,,ii  #aac? ,,congress  #b;d ,session   
,s4 #cjjg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #aa1 #bjad    
,ms4 ,klobu*> 7= h]self & ,mr4 ,he9ri*7 
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title ,,xix
 ( ! ,social ,security ,act to ext5d !  
application ( ! ,m$ic>e paym5t rate     
floor to prim>y c>e s]vices furni%$ "u  
,m$icaid & to apply ! rate floor to     
additional provid]s ( prim>y c>e        
s]vices4  #a4 ,%ort title  ,?is ,act may
 be cit$ z ! ,ensur+ ,enhanc$ ,access to
 ,prim>y ,c>e ,act4  #b4 ,ext5sion (    
application ( ,m$ic>e paym5t rate floor 
to prim>y c>e s]vices furni%$ "u        
,m$icaid & application to additional    
provid]s  7a7 ,9 g5]al ,section         
#aijb7;a77#ac77;,c7 ( ! ,social         
,security ,act 7#db ,u4,s4,c4           
#acif;a7a77#ac77;,c77 is am5d$-- 7#a7 by
 /rik+ 9 #bjac & #bjad & ins]t+ on or   
aft] ,janu>y #a1 #bjac1 & be=e ,janu>y  
#a1 #bjag12 &  7#b7 by ins]t+ neurology1

 psy*iatry1 ob/etrics & gynecology1 aft]
 g5]al int]nal m$ic9e14  7b7 ,con=m+    
am5dm5t ,section #aije7;dd7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           
#acif;d7dd77 is am5d$ by /rik+ ,janu>y  
#a1 #bjae & ins]t+ ,janu>y #a1 #bjag4   
7c7 ,effective date ,! am5dm5ts made by 
?is section %all apply to items &       
s]vices furni%$ on or aft] ! fir/ day ( 
! fir/ cal5d> qu>t] t beg9s aft] ! date 
( ! enactm5t ( ?is ,act4