,i  #aacth ,,congress  #ast ,session    
,h4 ,r4 #aibj  ,,in ,,the ,,house ,,of  
,,representatives  ,may #i1 #bjac ,mr4  
,lewis introduced the following bill2   
which was referred to the ,committee on 
,ways and ,means1 and in addition to the
 ,committee on ,energy and ,commerce1   
for a period to be subsequently         
determined by the ,speaker1 in each case
 for consideration of such provisions as
 fall within the jurisdiction of the    
committee concerned  ,a ,,bill  ,to     
amend titles ,,xviii and ,,xix of the   
,social ,security ,act to provide for a 
delay in the implementation schedule of 
the reductions in disproportionate share
 hospital payments1 and for other       
purposes4  #a4 ,short title ,the ,act   
may be cited as the ,,dsh ,reduction    
,relief ,act of #bjac4  #b4 ,delay in   
implementation of revised medicare      
disproportionate share hospital payment 
methodology  7a7 ,two-,year delay       
,section #ahhf7r7 of the ,social        
,security ,act 7#db ,u4,s4,c4           

#acieww7r77 is amended--  7#a7 in       
paragraph 7#a71 by striking ,for fiscal 
year #bjad and inserting ,for fiscal    
year #bjaf2 and  7#b7 in paragraph      
7#b7--  7,a7 in the matter preceding    
subparagraph 7,a71 by striking for      
fiscal year #bjad and inserting for     
fiscal year #bjaf2  7,b7 in subparagraph
 7,b77i7--  7i7 in the heading of clause
 7i71 by striking #bjad1 #bjae1 #bjaf1  
and #bjag and inserting #bjaf1 #bjag1   
#bjah1 and #bjai2  7ii7 in the matter   
preceding subclause 7,i71 by striking   
,for each of fiscal years #bjad1 #bjae1 
#bjaf1 and #bjag and inserting ,for each
 of fiscal years #bjaf1 #bjag1 #bjah1   
and #bjai2 and  7iii7 in the matter     
following subclause 7,,ii7--  7,i7 by   
striking fiscal year #bjad and inserting
 fiscal year #bjaf2 and  7,,ii7 by      
striking fiscal years #bjae1 #bjaf1 and 
#bjag and inserting fiscal years #bjag1 
#bjah1 and #bjai2 and  7,c7 in          
subparagraph 7,b77ii7--  7i7 in the     
heading of clause 7ii71 by striking     

#bjah and inserting #bjbj2  7ii7 in the 
matter preceding subclause 7,i71 by     
striking ,for fiscal year #bjah and     
inserting ,for fiscal year #bjbj2 and   
7iii7 in the matter following subclause 
7,,ii71 by striking fiscal years #bjah  
and #bjai and inserting fiscal years    
#bjbj and #bjba4  7b7 ,effective date   
,the amendments made by subsection 7a7  
shall take effect as if included in the 
enactment of section #cacc of the       
,patient ,protection and ,affordable    
,care ,act 7,public ,law #aaa-adh71 as  
amended by section #ajcaf of such ,act1 
and as further amended by section #aajd 
of the ,health ,care and ,education     
,reconciliation ,act of #bjaj 7,public  
,law #aaa-aeb74  #c4 ,modification of   
reduction schedule for ,medicaid ,,dsh  
allotments to ,states  7a7 ,elimination 
of reductions for fiscal years #bjad and
 #bjae ,section #aibc7;f77#g77;,a7 of   
the ,social ,security ,act 7#db         
,u4,s4,c4 #acifr-#d7;f77#g77;,a77 is    
amended--  7#a7 in clause 7i7 in the    

matter preceding subclause 7,i71 by     
striking fiscal years #bjad and         
inserting fiscal years #bjaf 2 and  7#b7
 in clause 7ii71 by striking subclauses 
7,i7 and 7,,ii7 and redesignating       
subclauses 7,,iii7 through 7,,vii7 as   
subclauses 7,i7 through 7,v71           
respectively4  7b7 ,conforming          
amendments ,section                     
#aibc7;f77#f77;,a77v7 of the ,social    
,security ,act 7#db ,u4,s4,c4           
#acifr-#d7;f77#f77;,a77v77 is amended-- 
7#a7 in the heading of clause 7v71 by   
striking for fiscal year #bjac and      
inserting for fiscal years #bjac through
 #bjae2 and  7#b7 in subclause 7,,ii7-- 
7,a7 by amending the heading of such    
subclause to read as follows3 ,fiscal   
years #bjac through #bjae2  7,b7 by     
inserting #bjad1 or #bjae after for     
fiscal year #bjac12 and  7,c7 by        
striking for such fiscal year and       
inserting for each such fiscal year4    
7c7 ,effective date ,the amendments made
 by this section shall take effect as if

 included in the enactment of section   
#abjc of the ,health ,care and          
,education ,reconciliation ,act of #bjaj
 7,public ,law #aaa-aeb74