,i  #aad? ,,congress  #a/ ,session  ,h4 
,r4 #behj  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #bi1 #bjae ,mr4  
,b\/any introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,ways & ,means
  ,a ,,bill  ,to provide = a te*nical   
*ange to ! ,m$ic>e long-t]m c>e hospital
 moratorium exception1 & = o!r purposes4
  #a4 ,%ort title ,?is ,act may be cit$ 
z ! ,,lt* ,te*nical ,correction ,act (  
#bjae4  #b4 ,te*nical *ange to ! ,m$ic>e
 long-t]m c>e hospital moratorium       
exception  7a7 ,9 g5]al ,section        
#aad7;d7 ( ! ,m$ic>e1 ,m$icaid1 & ,,s*ip
 ,ext5sion ,act ( #bjjg 7#db ,u4,s4,c4  
#acieww note71 z am5d$ by sections      
#cajf7;b7 & #ajcab7;b7 ( ,public ,law   
#aaa-adh1 section #abjf7;b77#b7 ( !     
,pa?way = ,,sgr ,re=m ,act ( #bjac      
7division ,b ( ,public ,law #aac-fg71 & 
section #aab ( ! ,protect+ ,access to   
,m$ic>e ,act ( #bjad1 is am5d$1 9       
p>agraph 7#g71 by /rik+ ,! moratorium "u
 p>agraph 7#a77;,a7 & ins]t+ ,any       
moratorium "u p>agraph 7#a7 9 ! matt]   

prec$+ subp>agraph 7,a74  7b7 ,effective
 date ,! am5dm5t made by subsection 7a7 
%all take effect z if includ$ 9 !       
enactm5t ( section #aab ( ! ,protect+   
,access to ,m$ic>e ,act ( #bjad4  #c4   
,modification to ,m$ic>e long-t]m c>e   
hospital outli] paym5ts ,section        
#ahhf7m7 ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #acieww7m77 is am5d$ by add+ 
at ! end ! foll[+ new p>agraph3  7#g7   
,treatm5t ( outli] paym5ts  7,a7        
,r$uction factor 9 e/abli%+ outli] pool 
,"u ! sy/em describ$ 9 p>agraph 7#a71 = 
rate ye>s beg9n+ on or aft] ,octob] #a1 
#bjaf1 9 adju/+ ! /&>d ,f$]al rate =    
outli] paym5ts1 ! ,secret>y %all apply a
 r$uction factor ( #h p]c5t to e/abli%  
an outli] pool4  7,b7 ,limitation on    
paym5t am\nts ,9 reimburs+ outli]       
paym5ts "u su* sy/em = su* rate ye>s1 ! 
,secret>y %all /ructure pool paym5ts su*
 t ! am\nts paid 9 a rate ye> = outli]  
paym5ts d n exce$ an am\nt equival5t to 
#ii4jfbe p]c5t ( ! outli] pool e/abli%$ 
"u subp>agraph 7,a7 = su* rate ye>4     

7,c7 ,waiv] ( budget neutrality ,any    
r$uction 9 paym5ts result+ f !          
application ( subp>agraphs 7,a7 & 7,b7  
%all n be tak5 into acc\nt 9 apply+ any 
budget neutrality provision "u su*      
sy/em4  7,d7 ,no effect on site neutral 
paym5t rate ,?is p>agraph %all n apply )
 respect to ! computation ( ! applicable
 site neutral paym5t rate "u p>agraph   
7#f74  4