,,ii  #aac? ,,congress  #a/ ,session    
,s4 #aeee  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #bf1         
#bjac,mr4 ,wick] introduc$ ! foll[+     
bill2 :i* 0 read twice & ref]r$ to !    
,committee on ,f9ance  ,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$esignat+ subclauses 7,,iii7  
?r\gh 7,,vii7 z subclauses 7,i7 ?r\gh   
7,v71 respectively4  7b7 ,effective date
 ,! am5dm5ts made by subsection 7a7 %all
 take effect z if includ$ 9 ! enactm5t (
 section #abjc ( ! ,heal? ,c>e &        
,education ,reconciliation ,act ( #bjaj 
7,public ,law #aaa-aeb74  #d4 ,rebas+ ( 
,m$icaid disproportionate %>e hospital  
allotm5ts ,section #aibc7;f77#h7 ( !    
,social ,security ,act 7#db ,u4,s4,c4   

#acifr-#d7;f77#h77 is am5d$-- 7#a7 by   
r$esignat+ subp>agraph 7,c7 z           
subp>agraph 7,d72  7#b7 by ins]t+ aft]  
subp>agraph 7,b7 ! foll[+ new           
subp>agraph3  7,c7 ,fiscal ye> #bjbc    
,only ) respect to fiscal ye> #bjbc1 !  
,,d% allotm5t = a ,/ate1 9 lieu ( !     
am\nt det]m9$ "u p>agraph 7#c7 = ! ,/ate
 = t ye>1 %all be equal to ! ,,d%       
allotm5t = ! ,/ate = fiscal ye> #bjbb1 z
 det]m9$ "u subp>agraph 7,b71 increas$1 
subject to subp>agraphs 7,b7 & 7,c7 (   
p>agraph 7#c71 & p>agraph 7#e71 by !    
p]c5tage *ange 9 ! consum] price index =
 all urban consum]s 7all items2 ,u4,s4  
city av]age71 = fiscal ye> #bjbb4  2 &  
7#c7 9 subp>agraph 7,d7 7z r$esignat$ by
 p>agraph 7#a7 ( ?is section71 by /rik+ 
fiscal ye> #bjbb & ins]t+ 8fiscal ye>   
#bjbc4