,,ib  ,union ,cal5d> ,no4 #aae  #aad?   
,,congress  #a/ ,session  ,h4 ,r4 #bejg 
,report ,no4 #aad-aei1 ,"p ,i  ,,9 ,,!  
,,h\se ,,( ,,repres5tatives  ,may #ba1  
#bjae ,mr4 ,brady ( ,texas 7= himself1  
,mr4 ,pitts1 & ,mr4 ,?ompson (          
,cali=nia7 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$  ,june #af1 #bjae ,additional   
sponsors3 ,ms4 ,s9ema1 ,mr4 ,sessions1 &
 ,mr4 ,murphy ( ,florida  ,june #af1    
#bjae ,report$ f ! ,committee on ,ways &
 ,means ) an am5dm5t ,/rike out all aft]
 ! enact+ clause & ins]t ! "p pr9t$ 9   
italic  ,june #af1 #bjae ,! ,committee  
on ,en]gy & ,comm]ce dis*>g$2 committ$  
to ! ,committee ( ! ,:ole ,h\se on !    
,/ate ( ! ,union & ord]$ to be pr9t$ ,= 
text ( introduc$ bill1 see copy ( bill z
 introduc$ on ,may #ba1 #bjae  ,a ,,bill

  ,to am5d title ,,xviii ( ! ,social    
,security ,act to e/abli% an annual     
rulemak+ s*$ule = paym5t rates "u       
,m$ic>e ,advantage4  #a4 ,%ort title    
,?is ,act may be cit$ z ! ,increas+     
,regulatory ,fairness ,act ( #bjae4  #b4
 ,e/abli%+ an annual rulemak+ s*$ule =  
paym5t rates "u ,m$ic>e ,advantage      
,section #ahec7;b7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #aciew-#bc7;b77 is 
am5d$--  7#a7 9 ! subsection head+1 by  
ins]t+ 1 annual rulemak+ s*$ule = paym5t
 rates = #bjag & subsequ5t ye>s aft]    
,rates2  7#b7 9 p>agraph 7#a7--  7,a7 9 
subp>agraph 7,b7-- 7i7 9 ! subp>agraph  
head+1 by ins]t+ be=e #bjag aft] ye>s2 &
  7ii7 9 ! matt] prec$+ clause 7i71 by  
ins]t+ & be=e #bjag aft] #bjje2 &  7,b7 
by add+ at ! end ! foll[+ new           
subp>agraph3  7,c7 ,annual rulemak+     
s*$ule = paym5t rates = #bjag &         
subsequ5t ye>s ,= #bjag & ea* subsequ5t 
ye>1 be=e ,april #a ( ! prec$+ ye>1 !   
,secret>y %all1 by regulation & 9       
accordance ) ! notice & public comm5t   

p]iods requir$ "u p>agraph 7#b7 = su* a 
ye>1 annually det]m9e & ann\nce !       
foll[+3 7i7 ,! annual ,,ma capitation   
rate = ea* ,,ma paym5t area = su* ye>4  
7ii7 ,! risk & o!r factors to be us$ 9  
adju/+ su* rates "u subsection          
7a77#a77;,a7 = paym5ts = mon?s 9 su*    
ye>4  7iii7 ,) respect to ea* ,,ma      
region & ea* ,,ma regional plan = :i* a 
bid 0 submitt$ "u section #ahed1 ! ,,ma 
region-specific non-drug mon?ly b5*m>k  
am\nt = t region = ! ye> involv$4  7iv7 
,! major policy *anges to ! risk        
adju/m5t model1 & ! #e-/> rat+ sy/em    
e/abli%$ "u subsection 7o71 t are       
det]m9$ to h an economic impact4  2 &   
7#c7 9 p>agraph 7#b7--  7,a7 by ins]t+  
7or1 = #bjag & ea* subsequ5t ye>1 at    
lea/ #fj days7 aft] #de days2 &  7,b7 by
 ins]t+ 7= #bjag & ea* subsequ5t ye>1 ( 
no less ?an #cj days7 aft] opportunity4 
,june #af1 #bjae ,report$ f ! ,committee
 on ,ways & ,means ) an am5dm5t ,june   
#af1 #bjae ,! ,committee on ,en]gy &    
,comm]ce dis*>g$2 committ$ to !         

,committee ( ! ,:ole ,h\se on ! ,/ate ( 
! ,union & ord]$ to be pr9t$