,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #bjec  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #bj1 #bjac ,mr4  
,brady ( ,texas 7= himself1 ,mr4 ,re$1  
,mr4 ,tib]i1 ,mr4 ,roskam1 ,mr4         
,bu*anan1 ,mr4 ,s*ock1 ,mr4 ,kelly (    
,p5nsylvania1 ,mr4 ,r5acci1 & ,mr4      
,griffi? ( ,virg9ia7 introduc$ ! foll[+ 
bill2 :i* 0 ref]r$ to ! ,committee on   
,ways & ,means  ,a ,,bill  ,to am5d     
title ,,xviii ( ! ,social ,security ,act
 to apply budget neutrality on a        
,/ate-specific basis 9 ! calculation ( !
 ,m$ic>e hospital wage index floor =    
non-rural areas4  #a4 ,apply+ budget    
neutrality on a ,/ate-specific basis 9 !
 calculation ( ! ,m$ic>e hospital wage  
index floor = non-rural areas  7a7 ,9   
g5]al ,section #ahhf7;d77#c77;,e7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#acieww7d77#c77;,e77 is am5d$ by add+ at
 ! end ! foll[+ new clause3  7iv7       
,application ( budget neutrality relat+ 
to floor on wage area index 9 non-rural 
areas  7,i7 ,application on a           

,/ate-specific basis beg9n+ 9 fiscal ye>
 #bjad ,subject to subclause 7,,ii71 9 !
 case ( dis*>ges occurr+ on or aft]     
,octob] #a1 #bjac1 = purposes ( apply+  
section #ddaj7;b7 ( ! ,balanc$ ,budget  
,act ( #aiig1 ! ,secret>y %all adm9i/]  
su* section #ddaj7;b7 & p>agraph 7e7 (  
section #dab4fd ( title #db1 ,code (    
,f$]al ,regulations1 z if p>agraph      
7e77#d77;ii7 ( su* section #dab4fd _h   
nev] appli$ & by us+ ! me?odology       
promulgat$ 9 ! ,f$]al ,regi/] on ,augu/ 
#ai1 #bjjh 7#gc ,f$4 ,reg4 #dhegj7      
7appli$ z if su* me?odology _h be5 fully
 implem5t$ = fiscal ye> #bjaa us+ a #ajj
 p]c5t ,/ate-specific adju/m5t to ! area
 wage index74  7,,ii7 ,con/ruction ,no?+
 9 subclause 7,i7 %all be con/ru$ z     
prev5t+ ! ,secret>y1 = dis*>ges occurr+ 
on or aft] ,octob] #a1 #bjad1 f modify+ 
! regulations "u su* section #dab4fd 9  
c>ry+ out ! budget neutrality           
requirem5ts ( su* section #ddaj7;b74  4 
7b7 ,con=m+ am5dm5t t]m9at+ application 
( budget neutrality on a nationwide     

basis ,section #cada ( ! ,pati5t        
,protection & ,af=dable ,c>e ,act 7#db  
,u4,s4,c4 #acieww note7 is am5d$ by     
ins]t+ & be=e ,octob] #a1 #bjac1 aft]   
#bjaj14