,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #cbde  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,octob] #d1 #bjac,mr4 
,ma!son 7= himself & ,mr4 ,gu?rie7      
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 title ,,xviii ( !     
,social ,security ,act to e/abli% a     
maximum ?re%old = episode reimbursem5t  
to skill$ home heal? ag5cies "u ,m$ic>e4
  #a4 ,%ort title ,?is ,act may be cit$ 
z ! ,m$ic>e ,home ,heal? ,fraud         
,r$uction ,act4  #b4 ,e/abli%m5t (      
maximum ?re%old = episode reimbursem5t  
to skill$ home heal? ag5cies "u ,m$ic>e 
,section #ahie7;b7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #acie;fff7b77 is   
am5d$ by add+ at ! end ! foll[+ new     
p>agraph3  7#g7 ,episode utilization    
rate  7,a7 ,paym5t limitation ,= #bjad &

 ea* subsequ5t ye>1 paym5t may n be made
 to a skill$ home heal? ag5cy "u ?is    
section = an episode ( c>e to ! ext5t t 
su* episode exce$s ! applicable episode 
utilization limit e/abli%$ "u           
subp>agraph 7,b7 = ! ag5cy = ! ye>4     
7,b7 ,applicable episode utilization    
limit  7i7 ,9 g5]al ,= #bjad & ea*      
subsequ5t ye>1 ! ,secret>y %all e/abli% 
an episode utilization limit = a skill$ 
home heal? ag5cy t is equal to ! product
 (-- 7,i7 9 ! case ( a skill$ home heal?
 ag5cy locat$ 9-- 7aa7 a rural area1    
#c4c episodes2 &  7bb7 9 an area n      
describ$ 9 item 7aa71 #b4g episodes2 &  
7,,ii7 ! total numb] ( ,m$ic>e          
b5efici>ies = ! skill$ home heal? ag5cy 
7z def9$ 9 clause 7iii774  7ii7 ,episode
 def9$ ,= purposes ( ?is p>agraph1 ! t]m
 episode has ! mean+ giv5 su* t]m =     
purposes ( section #dhd4bje ( title #db1
 ,code ( ,f$]al ,regulations 7z 9 effect
 on ,octob] #a1 #bjaa7 & includes p>tial
 episodes = :i* a p>tial episode paym5t 
is made pursuant to su* section to !    

ext5t su* p>tial episode is a p]c5tage (
 a full episode4  7iii7 ,total numb] (  
m$ic>e b5efici>ies def9$  7,i7 ,9 g5]al 
,= purposes ( clause 7i77,,ii71 ! t]m   
total numb] ( ,m$ic>e b5efici>ies means1
 ) respect to a skill$ home heal? ag5cy 
& ye>1 ! total numb] ( unduplicat$      
individuals :o 7 furni%$ home heal?     
s]vices "u ?is title 9 ! ye> by ! ag5cy4
  7,,ii7 ,special rule ,9 calculat+ !   
total numb] ( ,m$ic>e b5efici>ies "u    
subclause 7,i71 9 any case :]e an       
individual is furni%$ skill$ home heal? 
c>e s]vices f m ?an "o ag5cy1 ! numb] ( 
su* individuals be+ c\nt$ t[>d !        
applicable episode utilization limit =  
ea* su* ag5cy %all be proportionally    
cr$it$ 9 an am\nt equal to ! p]c5tage ( 
! total numb] ( episodes provid$ by !   
ag5cy4  4