectively2 &  7,b7 by ins]t+ aft]    

subp>agraph 7,f7 ! foll[+3  7,g7 ,= ea* 
plan ye> beg9n+ 9 a cal5d> ye> aft]     
#bjaf1 !re %all be sub/itut$ = ! premium
 rate specifi$ 9 clause 7i7 (           
subp>agraph 7,a7 an am\nt equal to !    
great] (--  7i7 ! product d]iv$ by      
multiply+ ! premium rate specifi$ 9     
clause 7i7 ( subp>agraph 7,a7 by ! ratio
 (--  7,i7 ! national av]age wage index 
7z def9$ 9 section #bji7k77#a7 ( !      
,social ,security ,act7 = ! fir/ ( ! #b 
cal5d> ye>s prec$+ ! cal5d> ye> 9 :i*   
su* plan ye> beg9s1 to  7,,ii7 !        
national av]age wage index 7z s def9$7 =
 #bjad2 &  7ii7 ! premium rate 9 effect 
"u clause 7i7 ( subp>agraph 7,a7 = plan 
ye>s beg9n+ 9 ! prec$+ cal5d> ye>4  ,if 
! am\nt det]m9$ "u ?is subp>agraph is n 
a multiple ( #a1 su* product %all be    
r\nd$ to ! ne>e/ multiple ( #a4  4  7#b7
 ,con=m+ am5dm5ts ,section              
#djjf7;a77#c77;,f7 ( su* ,act 7#bi      
,u4,s4,c4 #acjf7;a77#c77;,f77 is am5d$--
  7,a7 9 ! matt] be=e clause 7i71 by    
ins]t+ & be=e #bjac aft] aft] #bjjf2 &  

7,b7 9 ! flu% text foll[+ clause 7ii71  
by /rik+ ! second s5t5ce4  7c7 ,v>iable 
rate premium increases  7#a7 ,9 g5]al   
,section #djjf7;a77#h77;,c7 ( su* ,act  
7#bi ,u4,s4,c4 #acjf7;a77#h77;,c77 is   
am5d$--  7,a7 9 clause 7i71 by /rik+ &  
at ! end2  7,b7 9 clause 7ii71 by /rik+ 
#e4 & ins]t+ #aj2 &2 &  7,c7 by add+ at 
! end ! foll[+3  7iii7 9 ! case ( plan  
ye>s beg9n+ 9 cal5d> ye> #bjaf1 by #e4  
4  7#b7 ,con=m+ am5dm5ts ,section       
#djjf7;a77#h7 ( su* ,act 7#bi ,u4,s4,c4 
#acjf7;a77#h77 is am5d$--  7,a7 9       
subp>agraph 7,a7--  7i7 9 clause 7ii71  
by /rik+ & at ! end2  7ii7 9 clause     
7iii71 by /rik+ ! p]iod at ! end &      
ins]t+ 2 &2 &  7iii7 by add+ at ! end ! 
foll[+3  7iv7 = plan ye>s beg9n+ aft]   
cal5d> ye> #bjaf1 ! am\nt 9 effect =    
plan ye>s beg9n+ 9 #bjaf 7det]m9$ aft]  
application ( subp>agraph 7,c774  2 &   
7,b7 9 subp>agraph 7,d7--  7i7 9 clause 
7ii71 by /rik+ & at ! end2  7ii7 9      
clause 7iii71 by /rik+ ! p]iod at ! end 
& ins]t+ 2 &2 &  7iii7 by add+ at ! end 

! foll[+3  7iv7 #bjad1 9 ! case ( plan  
ye>s beg9n+ aft] cal5d> ye> #bjaf4  4   
7d7 ,increase 9 v>iable rate premium cap
  7#a7 ,9 g5]al ,section                
#djjf7;a77#c77;,e77i7 ( su* ,act 7#bi   
,u4,s4,c4 #acjf7;a77#c77;,e77i77 is     
am5d$--  7,a7 9 subclause 7,i71 by /rik+
 & at ! end2  7,b7 9 subclause 7,,ii7-- 
7i7 by ins]t+ & be=e #bjaf aft] #bjab2 &
  7ii7 by /rik+ ! p]iod at ! end &      
ins]t+ &2 &  7,c7 by add+ at ! end !    
foll[+3  7,,iii7 9 ! case ( plan ye>s   
beg9n+ 9 a cal5d> ye> aft] #bjae1 %all n
 exce$ #ejj4  4  7#b7 ,index to wages   
,section #djjf7;a77#c7 ( su* ,act 7#bi  
,u4,s4,c4 #acjf7;a77#c77 is am5d$--     
7,a7 9 subp>agraph 7,k7 7z r$esignat$ by
 subsection 7b77#a77;,a771 by ins]t+ &  
be=e #bjaf aft] #bjac2 &  7,b7 by ins]t+
 at ! end ! foll[+3  7,l7 ,= ea* plan   
ye> beg9n+ 9 a cal5d> ye> aft] #bjaf1   
!re %all be sub/itut$ = ! doll> am\nt   
specifi$ 9 subclause 7,,iii7 (          
subp>agraph 7,e77i7 an am\nt equal to ! 
great] (--  7i7 ! product d]iv$ by      

multiply+ su* doll> am\nt by ! ratio (--
  7,i7 ! national av]age wage index 7z  
def9$ 9 section #bji7k77#a7 ( ! ,social 
,security ,act7 = ! fir/ ( ! #b cal5d>  
ye>s prec$+ ! cal5d> ye> 9 :i* su* plan 
ye> beg9s1 to  7,,ii7 ! national av]age 
wage index 7z s def9$7 = #bjad2 &  7ii7 
su* doll> am\nt = plan ye>s beg9n+ 9 !  
prec$+ cal5d> ye>4  ,if ! am\nt det]m9$ 
"u ?is subp>agraph is n a multiple ( #a1
 su* product %all be r\nd$ to ! ne>e/   
multiple ( #a4  4  7e7 ,effective date  
,! am5dm5ts made by ?is section %all    
apply to plan ye>s beg9n+ aft] ,decemb] 
#ca1 #bjac4  #gjd4 ,cancellation (      
,unobligat$ ,balances  7a7 ,dep>tm5t (  
,ju/ice ,assets ,=feiture ,fund         
,effective on ! date ( enactm5t ( ?is   
,act1 ( ! unobligat$ balances available 
"u ! ,dep>tm5t ( ,ju/ice ,assets        
,=feiture ,fund1 #fic1jjj1jjj are       
p]man5tly cancell$4  7b7 ,treasury      
,=feiture ,fund ,effective on ! date (  
enactm5t ( ?is ,act1 ( ! unobligat$     
balances available "u ! ,dep>tm5t ( !   

,treasury ,=feiture ,fund1 #hfg1jjj1jjj1
 are p]man5tly cancell$4  #gje4         
,cons]vation plann+ te*nical assi/ance  
us] fees  7a7 ,us] fees au?oriz$        
,section #c ( ! ,soil ,cons]vation &    
,dome/ic ,allotm5t ,act 7#af ,u4,s4,c4  
#eij;c7 is am5d$--  7#a7 by /rik+       
require-- & ins]t+ require ! foll[+32   
7#b7 9 p>agraph 7#a71 by /rik+ !        
semicolon at ! end & ins]t+ a p]iod2    
7#c7 9 p>agraph 7#b71 by /rik+ 2 & at ! 
end & ins]t+ a p]iod2 &  7#d7 by add+ at
 ! end ! foll[+3  7#d7  7,a7 ,! paym5t (
 us] fees = cons]vation plann+ te*nical 
assi/ance if ! ,secret>y det]m9es t !   
fees1 subject to subp>agraph 7,b71 are--
  7i7 reasonable & appropriate2  7ii7   
assess$ = cons]vation plann+ te*nical   
assi/ance result+ 9 ! developm5t ( a    
cons]vation plan2 &  7iii7 assess$ bas$ 
on ! size ( ! l& or ! complexity ( !    
res\rce issues involv$4  7,b7 ,fees "u  
subp>agraph 7,a7 may n exce$ #aej p]    
cons]vation plan = :i* te*nical         
assi/ance is provid$4  7,c7 ,! ,secret>y

 may waive fees o!rwise requir$ "u      
subp>agraph 7,a7 9 ! case ( cons]vation 
plann+ te*nical assi/ance provid$--  7i7
 to beg9n+ f>m]s or ran*]s 7z def9$ 9   
section #cdc7;a7 ( ! ,consolidat$ ,f>m &
 ,rural ,developm5t ,act 7#g ,u4,s4,c4  
#aiia7;a772  7ii7 to limit$ res\rce     
f>m]s or ran*]s 7z def9$ by !           
,secret>y72  7iii7 to socially          
disadvantag$ f>m]s or ran*]s 7z def9$ 9 
section #cee7;e7 ( ! ,consolidat$ ,f>m &
 ,rural ,developm5t ,act 7#g ,u4,s4,c4  
#bjjc7;e772  7iv7 to qualify = an       
exemption f ineligibility "u section    
#abab ( ! ,food ,security ,act ( #aihe  
7#af ,u4,s4,c4 #chab72 or  7v7 to comply
 ) ,f$]al1 ,/ate1 or local regulatory   
requirem5ts4  4  7b7 ,cons]vation       
te*nical assi/ance fund ,section #f ( ! 
,soil ,cons]vation & ,dome/ic ,allotm5t 
,act 7#af ,u4,s4,c4 #eij;f7 is am5d$--  
7#a7 by /rik+ ,sec4 #f4 & all t foll[s  
?r\gh ,!re are h]eby au?oriz$ & ins]t+ !
 foll[+3  #f4 ,au?orization (           
appropriations & cons]vation te*nical   

assi/ance funds  7a7 ,au?orization (    
appropriations ,!re is au?oriz$  2 &    
7#b7 by add+ at ! end ! foll[+3  7b7    
,cons]vation te*nical assi/ance fund    
7#a7 ,9 g5]al ,!re is e/abli%$ 9 !      
,treasury ( ! ,unit$ ,/ates a fund to be
 kn[n z ! ,cons]vation ,te*nical        
,assi/ance ,fund 7ref]r$ to 9 ?is       
subsection z ! ,fund71 to be adm9i/]$ by
 ! ,secret>y ( ,agriculture4  7#b7      
,deposits ,an am\nt equal to ! am\nts   
collect$ z fees "u section #c7d7 & late 
paym5ts1 int]e/1 & su* o!r am\nts z are 
au?oriz$ to be collect$ pursuant to     
section #cgag ( title #ca1 ,unit$ ,/ates
 ,code1 %all be deposit$ 9 ! ,fund4     
7#c7 ,availability ,am\nts 9 ! ,fund    
%all--  7,a7 only be available to !     
ext5t & 9 ! am\nt provid$ 9 advance 9   
appropriations ,acts2  7,b7 be us$ = !  
co/s ( c>ry+ out ?is ,act2 &  7,c7 rema9
 available until exp5d$4  4  #gjf4 ,self
 plus "o cov]age  7a7 ,election (       
cov]age ,section #hije ( title #e1      
,unit$ ,/ates ,code1 is am5d$--  7#a7 by

 /rik+ subsection 7a7 & ins]t+ ! foll[+3
  7a7 ,an employee may enroll 9 an      
approv$ heal? b5efits plan describ$ 9   
section #hijc or #hijc;a--  7#a7 z an   
individual2  7#b7 = self plus "o2 or    
7#c7 = self & family4  2  7#b7 9        
subsection 7c7--  7,a7 9 p>agraph 7#a71 
9 ! matt] foll[+ subp>agraph 7,b71 by   
ins]t+ = self plus "o or be=e self &    
family z provid$ 9 p>agraph 7#b7 ( ?is  
subsection2 &  7,b7 9 p>agraph 7#b7--   
7i7 9 ! matt] prec$+ subp>agraph 7,a71  
by ins]t+ = self plus "o or be=e = self 
& family2 &  7ii7 9 subp>agraph 7,b71 by
 ins]t+ 7or1 9 ! case ( self plus "o    
cov]age1 n m ?an #a su* *ild7 aft]      
adopt$ *ildr52  7#c7 9 subsection 7e71  
by /rik+ or ea* sp\se may enroll z an   
individual & ins]t+ or = a self plus "o 
enrollm5t t cov]s ! sp\se1 or ea* sp\se 
may enroll z an individual or = a self  
plus "o enrollm5t t does n cov] ! o!r   
sp\se or a *ild :o is cov]$ "u !        
enrollm5t ( ! o!r sp\se2 &  7#d7 9      
subsection 7h7--  7,a7 by /rik+ self &  

family enrollm5t ea* place x appe>s &   
ins]t+ self plus "o or self & family    
enrollm5t1 z necess>y to provide heal?  
insurance cov]age = ea* *ild :o is cov]$
 "u ! ord]12  7,b7 by /rik+ a *ild ea*  
place x appe>s & ins]t+ #a or m *ildr52 
7,c7 by /rik+ ! *ild resides ea* place x
 appe>s & ins]t+ ! *ild or *ildr5       
reside2  7,d7 9 p>agraph 7#a71 by /rik+ 
self & family cov]age ea* place x appe>s
 & ins]t+ self plus "o or self & family 
cov]age1 z necess>y to provide heal?    
insurance cov]age = ea* *ild :o is cov]$
 "u ! ord]12 &  7,e7 9 p>agraph 7#c71 by
 /rik+ ! *ild cont9ues & ins]t+ ! *ild  
or *ildr5 cont9ue4  7b7 ,cont9u$        
,cov]age ,section #hije;a ( title #e1   
,unit$ ,/ates ,code1 is am5d$--  7#a7 9 
subsection 7d77#c77;,a71 by ins]t+ =    
self plus "o or be=e = self & family2 & 
7#b7 9 subsection 7f77#c77;,a71 by /rik+
 = self & family bas$ on su* p]son's    
sep>ation f s]vice & ins]t+ bas$ on su* 
p]son's sep>ation f s]vice "u a self    
plus "o enrollm5t t cov]$ ! individual  

or "u a self & family enrollm5t4  7c7   
,contributions ,section #hijf7;a77#a7 ( 
title #e1 ,unit$ ,/ates ,code is am5d$--
  7#a7 9 subp>agraph 7,a71 by /rik+ at !
 end &2  7#b7 by r$esignat+ subp>agraph 
7,b7 z subp>agraph 7,c72 &  7#c7 by     
ins]t+ aft] subp>agraph 7,a7 ! foll[+3  
7,b7 enrollm5ts "u ?is *apt] = self plus
 "o2 &  4  7d7 ,weight$ av]age = fir/   
ye> ,= ! fir/ contract ye> = :i* an     
employee may enroll = self plus "o      
cov]age "u *apt] #hi ( title #e1 ,unit$ 
,/ates ,code1 ! ,(fice ( ,p]sonnel      
,managem5t %all det]m9e ! weight$ av]age
 ( ! subscription *>ges t w be 9 effect 
= ! contract ye> = enrollm5ts = self    
plus "o "u su* *apt] bas$ on an actu>ial
 analysis4  ,b ,m$ic>e & ,o!r ,heal?    
,provisions  #ajja4 ,%ort title2 table (
 cont5ts  7a7 ,%ort title ,?is division 
may be cit$ z ! ,pa?way = ,,sgr ,re=m   
,act ( #bjac4  7b7 ,table ( cont5ts ,!  
table ( cont5ts ( ?is division is z     
foll[s3  ,division ,b--,m$ic>e & ,o!r   
,heal? ,provisions ,sec4 #ajja4 ,%ort   

title2 table ( cont5ts4 ,sec4 #ajjb4    
,f9d+s2 purpose /atem5t4 ,title         
,i--,m$ic>e ,ext5d]s ,sec4 #aaja4       
,physician paym5t update4 ,sec4 #aajb4  
,ext5sion ( "w ,,gpci floor4 ,sec4      
#aajc4 ,ext5sion ( !rapy cap exceptions 
process4 ,sec4 #aajd4 ,ext5sion (       
ambulance add-ons4 ,sec4 #aaje4 ,m$ic>e 
inpati5t hospital paym5t adju/m5t =     
l[-volume hospitals4 ,sec4 #aajf4       
,m$ic>e-dep5d5t hospital 7,,mdh7        
program4 ,sec4 #aajg4 #a-ye> ext5sion ( 
au?orization = special ne$s plans4 ,sec4
 #aajh4 #a-ye> ext5sion ( ,m$ic>e       
reasonable co/ contracts4 ,sec4 #aaji4  
,ext5sion ( exi/+ fund+ = contract )    
cons5sus-bas$ entity4 ,sec4 #aaaj4      
,ext5sion ( fund+ outrea* & assi/ance = 
l[-income programs4 ,title ,,ii--,o!r   
,heal? ,provisions ,sec4 #abja4         
,ext5sion ( ! qualify+ individual 7,,qi7
 program4 ,sec4 #abjb4 ,tempor>y        
ext5sion ( transitional m$ical assi/ance
 7,,tma74 ,sec4 #abjc4 ,ext5sion ( fund+
 = family-to-family heal? in=mation     

c5t]s4 ,sec4 #abjd4 ,delay ( r$uctions  
to ,m$icaid ,,d% allotm5ts4 ,sec4 #abje4
 ,realignm5t ( ! ,m$ic>e seque/] =      
fiscal ye> #bjbc4 ,sec4 #abjf4 ,paym5t =
 inpati5t s]vices 9 long-t]m c>e        
hospitals 7,l,t,c,hs74  #ajjb4 ,f9d+s2  
purpose /atem5t ,9 ord] to support !    
provision ( quality c>e = our nation's  
s5iors1 ,congress f9ds x appropriate to 
re=m physician reimbursem5ts "u !       
,m$ic>e program4 ,,sgr re=m legislation 
provides su* an opportunity1 b n until  
next ye>4 ,9 ord] to facilitate su*     
re=m1 ,congress f9ds t ! ,c5t]s =       
,m$ic>e  ,m$icaid ,s]vices %\ld cont9ue 
to focus its ef=ts on ! foll[+ areas3   
7#a7 ,simplify & ,r$uce ,adm9i/rative   
,burd5 on ,physicians ,! application &  
assessm5t ( measures & o!r activities "u
 ,,sgr re=m %\ld be facilitat$ by !     
,c5t]s = ,m$ic>e & ,m$icaid ,s]vices    
7,,cms7 9 a way t acc\nts = !           
adm9i/rative burd5 su* measurem5t places
 on physicians4 ,!re=e1 ! ,congress     
enc\rages ,,cms to id5tify & implem5t1  

to ! ext5t practicable1 me*anisms to    
ensure t ! application & assessm5t (    
measures be coord9at$ across programs4  
7#b7 ,timely ,fe$back = ,physicians ,9  
ord] = measure & assessm5t programs to  
enc\rage ! highe/ quality c>e = ,m$ic>e 
s5iors1 ! ,congress f9ds x critical t   
,,cms provide physicians ) fe$back on   
p]=mance 9 z close to real "t z         
possible4 ,su* timely fe$back w ensure t
 physicians c excel "u a sy/em (        
mean+ful measurem5t4  7#c7 ,enc\rage    
,developm5t ( ,new ,models ,!re is great
 ne$ to te/ alt]natives to              
,fee-,=-,s]vice reimbursem5t 9 ! ,m$ic>e
 program4 ,"o option is ! promotion &   
adoption ( new models ( c>e =           
physicians4 ,to date1 !re has be5       
significant developm5t & te/+ ( models =
 prim>y c>e4 ,congress supports ^! ef=ts
 & enc\rages !m to cont9ue 9 ! future4  
,congress also enc\rages ! developm5t & 
te/+ ( models ( specialty c>e4  ,i      
,m$ic>e ,ext5d]s  #aaja4 ,physician     
paym5t update ,section #ahdh7;d7 ( !    

,social ,security ,act 7#db ,u4,s4,c4   
#aj #aciew-#d7;d77 is am5d$ by add+ at !
 end ! foll[+ new p>agraph3  7#ae7      
,update = ,janu>y ?r\gh ,m>* ( #bjad    
7,a7 ,9 g5]al ,subject to p>agraphs     
7#g77;,b71 7#h77;,b71 7#i77;,b71        
7#aj77;,b71 7#aa77;,b71 7#ab77;,b71     
7#ac77;,b71 & 7#ad77;,b71 9 lieu ( !    
update to ! s+le conv]sion factor       
e/abli%$ 9 p>agraph 7#a77;,c7 t w\ld    
o!rwise apply = #bjad = ! p]iod beg9n+  
on ,janu>y #a1 #bjad1 & end+ on ,m>*    
#ca1 #bjad1 ! update to ! s+le conv]sion
 factor %all be #j4e p]c5t4  7,b7 ,no   
effect on computation ( conv]sion factor
 = rema9+ portion ( #bjad & subsequ5t   
ye>s ,! conv]sion factor "u ?is         
subsection %all be comput$ "u p>agraph  
7#a77;,a7 = ! p]iod beg9n+ on ,april #a1
 #bjad1 & end+ on ,decemb] #ca1 #bjad1 &
 = #bjae & subsequ5t ye>s z if          
subp>agraph 7,a7 _h nev] appli$4  4     
#aajb4 ,ext5sion ( "w ,,gpci floor      
,section #ahdh7;e77#a77;,e7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           

#aciew-#d7;e77#a77;,e77 is am5d$ by     
/rik+ ,janu>y #a1 #bjad & ins]t+ ,april 
#a1 #bjad4  #aajc4 ,ext5sion ( !rapy cap
 exceptions process ,section #ahcc7;g7 (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #aciel7g77 is am5d$--  7#a7 9 p>agraph 
7#e77;,a71 9 ! fir/ s5t5ce1 by /rik+    
,decemb] #ca1 #bjac & ins]t+ ,m>* #ca1  
#bjad2 &  7#b7 9 p>agraph 7#f77;,a7--   
7,a7 by /rik+ ,decemb] #ca1 #bjac &     
ins]t+ ,m>* #ca1 #bjad2 &  7,b7 by /rik+
 or #bjac & ins]t+ 1 #bjac1 or ! fir/   
?ree mon?s ( #bjad4  #aajd4 ,ext5sion ( 
ambulance add-ons  7a7 ,gr\nd ,ambulance
 ,section #ahcd7l77#ac77;,a7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#aciem7l77#ac77;,a77 is am5d$--  7#a7 9 
! matt] prec$+ clause 7i71 by /rik+     
,janu>y #a1 #bjad & ins]t+ ,april #a1   
#bjad2 &  7#b7 9 ea* ( clauses 7i7 &    
7ii71 by /rik+ ,janu>y #a1 #bjad &      
ins]t+ ,april #a1 #bjad ea* place x     
appe>s4  7b7 ,sup] rural gr\nd ambulance
 ,section #ahcd7l77#ab77;,a7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          

#aciem7l77#ab77;,a77 is am5d$ by /rik+  
,janu>y #a1 #bjad & ins]t+ ,april #a1   
#bjad4  #aaje4 ,m$ic>e inpati5t hospital
 paym5t adju/m5t = l[-volume hospitals  
,section #ahhf7;d77#ab7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4           
#acieww7d77#ab77 is am5d$--  7#a7 9     
subp>agraph 7,b71 9 ! matt] prec$+      
clause 7i71 by /rik+ fiscal ye> #bjad & 
subsequ5t fiscal ye>s & ins]t+ ! portion
 ( fiscal ye> #bjad beg9n+ on ,april #a1
 #bjad1 fiscal ye> #bjae1 & subsequ5t   
fiscal ye>s2  7#b7 9 subp>agraph        
7,c77i7--  7,a7 by ins]t+ & ! portion ( 
fiscal ye> #bjad be=e aft] & #bjac1 ea* 
place x appe>s2 &  7,b7 by ins]t+ or    
portion ( fiscal ye> aft] dur+ ! fiscal 
ye>2 &  7#c7 9 subp>agraph 7,d7--  7,a7 
by ins]t+ & ! portion ( fiscal ye> #bjad
 be=e ,april #a1 #bjad1 aft] & #bjac12 &
  7,b7 by ins]t+ or ! portion ( fiscal  
ye> aft] 9 ! fiscal ye>4  #aajf4        
,m$ic>e-dep5d5t hospital 7,,mdh7 program
  7a7 ,9 g5]al ,section                 
#ahhf7;d77#e77;,g7 ( ! ,social ,security

 ,act 7#db ,u4,s4,c4                    
#acieww7d77#e77;,g77 is am5d$--  7#a7 9 
clause 7i71 by /rik+ ,octob] #a1 #bjac &
 ins]t+ ,april #a1 #bjad2 &  7#b7 9     
clause 7ii77,,ii71 by /rik+ ,octob] #a1 
#bjac & ins]t+ ,april #a1 #bjad4  7b7   
,con=m+ am5dm5ts  7#a7 ,ext5sion ( t>get
 am\nt ,section #ahhf7;b77#c77;,d7 ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acieww7b77#c77;,d77 is am5d$--  7,a7 9 
! matt] prec$+ clause 7i71 by /rik+     
,octob] #a1 #bjac & ins]t+ ,april #a1   
#bjad2 &  7,b7 9 clause 7iv71 by ins]t+ 
& ! portion ( fiscal ye> #bjad be=e     
,april #a1 #bjad aft] ?r\gh fiscal ye>  
#bjac4  7#b7 ,p]mitt+ hospitals to      
decl9e reclassification ,section        
#aceja7;e77#b7 ( ! ,omnibus ,budget     
,reconciliation ,act ( #aiic 7#db       
,u4,s4,c4 #acieww note7 is am5d$ by     
/rik+ ?r\gh fiscal ye> #bjac & ins]t+   
?r\gh ! fir/ #b qu>t]s ( fiscal ye>     
#bjad4  #aajg4 #a-ye> ext5sion (        
au?orization = special ne$s plans       
,section #ahei7;f77#a7 ( ! ,social      

,security ,act 7#db ,u4,s4,c4           
#aciew-#bh7;f77#a77 is am5d$ by /rik+   
#bjae & ins]t+ #bjaf 4  #aajh4 #a-ye>   
ext5sion ( ,m$ic>e reasonable co/       
contracts ,section                      
#ahgf7;h77#e77;,c77ii7 ( ! ,social      
,security ,act 7#db ,u4,s4,c4           
#aciemm7h77#e77;,c77ii77 is am5d$1 9 !  
matt] prec$+ subclause 7,i71 by /rik+   
,janu>y #a1 #bjad & ins]t+ ,janu>y #a1  
#bjae4  #aaji4 ,ext5sion ( exi/+ fund+ =
 contract ) cons5sus-bas$ entity        
,section #ahij7;d7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #acie;aaa7d77 is   
am5d$ by add+ at ! end ! foll[+ new     
s5t5ce3 ,am\nts transf]r$ "u ! prec$+   
s5t5ce %all rema9 available until       
exp5d$44  #aaaj4 ,ext5sion ( fund+      
outrea* & assi/ance = l[-income programs
  7a7 ,additional fund+ = /ate heal?    
insurance programs ,subsection          
7a77#a77;,b7 ( section #aai ( ! ,m$ic>e 
,improvem5ts = ,pati5ts & ,provid]s ,act
 ( #bjjh 7#db ,u4,s4,c4 #acie;b-#c      
note71 z am5d$ by section #ccjf ( !     

,pati5t ,protection & ,af=dable ,c>e    
,act ,public ,law #aaa-adh7 & section   
#faj ( ! ,am]ican ,taxpay] ,relief ,act 
( #bjab 7,public ,law #aab-bdj71 is     
am5d$--  7#a7 9 clause 7ii71 by /rik+ & 
at ! end2  7#b7 9 clause 7iii71 by /rik+
 ! p]iod at ! end & ins]t+ 2 &2 &  7#c7 
by ins]t+ aft] clause 7iii7 ! foll[+ new
 clause3  7iv7 = ! portion ( fiscal ye> 
#bjad be=e ,april #a1 #bjad1 (          
#c1gej1jjj4  4  7b7 ,additional fund+ = 
area ag5cies on ag+ ,subsection         
7b77#a77;,b7 ( su* section #aai1 z s    
am5d$1 is am5d$--  7#a7 9 clause 7ii71  
by /rik+ & at ! end2  7#b7 9 clause     
7iii71 by /rik+ ! p]iod at ! end &      
ins]t+ 2 &2 &  7#c7 by ins]t+ aft]      
clause 7iii7 ! foll[+ new clause3  7iv7 
= ! portion ( fiscal ye> #bjad be=e     
,april #a1 #bjad1 ( #c1gej1jjj4  4  7c7 
,additional fund+ = ag+ & disability    
res\rce c5t]s ,subsection 7c77#a77;,b7 (
 su* section #aai1 z s am5d$1 is am5d$--
  7#a7 9 clause 7ii71 by /rik+ & at !   
end2  7#b7 9 clause 7iii71 by /rik+ !   

p]iod at ! end & ins]t+ 2 &2 &  7#c7 by 
ins]t+ aft] clause 7iii7 ! foll[+ new   
clause3  7iv7 = ! portion ( fiscal ye>  
#bjad be=e ,april #a1 #bjad1 (          
#b1ejj1jjj4  4  7d7 ,additional fund+ = 
contract ) ! national c5t] = b5efits &  
outrea* enrollm5t ,subsection 7d77#b7 ( 
su* section #aai1 z s am5d$1 is am5d$-- 
7#a7 9 clause 7ii71 by /rik+ & at ! end2
  7#b7 9 clause 7iii71 by /rik+ ! p]iod 
at ! end & ins]t+ 2 &2 &  7#c7 by ins]t+
 aft] clause 7iii7 ! foll[+ new clause3 
7iv7 = ! portion ( fiscal ye> #bjad be=e
 ,april #a1 #bjad1 ( #b1ejj1jjj4  4     
,,ii ,o!r ,heal? ,provisions  #abja4    
,ext5sion ( ! qualify+ individual 7,,qi7
 program  7a7 ,ext5sion ,section        
#aijb7;a77#aj77;,e77iv7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4           
#acif;a7a77#aj77;,e77iv77 is am5d$ by   
/rik+ ,decemb] #bjac & ins]t+ ,m>*      
#bjad4  7b7 ,ext5d+ total am\nt         
available = allocation ,section         
#aicc7;g7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acifu-#c7;g77 is am5d$--

  7#a7 9 p>agraph 7#b7--  7,a7 9        
subp>agraph 7,s71 by /rik+ & aft] !     
semicolon2  7,b7 9 subp>agraph 7,t71 by 
/rik+ ! p]iod at ! end & ins]t+ 2 &2 &  
7,c7 by add+ at ! end ! foll[+ new      
subp>agraph3  7,u7 = ! p]iod t beg9s on 
,janu>y #a1 #bjad1 & ends on ,m>* #ca1  
#bjad1 ! total allocation am\nt is      
#bjj1jjj1jjj4  4  #abjb4 ,tempor>y      
ext5sion ( transitional m$ical assi/ance
 7,,tma7 ,sections #aijb7;e77#a77;,b7 & 
#aibe7;f7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acif;a7e77#a77;,b71     
#acifr-#f7;f77 are ea* am5d$ by /rik+   
,decemb] #ca1 #bjac & ins]t+ ,m>* #ca1  
#bjad4  #abjc4 ,ext5sion ( fund+ =      
family-to-family heal? in=mation c5t]s  
,section #eja7;c77#a77;,a7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           
#gja7;c77#a77;,a77 is am5d$--  7#a7 9   
clause 7ii71 by /rik+ at ! end &2  7#b7 
9 clause 7iii71 by /rik+ ! p]iod at !   
end & ins]t+ 2 &2 &  7#c7 by add+ at !  
end ! foll[+ new clause3  7iv7          
#b1ejj1jjj = ! portion ( fiscal ye>     

#bjad be=e ,april #a1 #bjad4  4  #abjd4 
,delay ( r$uctions to ,m$icaid ,,d%     
allotm5ts  7a7 ,9 g5]al ,section        
#aibc7;f7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acifr-#d7;f77 is am5d$--
  7#a7 9 p>agraph 7#g77;,a7--  7,a7 9   
clause 7i71 by /rik+ #bjad & ins]t+     
#bjaf2 &  7,b7 9 clause 7ii7--  7i7 by  
/rik+ subclauses 7,i7 & 7,,ii72  7ii7 by
 r$esignat+ subclauses 7,,iii7 ?r\gh    
7,,vii7 z subclauses 7,i7 ?r\gh 7,v71   
respectively2 &  7iii7 9 subclause 7,i7 
7z r$esignat$ by clause 7ii771 by /rik+ 
#fjj1jjj1jjj & ins]t+ #a1bjj1jjj1jjj2 & 
7#b7 9 p>agraph 7#h7--  7,a7 by         
r$esignat+ subp>agraph 7,c7 z           
subp>agraph 7,d72  7,b7 by ins]t+ aft]  
subp>agraph 7,b7 ! foll[+ new           
subp>agraph3  7,c7 ,fiscal ye> #bjbc    
,only ) respect to fiscal ye> #bjbc1 !  
,,d% allotm5t = a ,/ate1 9 lieu ( !     
am\nt det]m9$ "u p>agraph 7#c7 = ! ,/ate
 = t ye>1 %all be equal to ! ,,d%       
allotm5t = ! ,/ate = fiscal ye> #bjbb1 z
 det]m9$ "u subp>agraph 7,b71 increas$1 

subject to subp>agraphs 7,b7 & 7,c7 (   
p>agraph 7#c71 & p>agraph 7#e71 by !    
p]c5tage *ange 9 ! consum] price index =
 all urban consum]s 7all items2 ,u4,s4  
city av]age71 = fiscal ye> #bjbb4  2 &  
7,c7 9 subp>agraph 7,d7 7z r$esignat$ by
 subp>agraph 7,a771 by /rik+ fiscal ye> 
#bjbb & ins]t+ fiscal ye> #bjbc4  7b7   
,effective date ,! am5dm5ts made by     
subsection 7a7 %all be effective z (    
,octob] #a1 #bjac4  #abje4 ,realignm5t (
 ! ,m$ic>e seque/] = fiscal ye> #bjbc   
,p>agraph 7#f7 7relat+ to implem5t+     
direct sp5d+ r$uctions1 z r$esignat$ by 
section #aja7;d77#b77;,c71 & z am5d$ by 
section #aja7;c71 ( ! ,bip>tisan ,budget
 ,act ( #bjac7 ( section #bea;,a ( !    
,balanc$ ,budget & ,em]g5cy ,deficit    
,control ,act ( #aihe 7#b ,u4,s4,c4     
#ija;a7 is am5d$ by add+ at ! end !     
foll[+ new subp>agraph3  7,c7 ,not)/&+ !
 #b p]c5t limit specifi$ 9 subp>agraph  
7,a7 = paym5ts = ! ,m$ic>e programs     
specifi$ 9 section #bef7;d71 !          
seque/ration ord] ( ! ,presid5t "u su*  

subp>agraph = fiscal ye> #bjbc %all be  
appli$ to su* paym5ts s t--  7i7 )      
respect to ! fir/ #f mon?s 9 :i* su*    
ord] is effective = su* fiscal ye>1 !   
paym5t r$uction %all be #b4ij p]c5t2 &  
7ii7 ) respect to ! second #f mon?s 9   
:i* su* ord] is s effective = su* fiscal
 ye>1 ! paym5t r$uction %all be #a4aa   
p]c5t4  4  #abjf4 ,paym5t = inpati5t    
s]vices 9 long-t]m c>e hospitals        
7,l,t,c,hs7  7a7 ,e/abli%m5t ( crit]ia =
 application ( site neutral paym5t  7#a7
 ,9 g5]al ,section #ahhf7m7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           
#acieww7m77 is am5d$ by add+ at ! end ! 
foll[+3  7#f7 ,application ( site       
neutral ,,ipps paym5t rate 9 c]ta9 cases
  7,a7 ,g5]al application ( site neutral
 ,,ipps paym5t am\nt = dis*>ges fail+ to
 meet applicable crit]ia  7i7 ,9 g5]al  
,= a dis*>ge 9 co/ report+ p]iods beg9n+
 on or aft] ,octob] #a1 #bjae1 except z 
provid$ 9 clause 7ii7 & subp>agraph     
7,c71 paym5t "u ?is title to a long-t]m 
c>e hospital = inpati5t hospital s]vices

 %all be made at ! applicable site      
neutral paym5t rate 7z def9$ 9          
subp>agraph 7,b774  7ii7 ,exception =   
c]ta9 dis*>ges meet+ crit]ia ,clause 7i7
 %all n apply 7& paym5t %all be made to 
a long-t]m c>e hospital )\t reg>d to ?is
 p>agraph7 = a dis*>ge if--  7,i7 !     
dis*>ge meets ! ,,icu crit]ion "u clause
 7iii7 or ! v5tilator crit]ion "u clause
 7iv72 &  7,,ii7 ! dis*>ge does n h a   
pr9cipal diagnosis relat+ to a          
psy*iatric diagnosis or to              
rehabilitation4  7iii7 ,int5sive c>e    
unit 7,,icu7 crit]ion  7,i7 ,9 g5]al ,! 
crit]ion specifi$ 9 ?is clause 79 ?is   
p>agraph ref]r$ to z ! ,,icu crit]ion71 
= a dis*>ge f a long-t]m c>e hospital1  
is t ! /ay 9 ! long-t]m c>e hospital    
end+ ) su* dis*>ge 0 imm$iately prec$$  
by a dis*>ge f a /ay 9 a subsection 7d7 
hospital t includ$ at lea/ #c days 9 an 
int5sive c>e unit 7,,icu71 z det]m9$ by 
! ,secret>y4  7,,ii7 ,det]m9+ ,,icu days
 ,9 det]m9+ int5sive c>e unit days "u   
subclause 7,i71 ! ,secret>y %all use    

data f rev5ue c5t] codes #jbjx or #jbax 
7or su* successor codes z ! ,secret>y   
may e/abli%74  7iv7 ,v5tilator crit]ion 
,! crit]ion specifi$ 9 ?is clause 79 ?is
 p>agraph ref]r$ to z ! v5tilator       
crit]ion71 = a dis*>ge f a long-t]m c>e 
hospital1 is t--  7,i7 ! /ay 9 !        
long-t]m c>e hospital end+ ) su* dis*>ge
 0 imm$iately prec$$ by a dis*>ge f a   
/ay 9 a subsection 7d7 hospital2 &      
7,,ii7 ! individual dis*>g$ 0 assign$ to
 a                                      
,m$ic>e-,sev]ity-,long-,t]m-,c>e-,diagno
sis-,relat$-,gr\p 7,,ms-,,ltc-,,drg7    
bas$ on ! receipt ( v5tilator s]vices ( 
at lea/ #if h\rs4  7,b7 ,applicable site
 neutral paym5t rate def9$  7i7 ,9 g5]al
 ,9 ?is p>agraph1 ! t]m applicable site 
neutral paym5t rate means--  7,i7 =     
dis*>ges 9 co/ report+ p]iods beg9n+    
dur+ fiscal ye> #bjaf or fiscal ye>     
#bjag1 ! bl5d$ paym5t rate specifi$ 9   
clause 7iii72 &  7,,ii7 = dis*>ges 9 co/
 report+ p]iods beg9n+ dur+ fiscal ye>  
#bjah or a subsequ5t fiscal ye>1 ! site 

neutral paym5t rate 7z def9$ 9 clause   
7ii774  7ii7 ,site neutral paym5t rate  
def9$ ,9 ?is p>agraph1 ! t]m site       
neutral paym5t rate means ! l[] (--     
7,i7 ! ,,ipps comp>able p] diem am\nt   
det]m9$ "u p>agraph 7d77#d7 ( section   
#dab4ebi ( title #db1 ,code ( ,f$]al    
,regulations1 includ+ any applicable    
outli] paym5ts "u section #dab4ebe ( su*
 title2 or  7,,ii7 #ajj p]c5t ( !       
e/imat$ co/ = ! s]vices involv$4  7iii7 
,bl5d$ paym5t rate ,! bl5d$ paym5t rate 
specifi$ 9 ?is clause1 = a long-t]m c>e 
hospital = inpati5t hospital s]vices = a
 dis*>ge1 is compris$ (--  7,i7 half ( !
 site neutral paym5t rate 7z def9$ 9    
clause 7ii77 = ! dis*>ge2 &  7,,ii7 half
 ( ! paym5t rate t w\ld o!rwise be      
applicable to su* dis*>ge )\t reg>d to  
?is p>agraph1 z det]m9$ by ! ,secret>y4 
7,c7 ,limit+ paym5t = all hospital      
dis*>ges to site neutral paym5t rate =  
hospitals fail+ to meet applicable ,,lt*
 dis*>ge ?re%olds  7i7 ,notice ( ,,lt*  
dis*>ge paym5t p]c5tage ,= co/ report+  

p]iods beg9n+ dur+ or aft] fiscal ye>   
#bjaf1 ! ,secret>y %all in=m ea*        
long-t]m c>e hospital ( its ,,lt*       
dis*>ge paym5t p]c5tage 7z def9$ 9      
clause 7iv77 = su* p]iod4  7ii7         
,limitation ,= co/ report+ p]iods beg9n+
 dur+ or aft] fiscal ye> #bjbj1 if !    
,secret>y det]m9es = a long-t]m c>e     
hospital t its ,,lt* dis*>ge paym5t     
p]c5tage = ! p]iod is n at lea/ #ej     
p]c5t--  7,i7 ! ,secret>y %all in=m !   
hospital ( su* fact2 &  7,,ii7 subject  
to clause 7iii71 = all dis*>ges 9 !     
hospital 9 ea* succe$+ co/ report+      
p]iod1 ! paym5t am\nt "u ?is subsection 
%all be ! paym5t am\nt t w\ld apply "u  
subsection 7d7 = ! dis*>ge if ! hospital
 7 a subsection 7d7 hospital4  7iii7    
,process = re9/atem5t ,! ,secret>y %all 
e/abli% a process :]eby a long-t]m c>e  
hospital may seek to & h ! provisions ( 
subclause 7,,ii7 ( clause 7ii7          
discont9u$ ) respect to t hospital4     
7iv7 ,,lt* dis*>ge paym5t p]c5tage ,9   
?is subp>agraph1 ! t]m ,,lt* dis*>ge    

paym5t p]c5tage means1 ) respect to a   
long-t]m c>e hospital = a co/ report+   
p]iod beg9n+ dur+ or aft] fiscal ye>    
#bjbj1 ! ratio 7express$ z a p]c5tage7  
(--  7,i7 ! numb] ( dis*>ges = su*      
hospital & p]iod = :i* paym5t is n made 
at ! site neutral paym5t rate1 to       
7,,ii7 ! total numb] ( dis*>ges = su*   
hospital & p]iod4  7,d7 ,inclusion (    
subsection 7d7 ,pu]to ,rico hospitals ,9
 ?is p>agraph1 any ref]5ce 9 ?is        
p>agraph to a subsection 7d7 hospital   
%all be deem$ to include a ref]5ce to a 
subsection 7d7 ,pu]to ,rico hospital4  4
  7#b7 ,med,pac /udy & report on impact 
( *anges  7,a7 ,/udy ,! ,m$ic>e ,paym5t 
,assessm5t ,commission %all exam9e !    
effect ( apply+ section #ahhf7m77#f7 ( !
 ,social ,security ,act1 z add$ by !    
am5dm5t made by p>agraph 7#a71 on--  7i7
 ! quality ( pati5t c>e 9 long-t]m c>e  
hospitals2  7ii7 ! use ( hospice c>e &  
po/-acute c>e sett+s2  7iii7 diff]5t    
types ( long-t]m c>e hospitals2 &  7iv7 
! gr[? 9 ,m$ic>e sp5d+ = s]vices 9 su*  

hospitals4  7,b7 ,report ,n lat] ?an    
,june #cj1 #bjai1 ! ,commission %all    
submit to ,congress a report on su*     
/udy4 ,! ,commission %all include 9 su* 
report su* recomm5dations = *anges 9 !  
application ( su* section z !           
,commission deems appropriate z well z !
 impact ( ! application ( su* section on
 ! ne$ to cont9ue apply+ ! #be p]c5t    
rule describ$ "u sections #dab4ecd &    
#dab4ecf ( title #db1 ,code ( ,f$]al    
,regulations4  7#c7 ,calculation ( l5g? 
( /ay exclud+ cases paid on a site      
neutral basis  7,a7 ,9 g5]al ,= dis*>ges
 occurr+ 9 co/ report+ p]iods beg9n+ on 
or aft] ,octob] #a1 #bjae1 subject to   
subp>agraph 7,b71 9 calculat+ ! l5g? (  
/ay requirem5t applicable to a long-t]m 
c>e hospital or satellite facility "u   
section #ahhf7;d77#a77;,b77iv77,i7 ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acieww7d77#a77;,b77iv77,i77 & section  
#ahfa7;ccc77#b7 ( su* ,act 7#db         
,u4,s4,c4 #aciex7ccc77#b771 ! ,secret>y 
( ,heal? & ,human ,s]vices %all exclude 

! foll[+3  7i7 ,site neutral paym5t ,any
 pati5t = :om paym5t is made at ! site  
neutral paym5t rate 7z def9$ 9 section  
#ahhf7m77#f77;,b77ii77 ( su* ,act1 z    
add$ by p>agraph 7#a774  7ii7 ,m$ic>e   
,advantage ,any pati5t = :om paym5t is  
made "u a ,m$ic>e ,advantage plan "u "p 
,c ( title ,,xviii ( su* ,act4  7,b7    
,limitation on conv]t+ subsection 7d7   
hospitals ,subp>agraph 7,a7 %all n apply
 to a hospital t is classifi$ z (       
,decemb] #aj1 #bjac1 z a subsection 7d7 
hospital 7z def9$ 9 section             
#ahhf7;d77#a77;,b7 ( ! ,social ,security
 ,act1 #db ,u4,s4,c4                    
#acieww7d77#a77;,b77 = purposes (       
det]m9+ :e!r ! requirem5ts ( section    
#ahhf7;d77#a77;,b77iv77,i7 or           
#ahfa7;ccc77#b7 ( su* ,act 7#db         
,u4,s4,c4 #acieww7d77#a77;,b77iv77,i71  
#aciex7ccc77#b77 are met4  7b7 ,ext5sion
 ( c]ta9 ,,lt* paym5t rules & moratorium
 on ! e/abli%m5t ( c]ta9 hospitals &    
facilities  7#a7 ,ext5sion ( c]ta9      
paym5t rules  7,a7 ,paym5t =            

hospitals-)9-hospitals ,p>agraph        
7#b77;,c7 ( section #aad7;c7 ( !        
,m$ic>e1 ,m$icaid1 & ,,s*ip ,ext5sion   
,act ( #bjjg 7#db ,u4,s4,c4 #acieww     
note71 z am5d$ by sections #cajf7;a7 &  
#ajcab7;a7 ( ,public ,law #aaa-adh1 is  
am5d$ by /rik+ #e-ye> p]iod & ins]t+    
#i-ye> p]iod4  7,b7 #be p]c5t pati5t    
?re%old paym5t adju/m5t2 mak+ ! gr&fa!r$
 exemption = long-t]m c>e hospitals     
p]man5t ,section #aad7;c77#a7 ( !       
,m$ic>e1 ,m$icaid1 & ,,s*ip ,ext5sion   
,act ( #bjjg 7#db ,u4,s4,c4 #acieww     
note71 z am5d$ by sections #cajf7;a7 &  
#ajcab7;a7 ( ,public ,law #aaa-adh1 is  
am5d$--  7i7 9 ! matt] prec$+           
subp>agraph 7,a71 by /rik+ = a #e-ye>   
p]iod2 &  7ii7 9 subp>agraph 7,a71 by   
ins]t+ = a #i-ye> p]iod1 be=e section   
#dab4ecf4  7,c7 ,report assess+ cont9u$ 
susp5sion ( #be p]c5t rule ,n lat] ?an  
#a ye> be=e ! end ( ! #i-ye> p]iod      
ref]r$ to 9 section #aad7;c77#a7 ( !    
,m$ic>e1 ,m$icaid1 & ,,s*ip ,ext5sion   
,act ( #bjjg 7#db ,u4,s4,c4 #acieww     

note71 z am5d$ by subp>agraph 7,b71 !   
,secret>y ( ,heal? & ,human ,s]vices    
%all submit to ,congress a report on !  
ne$ = any fur!r ext5sions 7or           
modifications ( ! ext5sions7 ( ! #be    
p]c5t rule describ$ 9 sections #dab4ecd 
& #dab4ecf ( title #db1 ,code ( ,f$]al  
,regulations1 p>ticul>ly tak+ into      
acc\nt ! application ( section          
#ahhf7m77#f7 ( ! ,social ,security ,act1
 z add$ by subsection 7a77#a74  7#b7    
,ext5sion ( moratorium on e/abli%m5t ( &
 increase 9 b$s = ,l,t,c,hs ,section    
#aad7;d7 ( ! ,m$ic>e1 ,m$icaid1 & ,,s*ip
 ,ext5sion ,act ( #bjjg 7#db ,u4,s4,c4  
#acieww note71 z am5d$ by sections      
#cajf7;b7 & #ajcab7;b7 ( ,public ,law   
#aaa-adh1 is am5d$--  7,a7 9 p>agraph   
7#a71 9 ! matt] prec$+ subp>agraph 7,a71
 by ins]t+ aft] #e-ye> p]iod ! foll[+3  
7& = ! p]iod beg9n+ ,janu>y #a1 #bjae1 &
 end+ ,septemb] #cj1 #bjag72 &  7,b7 by 
add+ at ! end ! foll[+ new p>agraph3    
7#f7 ,limitation on application (       
exceptions ,p>agraphs 7#b7 & 7#c7 %all n

 apply dur+ ! p]iod beg9n+ ,janu>y #a1  
#bjae1 & end+ ,septemb] #cj1 #bjag4  4  
7c7 ,additional quality measure ,section
 #ahhf7m77#e77;,d7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#acieww7m77#e77;,d77 is am5d$ by add+ at
 ! end ! foll[+ new clause3  7iv7       
,additional quality measures ,n lat] ?an
 ,octob] #a1 #bjae1 ! ,secret>y %all    
e/abli% a functional /atus quality      
measure = *ange 9 mobility among        
inpati5ts requir+ v5tilator support4  4 
7d7 ,review ( treatm5t ( c]ta9 ,l,t,c,hs
  7#a7 ,evaluation ,z "p ( ! annual     
rulemak+ = fiscal ye> #bjae or fiscal   
ye> #bjaf to c>ry out ! paym5t rates "u 
subsection 7d7 ( section #ahhf ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#acieww71 ! ,secret>y %all evaluate bo? 
! paym5t rates & regulations gov]n+     
hospitals :i* are classifi$ "u subclause
 7,,ii7 ( subsection 7d77#a77;,b77iv7 ( 
su* section4  7#b7 ,adju/m5t au?ority   
,bas$ ^u su* evaluation1 ! ,secret>y may
 adju/ paym5t rates "u subsection       

7b77#c7 ( section #ahhf ( ! ,social     
,security ,act 7#db ,u4,s4,c4 #acieww7 =
 a hospital s classifi$ 7su* z paym5t   
bas$ ^u ! ,,tefra-paym5t model7 & may   
adju/ ! regulations gov]n+ su*          
hospitals1 includ+ apply+ ! regulations 
gov]n+ hospitals :i* are classifi$ "u   
clause 7,i7 ( subsection 7d77#a77;,b7 ( 
su* section4  ,speak] ( ! ,h\se (       
,repres5tatives4  ,vice ,presid5t ( !   
,unit$ ,/ates & ,presid5t ( ! ,s5ate4