,,ib  ,union ,cal5d> ,no4 #aac  #aad?   
,,congress  #a/ ,session  ,h4 ,r4 #behj 
,report ,no4 #aad-aef  ,,9 ,,! ,,h\se   
,,( ,,repres5tatives  ,may #bi1 #bjae   
,mr4 ,b\/any introduc$ ! foll[+ bill2   
:i* 0 ref]r$ to ! ,committee on ,ways & 
,means  ,june #af1 #bjae ,report$ ) an  
am5dm5t1 committ$ to ! ,committee ( !   
,:ole ,h\se on ! ,/ate ( ! ,union1 &    
ord]$ to be pr9t$ ,/rike out all aft] ! 
enact+ clause & ins]t ! "p pr9t$ 9      
italic ,= text ( introduc$ bill1 see    
copy ( bill z introduc$ on ,may #bi1    
#bjae  ,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 high co/ 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 (  
high co/ outli] paym5ts  7,a7 ,adju/m5t 
to ! /&>d ,f$]al paym5t rate = e/imat$  
high co/ outli] paym5ts ,"u ! sy/em     
describ$ 9 p>agraph 7#a71 = fiscal ye>s 
beg9n+ on or aft] ,octob] #a1 #bjaf1 !  
,secret>y %all r$uce ! /&>d ,f$]al      

paym5t rate z if ! e/imat$ aggregate    
am\nt ( high co/ outli] paym5ts = /&>d  
,f$]al paym5t rate dis*>ges = ea* su*   
fiscal ye> w\ld be equal to #h p]c5t (  
e/imat$ aggregate paym5ts = /&>d ,f$]al 
paym5t rate dis*>ges = ea* su* fiscal   
ye>4  7,b7 ,limitation on high co/      
outli] paym5t am\nts ,not)/&+           
subp>agraph 7,a71 ! ,secret>y %all set !
 fix$ loss am\nt = high co/ outli]      
paym5ts su* t ! e/imat$ aggregate am\nt 
( high co/ outli] paym5ts made = /&>d   
,f$]al paym5t rate dis*>ges = fiscal    
ye>s beg9n+ on or aft] ,octob] #a1      
#bjaf1 %all be equal to #ii4jfbe p]c5t (
 #h p]c5t ( e/imat$ aggregate paym5ts = 
/&>d ,f$]al paym5t rate dis*>ges = ea*  
su* fiscal ye>4  7,c7 ,waiv] ( budget   
neutrality ,any r$uction 9 paym5ts      
result+ f ! application ( subp>agraph   
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 
high co/ outli] paym5t rate ,?is        
p>agraph %all n apply ) respect to !    

computation ( ! applicable site neutral 
paym5t rate "u p>agraph 7#f71 except = !
 /&>d ,f$]al paym5t rate portion ( bl5d$
 paym5t rates det]m9$ "u subp>agraph    
7,b77iii77,,ii7 ( su* p>agraph4  4      
,june #af1 #bjae ,report$ ) an am5dm5t1 
committ$ to ! ,committee ( ! ,:ole ,h\se
 on ! ,/ate ( ! ,union1 & ord]$ to be   
pr9t$