,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #cfac  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,novemb] #ba1         
#bjac,mr4 ,rangel 7= himself & ,mr4     
,cr[ley7 introduc$ ! foll[+ bill2 :i* 0 
ref]r$ to ! ,committee on ,ways & ,means
  ,a ,,bill  ,to am5d title ,,xviii ( ! 
,social ,security ,act to provide = a   
*ange 9 paym5t = c]ta9 hospitals "u     
,m$ic>e4  #a4 ,*ange 9 ,m$ic>e paym5t = 
c]ta9 hospitals  7a7 ,9 g5]al           
,subsection 7d77#a77;,b7 ( section #ahhf
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #acieww7 is am5d$-- 7#a7 9    
clause 7iv7--- 7,a7 9 subclause 7,i7--  
7i7 by /rik+ 7iv77,i7 & ins]t+ 7iv72 &  
7ii7 by /rik+ orat ! end2 &  7,b7 9     
subclause 7,,ii7-- 7i7 by /rik+ 1 or at 
! end & ins]t+ a semicolon2 &  7ii7 by  
r$esignat+ su* subclause z clause 7vi7 &
 by mov+ x to imm$iately foll[ clause   
7v72 &  7#b7 9 clause 7v71 by /rik+ !   
semicolon at ! end & ins]t+ 1 or4  7b7  
,con=m+ paym5t ref]5ces ,subsection 7b7 
( su* section is am5d$-- 7#a7 9 p>agraph

 7#b77;,e77ii71 by add+ at ! end !      
foll[+ new subclause3  7,,iii7          
,hospitals describ$ 9 clause 7vi7 ( su* 
subsection4  2  7#b7 9 p>agraph         
7#c77;,f77iii71 by add+ at ! end !      
foll[+ new subclause3  7,,vi7 ,hospitals
 describ$ 9 clause 7vi7 ( su*           
subsection4  2  7#c7 9 p>agraph         
7#c77;,g77ii71 by ins]t+ or 7vi7 aft]   
clause 7iv72  7#d7 9 p>agraph           
7#c77;,h77iv71 by add+ at ! end ! foll[+
 new subclause3  7,,iv7 ,hospitals      
describ$ 9 clause 7vi7 ( su* subsection4
  2  7#e7 9 p>agraph 7#c77;,j71 by /rik+
 subsection 7d77#a77;,b77iv7 & ins]t+   
clause 7iv7 or 7vi7 ( subsection        
7d77#a77;,b72 &  7#f7 9 p>agraph        
7#g77;,b71 by add+ at ! end ! foll[+ new
 clause3  7iv7 ,hospitals describ$ 9    
clause 7vi7 ( su* subsection4  4  7c7   
,additional con=m+ am5dm5ts ,! second   
s5t5ce ( subsection 7d77#a77;,b7 ( su*  
section is am5d$-- 7#a7 by ins]t+ 7z 9  
effect z ( su* date7 aft] clause 7iv72 &
  7#b7 by ins]t+ 7or1 9 ! case ( a      

hospital describ$ 9 clause 7iv77,,ii71 z
 s 9 effect1 %all be classifi$ "u clause
 7vi7 on & aft] ! effective date ( su*  
clause 7vi7 & = co/ report+ p]iods      
beg9n+ on or aft] ,janu>y #a1 #bjad1    
%all n be subject to subsection 7m7 z ( 
! date ( su* classification7 aft] s     
classifi$4  7d7 ,application ,9 ! case (
 a hospital t is classifi$ "u clause    
7iv77,,ii7 ( section #ahhf7;d77#a77;,b7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #acieww7d77#a77;,b77 on ! day 
be=e ! date ( ! enactm5t ( ?is ,act &   
:i* is classifi$ "u clause 7vi7 ( su*   
section aft] su* date ( enactm5t1       
paym5ts = inpati5t op]at+ co/s = co/    
report+ p]iods beg9n+ on or aft] ,janu>y
 #a1 #bjad1 %all be bas$ ^u ! t>get     
am\nt p] dis*>ge e/abli%$ pursuant to   
section #ahhf7;b7 ( su* ,act 7#db       
,u4,s4,c4 #acieww7b77 9 effect = ! co/  
report+ p]iod = su* hospital beg9n+ dur+
 fiscal ye> #bjja1 increas$ = ea*       
succe$+ co/ report+ p]iod 7beg9n+ be=e !
 date ( ! enactm5t ( ?is ,act7 by !     

applicable p]c5tage increase "u section 
#ahhf7;b77#c77;,b77ii7 ( su* ,act 7#db  
,u4,s4,c4 #acieww7b77#c77;,b77ii774