,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #aibj  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #i1 #bjac ,mr4   
,lewis introduc$ ! foll[+ bill2 :i* 0   
ref]r$ to ! ,committee on ,ways &       
,means1 & 9 addition to ! ,committee on 
,en]gy & ,comm]ce1 = a p]iod to be      
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to am5d titles     
,,xviii & ,,xix ( ! ,social ,security   
,act to provide = a delay 9 !           
implem5tation s*$ule ( ! r$uctions 9    
disproportionate %>e hospital paym5ts1 &
 = o!r purposes4  #a4 ,%ort title ,!    
,act may be cit$ z ! ,,d% ,r$uction     
,relief ,act ( #bjac4  #b4 ,delay 9     
implem5tation ( revis$ m$ic>e           
disproportionate %>e hospital paym5t    
me?odology  7a7 ,two-,ye> delay ,section
 #ahhf7r7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acieww7r77 is am5d$--   
7#a7 9 p>agraph 7#a71 by /rik+ ,= fiscal
 ye> #bjad & ins]t+ ,= fiscal ye> #bjaf2

 &  7#b7 9 p>agraph 7#b7--  7,a7 9 !    
matt] prec$+ subp>agraph 7,a71 by /rik+ 
= fiscal ye> #bjad & ins]t+ = fiscal ye>
 #bjaf2  7,b7 9 subp>agraph 7,b77i7--   
7i7 9 ! head+ ( clause 7i71 by /rik+    
#bjad1 #bjae1 #bjaf1 & #bjag & ins]t+   
#bjaf1 #bjag1 #bjah1 & #bjai2  7ii7 9 ! 
matt] prec$+ subclause 7,i71 by /rik+ ,=
 ea* ( fiscal ye>s #bjad1 #bjae1 #bjaf1 
& #bjag & ins]t+ ,= ea* ( fiscal ye>s   
#bjaf1 #bjag1 #bjah1 & #bjai2 &  7iii7 9
 ! matt] foll[+ subclause 7,,ii7--  7,i7
 by /rik+ fiscal ye> #bjad & ins]t+     
fiscal ye> #bjaf2 &  7,,ii7 by /rik+    
fiscal ye>s #bjae1 #bjaf1 & #bjag &     
ins]t+ fiscal ye>s #bjag1 #bjah1 &      
#bjai2 &  7,c7 9 subp>agraph 7,b77ii7-- 
7i7 9 ! head+ ( clause 7ii71 by /rik+   
#bjah & ins]t+ #bjbj2  7ii7 9 ! matt]   
prec$+ subclause 7,i71 by /rik+ ,=      
fiscal ye> #bjah & ins]t+ ,= fiscal ye> 
#bjbj2 &  7iii7 9 ! matt] foll[+        
subclause 7,,ii71 by /rik+ fiscal ye>s  
#bjah & #bjai & ins]t+ fiscal ye>s #bjbj
 & #bjba4  7b7 ,effective date ,!       

am5dm5ts made by subsection 7a7 %all    
take effect z if includ$ 9 ! enactm5t ( 
section #cacc ( ! ,pati5t ,protection & 
,af=dable ,c>e ,act 7,public ,law       
#aaa-adh71 z am5d$ by section #ajcaf (  
su* ,act1 & z fur!r am5d$ by section    
#aajd ( ! ,heal? ,c>e & ,education      
,reconciliation ,act ( #bjaj 7,public   
,law #aaa-aeb74  #c4 ,modification (    
r$uction s*$ule = ,m$icaid ,,d%         
allotm5ts to ,/ates  7a7 ,elim9ation (  
r$uctions = fiscal ye>s #bjad & #bjae   
,section #aibc7;f77#g77;,a7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           
#acifr-#d7;f77#g77;,a77 is am5d$--  7#a7
 9 clause 7i7 9 ! matt] prec$+ subclause
 7,i71 by /rik+ fiscal ye>s #bjad &     
ins]t+ fiscal ye>s #bjaf 2 &  7#b7 9    
clause 7ii71 by /rik+ subclauses 7,i7 & 
7,,ii7 & r$esignat+ subclauses 7,,iii7  
?r\gh 7,,vii7 z subclauses 7,i7 ?r\gh   
7,v71 respectively4  7b7 ,con=m+        
am5dm5ts ,section #aibc7;f77#f77;,a77v7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #acifr-#d7;f77#f77;,a77v77 is 

am5d$--  7#a7 9 ! head+ ( clause 7v71 by
 /rik+ = fiscal ye> #bjac & ins]t+ =    
fiscal ye>s #bjac ?r\gh #bjae2 &  7#b7 9
 subclause 7,,ii7--  7,a7 by am5d+ !    
head+ ( su* subclause to read z foll[s3 
,fiscal ye>s #bjac ?r\gh #bjae2  7,b7 by
 ins]t+ #bjad1 or #bjae aft] = fiscal   
ye> #bjac12 &  7,c7 by /rik+ = su*      
fiscal ye> & ins]t+ = ea* su* fiscal    
ye>4  7c7 ,effective date ,! am5dm5ts   
made by ?is section %all take effect z  
if includ$ 9 ! enactm5t ( section #abjc 
( ! ,heal? ,c>e & ,education            
,reconciliation ,act ( #bjaj 7,public   
,law #aaa-aeb74