,i  #aad? ,,congress  #a/ ,session  ,h4 
,r4 #adgi  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #ai1 #bjae ,mr4  
,brady ( ,texas 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$ic>e hospital wage index floor =    
non-rural areas4  #a4 ,%ort title ,?is  
,act may be cit$ z ! ,repeal ( !        
,obamac>e ,bay ,/ate ,boondoogle ,act4  
#b4 ,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 ,9 ! case (        

dis*>ges occurr+ on or aft] ,april #a1  
#bjae1 = 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$]al ,regulations1 z if p>agraph      
7e77#d77;ii7 ( su* section #dab4fd1 z 9 
effect on ! day be=e ! date ( ! enactm5t
 ( ?is clause1 _h nev] appli$ & 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] ,april #a1 #bjae1 f modify+ !      
regulations "u su* section #dab4fd to be
 consi/5t ) subclause 7,i7 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 
,april #a1 #bjae1 aft] #bjaj14