,i  #aad? ,,congress  #b;d ,session  ,h4
 ,r4 #egac  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #aa1 #bjaf,mr4  
,tib]i 7= himself & ,mr4 ,pascrell7     
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$  ,a
 ,,bill  ,to provide = ! ext5sion (     
c]ta9 long-t]m c>e hospital ,m$ic>e     
paym5t rules1 cl>ify ! application (    
rules on ! calculation ( hospital l5g? (
 /ay to c]ta9 moratorium-except$        
long-t]m c>e hospitals1 & = o!r         
purposes4  #a4 ,%ort title2 table (     
cont5ts  7a7 ,%ort title ,?is ,act may  
be cit$ z ! ,su/a9+ ,heal?c>e ,integrity
 & ,fair ,treatm5t ,act ( #bjaf4  7b7   
,table ( cont5ts ,?is table ( cont5ts = 
?is ,act is z foll[s3  ,sec4 #a4 ,%ort  
title2 table ( cont5ts4 ,title          
,i--,m$ic>e ,"p ,a ,provisions ,sec4    

#aja4 ,ext5sion ( c]ta9 ,,lt* ,m$ic>e   
paym5t rules4 ,sec4 #ajb4 ,application (
 rules on ! calculation ( hospital l5g? 
( /ay to all ,l,t,c,hs4 ,sec4 #ajc4     
,*ange 9 ,m$ic>e classification = c]ta9 
hospitals4 ,sec4 #ajd4 ,tempor>y        
exception to ! application ( ! ,m$ic>e  
,,lt* site neutral provisions = c]ta9   
sp9al cord specialty hospitals4 ,sec4   
#aje4 ,tempor>y exception to site       
neutral paym5t rate = c]ta9 dis*>ges f  
long-t]m c>e hospitals t involve sev]e  
w\nds4 ,title ,,ii--,o!r ,provisions    
,sec4 #bja4 ,no paym5t = items & s]vices
 furni%$ by newly enroll$ provid]s or   
suppli]s )9 a tempor>y moratorium area4 
,i ,m$ic>e ,"p ,a ,provisions  #aja4    
,ext5sion ( c]ta9 ,,lt* ,m$ic>e paym5t  
rules  7a7 #be-,p]c5t pati5t ?re%old    
paym5t adju/m5t ,section                
#aad7;c77#a77;,a7 ( ! ,m$ic>e1 ,m$icaid1
 & ,,s*ip ,ext5sion ,act ( #bjjg 7#db   
,u4,s4,c4 #acieww note71 z am5d$ by     
section #dcjb7;a7 ( division ,b ( !     
,am]ican ,recov]y & ,re9ve/m5t ,act     

7,public ,law #aaa-e71 sections         
#cajf7;a7 & #ajcab7;a7 ( ,public ,law   
#aaa-adh & section #abjf7;b77#a77;,b7 ( 
! ,pa?way = ,,sgr ,re=m ,act ( #bjac    
7division ,b ( ,public ,law #aac-fg71 is
 am5d$ by /rik+ = a #i-ye> p]iod &      
ins]t+ ?r\gh ,june #cj1 #bjaf1 & =      
dis*>ges occurr+ on or aft] ,octob] #a1 
#bjaf1 & be=e ,july #a1 #bjag14  7b7    
,paym5t = hospitals-)9-,hospitals       
,section #aad7;c77#b7 ( ! ,m$ic>e1      
,m$icaid1 & ,,s*ip ,ext5sion ,act (     
#bjjg 7#db ,u4,s4,c4 #acieww note71 z   
am5d$ by section #dcjb7;a7 ( division ,b
 ( ! ,am]ican ,recov]y & ,re9ve/m5t ,act
 7,public ,law #aaa-e71 sections        
#cajf7;a7 & #ajcab7;a7 ( ,public ,law   
#aaa-adh1 & section #abjf7;b77#a77;,a7 (
 ! ,pa?way = ,,sgr ,re=m ,act ( #bjac   
7division ,b ( ,public ,law #aac-fg71 is
 am5d$--  7#a7 9 subp>agraph 7,a71 by   
ins]t+ or any simil> provision1 aft]    
,regulations12  7#b7 9 subp>agraph      
7,b7--  7,a7 9 clause 7i71 by ins]t+ or 
any simil> provision1 aft]              

,regulations12 &  7,b7 9 clause 7ii71 by
 ins]t+ 1 or any simil> provision1 aft] 
,regulations2 &  7#c7 9 subp>agraph     
7,c71 by /rik+ = a #i-ye> p]iod & ins]t+
 ?r\gh ,june #cj1 #bjaf1 & = dis*>ges   
occurr+ on or aft] ,octob] #a1 #bjaf1 & 
be=e ,july #a1 #bjag4  #ajb4            
,application ( rules on ! calculation ( 
hospital l5g? ( /ay to all ,l,t,c,hs    
7a7 ,9 g5]al ,section #abjf7;a77#c7 ( ! 
,pa?way = ,,sgr ,re=m ,act ( #bjac      
7division ,b ( ,public ,law #aac-fg2 #db
 ,u4,s4,c4 #acieww note7 is am5d$--     
7#a7 by /rik+ subp>agraph 7,b72  7#b7 by
 /rik+ site neutral basis4-- & all t    
foll[s ?r\gh ,= dis*>ges occurr+ &      
ins]t+ site neutral basis4--,= dis*>ges 
occurr+2  7#c7 by /rik+ subject to      
subp>agraph 7,b712 &  7#d7 by r$esignat+
 clauses 7i7 & 7ii7 z subp>agraphs 7,a7 
& 7,b71 respectively1 & mov+ ea* ( su*  
subp>agraphs 7z s r$esignat$7 #b ems to 
! left4  7b7 ,effective date ,! am5dm5ts
 made by subsection 7a7 %all be         
effective z if includ$ 9 ! enactm5t (   

section #abjf7;a77#c7 ( ! ,pa?way =     
,,sgr ,re=m ,act ( #bjac 7division ,b ( 
,public ,law #aac-fg2 #db ,u4,s4,c4     
#acieww note74  #ajc4 ,*ange 9 ,m$ic>e  
classification = c]ta9 hospitals  7a7 ,9
 g5]al ,subsection 7d77#a77;,b7 (       
section #ahhf ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acieww7 is am5d$-- 7#a7
 9 clause 7iv7--  7,a7 9 subclause 7,i71
 by /rik+ or at ! end2  7,b7 9 subclause
 7,,ii7--  7i7 by /rik+ 1 or at ! end & 
ins]t+ a semicolon2 &  7ii7 by          
r$esignat+ su* subclause z clause 7vi7 &
 by mov+ x to imm$iately foll[ clause   
7v72 &  7iii7 9 clause 7v71 by /rik+ !  
semicolon at ! end & ins]t+ 1 or2 &     
7,c7 by /rik+ 7iv77,i7 a hospital &     
ins]t+ 7iv7 a hospital4  7b7 ,con=m+    
paym5t ref]5ces ,! second s5t5ce (      
subsection 7d77#a77;,b7 ( su* section is
 am5d$-- 7#a7 by ins]t+ 7z 9 effect z ( 
su* date7 aft] clause 7iv72 &  7#b7 by  
ins]t+ 7or1 9 ! case ( a hospital       
describ$ 9 clause 7iv77,,ii71 z s 9     
effect1 %all be classifi$ "u clause 7vi7

 on & aft] ! effective date ( su* clause
 7vi7 & = co/-report+ p]iods beg9n+ on  
or aft] ,janu>y #a1 #bjae1 %all n be    
subject to subsection 7m7 z ( ! date (  
su* classification7 aft] s classifi$4   
7c7 ,application  7#a7 ,9 g5]al ,=      
co/-report+ p]iods beg9n+ on or aft]    
,janu>y #a1 #bjae1 9 ! case ( an        
applicable hospital 7z def9$ 9 p>agraph 
7#c771 ! foll[+ %all apply3  7,a7       
,paym5t = inpati5t op]at+ co/s %all be  
made on a reasonable co/ basis 9 ! mann]
 provid$ 9 section #dab4ebf7;c77#c7 (   
title #db1 ,code ( ,f$]al ,regulations  
7z 9 effect on ,janu>y #a1 #bjae7 & 9   
any subsequ5t modifications4  7,b7      
,paym5t = capital co/s %all be made 9 ! 
mann] provid$ by section                
#dab4ebf7;c77#d7 ( title #db1 ,code (   
,f$]al ,regulations 7z 9 effect on su*  
date74  7,c7 ,claims = paym5t = ,m$ic>e 
b5efici>ies :o are dis*>g$ on or aft]   
,janu>y #a1 #bjag1 %all be process$ z   
claims :i* are paid on a reasonable co/ 
basis z describ$ 9 section #dab4ebf7;c7 

( title #db1 ,code ( ,f$]al ,regulations
 7z 9 effect on su* date74  7#b7        
,applicable hospital def9$ ,9 ?is       
subsection1 ! t]m applicable hospital   
means a hospital t is classifi$ "u      
clause 7iv77,,ii7 ( section             
#ahhf7;d77#a77;,b7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#acieww7d77#a77;,b77 on ! day be=e !    
date ( ! enactm5t ( ?is ,act & :i* is   
classifi$ "u clause 7vi7 ( su* section1 
z r$esignat$ & mov$ by subsection 7a71  
on or aft] su* date ( enactm5t4  7d7    
,con=m+ te*nical am5dm5t ,clauses 7i7 & 
7ii7 ( section #ahhf7m77#e77;,f7 &      
section #ahii;,b7a77#b77;,a77iv7 ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#acieww7m77#e77;,f7 & #db ,u4,s4,c4     
#acielll7a77#b77;,a77iv77 are ea* am5d$ 
by /rik+ #ahhf7;d77#a77;,b77iv77,,ii7 & 
ins]t+ #ahhf7;d77#a77;,b77vi74  #ajd4   
,tempor>y exception to ! application ( !
 ,m$ic>e ,,lt* site neutral provisions =
 c]ta9 sp9al cord specialty hospitals   
7a7 ,exception ,section #ahhf7m77#f7 ( !

 ,social ,security ,act 7#db ,u4,s4,c4  
#acieww7m77#f77 is am5d$-- 7#a7 9       
subp>agraph 7,a77i71 by /rik+ & 7,e7 &  
ins]t+ 1 7,e71 & 7,f72 &  7#b7 by add+  
at ! end ! foll[+ new subp>agraph3  7,f7
 ,tempor>y exception = c]ta9 sp9al cord 
specialty hospitals ,= dis*>ges 9       
co/-report+ p]iods beg9n+ dur+ fiscal   
ye> #bjah1 subp>agraph 7,a77i7 %all n   
apply 7& paym5t %all be made to a       
long-t]m c>e hospital )\t reg>d to ?is  
p>agraph7 if su* dis*>ge is f a long-t]m
 c>e hospital t meets ea* ( ! foll[+    
requirem5ts3  7i7 ,n-=-pr(it ,! long-t]m
 c>e hospital 0 a n-=-pr(it long-t]m c>e
 hospital on ,june #a1 #bjad1 z det]m9$ 
by co/ report data4  7ii7 ,prim>ily     
provid+ treatm5t = cata/rophic sp9al    
cord or acquir$ bra9 injuries or o!r    
p>alyz+ neuromuscul> conditions ,( !    
dis*>ges 9 cal5d> ye> #bjac f ! long-t]m
 c>e hospital = :i* paym5t 0 made "u ?is
 section1 at lea/ #ej p]c5t 7 classifi$ 
"u ,,ms-,,lt*-,d,r,gs #bh1 #bi1 #eb1    
#eg1 #eea1 #egc1 & #ifc4  7iii7         

,significant out-(-,/ate admissions     
7,i7 ,9 g5]al ,! long-t]m c>e hospital  
dis*>g$ inpati5ts 7includ+ bo?          
individuals entitl$ to1 or enroll$ =1   
b5efits "u ?is title & individuals n s  
entitl$ or enroll$7 dur+ fiscal ye>     
#bjad :o _h be5 admitt$ f at lea/ #bj ( 
! #ej ,/ates1 det]m9$ by ! ,/ates (     
resid5cy ( su* inpati5ts & bas$ on su*  
data submitt$ by ! hospital to !        
,secret>y z ! ,secret>y may require4    
7,,ii7 ,implem5tation ,not)/&+ any o!r  
provision ( law1 ! ,secret>y may        
implem5t subclause 7,i7 by program      
in/ruction or o!rwise4  7,,iii7         
,non-application ( ,pap]work ,r$uction  
,act ,*apt] #ce ( title #dd1 ,unit$     
,/ates ,code1 %all n apply to data      
collect$ "u ?is clause4  4  7b7 ,/udy & 
report on ! /atus & viability ( c]ta9   
sp9al cord specialty long-,t]m c>e      
hospitals  7#a7 ,/udy ,! ,comptroll]    
,g5]al ( ! ,unit$ ,/ates %all conduct a 
/udy on long-t]m c>e hospitals describ$ 
9 section #ahhf7m77#f77;,f7 ( ! ,social 

,security ,act1 z add$ by subsection    
7a74 ,su* report %all include an        
analysis ( ! foll[+3  7,a7 ,! impact on 
su* hospitals ( ! classification &      
facility lic5sure by ,/ate ag5cies ( su*
 hospitals4  7,b7 ,! ,m$ic>e paym5t     
rates = su* hospitals4  7,c7 ,data on ! 
numb] & heal? c>e ne$s ( ,m$ic>e        
b5efici>ies :o h be5 diagnos$ )         
cata/rophic sp9al cord or acquir$ bra9  
injuries or o!r p>alyz+ neuromuscul>    
conditions 7z describ$ )9 ! dis*>ge     
classifications specifi$ 9 clause 7ii7 (
 su* section7 :o are receiv+ s]vices f  
su* hospitals4  7#b7 ,report ,n lat] ?an
 ,octob] #a1 #bjah1 ! ,comptroll] ,g5]al
 %all submit to ,congress a report on ! 
/udy conduct$ "u p>agraph 7#a71 includ+ 
recomm5dations = su* legislation &      
adm9i/rative action z ! ,comptroll]     
,g5]al det]m9es appropriate4  #aje4     
,tempor>y exception to site neutral     
paym5t rate = c]ta9 dis*>ges f long-t]m 
c>e hospitals t involve sev]e w\nds  7a7
 ,9 g5]al ,section #ahhf7m77#f7 ( !     

,social ,security ,act 7#db ,u4,s4,c4   
#acieww7m77#f771 z am5d$ by section     
#ajd1 is fur!r am5d$--  7#a7 9          
subp>agraph 7,a77i7 by /rik+ & 7,f7 &   
ins]t+ 7,f71 & 7,g72  7#b7 9 subp>agraph
 7,e77i77,i77aa71 by /rik+ ! am5dm5t    
made & all t foll[s be=e ! semicolon &  
ins]t+ ! la/ s5t5ce ( subsection        
7d77#a77;,b72 &  7#c7 by add+ at ! end !
 foll[+ new subp>agraph3  7,g7          
,additional tempor>y exception = c]ta9  
sev]e w\nd dis*>ges f c]ta9 long-t]m c>e
 hospitals  7i7 ,9 g5]al ,= a dis*>ge   
occurr+ 9 a co/-report+ p]iod beg9n+    
dur+ fiscal ye> #bjah1 subp>agraph      
7,a77i7 %all n apply 7& paym5t %all be  
made to a long-t]m c>e hospital )\t     
reg>d to ?is p>agraph7 if su* dis*>ge-- 
7,i7 is f a long-t]m c>e hospital       
id5tifi$ by ! la/ s5t5ce ( subsection   
7d77#a77;,b72  7,,ii7 is classifi$ "u   
,,ms-,,lt*-,,drg #fjb1 #fjc1 #eci1 or   
#edj2 &  7,,iii7 is ) respect to an     
individual treat$ by a long-t]m c>e     
hospital = a sev]e w\nd4  7ii7 ,sev]e   

w\nd def9$ ,9 ?is subp>agraph1 ! t]m    
sev]e w\nd means a w\nd :i* is a /age #c
 w\nd1 /age #d w\nd1 un/ageable w\nd1   
non-heal+ surgical w\nd1 or fi/ula z    
id5tifi$ 9 ! claim f ! long-t]m c>e     
hospital4  7iii7 ,w\nd def9$ ,9 ?is     
subp>agraph1 ! t]m w\nd means an injury 
involv+ division ( tissue or rupture ( !
 integum5t or muc\s membrane ) exposure 
to ! ext]nal environm5t4  4  7b7 ,/udy &
 report to ,congress  7#a7 ,/udy ,!     
,comptroll] ,g5]al ( ! ,unit$ ,/ates    
%all1 9 consultation ) relevant         
/akehold]s1 conduct a /udy on ! treatm5t
 ne$s ( individuals entitl$ to b5efits  
"u "p ,a ( title ,,xviii ( ! ,social    
,security ,act or enroll$ "u "p ,b ( su*
 title :o require specializ$ w\nd c>e1 &
 ! co/1 = su* individuals & ! ,m$ic>e   
program "u su* title1 ( treat+ sev]e    
w\nds 9 rural & urban areas4 ,su* /udy  
%all include an assessm5t (--  7,a7     
access ( su* individuals to appropriate 
levels ( c>e = su* cases2  7,b7 !       
pot5tial impact t section               

#ahhf7m77#f77;,a77i7 ( su* ,act 7#db    
,u4,s4,c4 #acieww7m77#f77;,a77i77 w h on
 ! access1 quality1 & co/ ( c>e = su*   
individuals2 &  7,c7 h[ to appropriately
 pay = su* c>e "u ! ,m$ic>e program "u  
su* title4  7#b7 ,report ,n lat] ?an    
,octob] #a1 #bjbj1 ! ,comptroll] ,g5]al 
%all submit to ,congress a report on !  
/udy conduct$ "u p>agraph 7#a71 includ+ 
recomm5dations = su* legislation &      
adm9i/rative action z ! ,comptroll]     
,g5]al det]m9es appropriate4  ,,ii ,o!r 
,provisions  #bja4 ,no paym5t = items & 
s]vices furni%$ by newly enroll$        
provid]s or suppli]s )9 a tempor>y      
moratorium area  7a7 ,m$ic>e ,section   
#ahff7;j77#g7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acie;cc7j77#g77 is     
am5d$-- 7#a7 9 ! p>agraph head+1 by     
ins]t+ 2 ,nonpaym5t be=e ! p]iod2 &     
7#b7 by add+ at ! end ! foll[+ new      
subp>agraph3  7,c7 ,nonpaym5t  7i7 ,9   
g5]al ,no paym5t may be made "u ?is     
title or "u a program describ$ 9        
subp>agraph 7,a7 ) respect to an item or

 s]vice describ$ 9 clause 7ii74  7ii7   
,item or s]vice describ$ ,an item or    
s]vice describ$ 9 ?is clause is an item 
or s]vice furni%$-- 7,i7 )9 a geographic
 area ) respect to :i* a tempor>y       
moratorium impos$ "u subp>agraph 7,a7 is
 9 effect2 &  7,,ii7 by a provid] (     
s]vices or suppli] t meets ! requirem5ts
 ( clause 7iii74  7iii7 ,requirem5ts ,= 
purposes ( clause 7ii71 ! requirem5ts ( 
?is clause are t a provid] ( s]vices or 
suppli]--  7,i7 enrolls "u ?is title on 
or aft] ! effective date ( su* tempor>y 
moratorium2 &  7,,ii7 is )9 a category (
 provid]s ( s]vices & suppli]s 7z       
describ$ 9 subp>agraph 7,a77 subject to 
su* tempor>y moratorium4  7iv7          
,prohibition on *>ges = specifi$ items  
or s]vices ,9 no case %all a provid] (  
s]vices or suppli] describ$ 9 clause    
7ii77,,ii7 *>ge an individual or o!r    
p]son = an item or s]vice describ$ 9    
clause 7ii7 furni%$ to an individual    
entitl$ to b5efits "u "p ,a or enroll$  
"u "p ,b or an individual "u a program  

specifi$ 9 subp>agraph 7,a74  4  7b7    
,con=m+ am5dm5ts  7#a7 ,m$icaid  7,a7 ,9
 g5]al ,section #aijc7;i77#b7 ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#acif;b7i77#b77 is am5d$-- 7i7 9        
subp>agraph 7,a71 by /rik+ ! comma at ! 
end & ins]t+ a semicolon2  7ii7 9       
subp>agraph 7,b71 by /rik+ or at ! end2 
&  7iii7 by add+ at ! end ! foll[+ new  
subp>agraph3  7,d7 subject to section   
#aijb7kk77#d77;,a77ii77,,ii71 )9 a      
geographic area t is subject to a       
moratorium impos$ "u section            
#ahff7;j77#g7 by a provid] or suppli] t 
meets ! requirem5ts specifi$ 9          
subp>agraph 7,c77iii7 ( su* section1    
dur+ ! p]iod ( su* moratorium2 or  4    
7,b7 ,exception ) respect to access     
,section #aijb7kk77#d77;,a77ii7 ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#acif;a7kk77#d77;,a77ii77 is am5d$ to   
read z foll[s3  7ii7 ,exceptions  7,i7  
,compliance ) moratorium ,a ,/ate %all n
 be requir$ to comply ) a tempor>y      
moratorium describ$ 9 clause 7i7 if !   

,/ate det]m9es t ! imposition ( su*     
tempor>y moratorium w\ld adv]sely impact
 b5efici>ies' access to m$ical          
assi/ance4  7,,ii7 ,,ffp available      
,not)/&+ section #aijc7;i77#b77;,d71    
paym5t may be made to a ,/ate "u ?is    
title ) respect to am\nts exp5d$ = items
 & s]vices describ$ 9 su* section if !  
,secret>y1 9 consultation ) ! ,/ate     
ag5cy adm9i/]+ ! ,/ate plan "u ?is title
 7or a waiv] ( ! plan71 det]m9es t d5y+ 
paym5t to ! ,/ate pursuant to su*       
section w\ld adv]sely impact            
b5efici>ies' access to m$ical assi/ance4
  4  7,c7 ,/ate plan requirem5t )       
respect to limitation on *>ges to       
b5efici>ies ,section #aijb7kk77#d77;,a7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #acif;a7kk77#d77;,a77 is am5d$
 by add+ at ! end ! foll[+ new clause3  
7iii7 ,limitation on *>ges to           
b5efici>ies ,! ,/ate prohibits1 dur+ !  
p]iod ( su* a moratorium1 a provid]     
meet+ ! requirem5ts specifi$ 9          
subp>agraph 7,c77iii7 ( section         

#ahff7;j77#g7 f *>g+ an individual or   
o!r p]son eligible to receive m$ical    
assi/ance "u ! ,/ate plan "u ?is title  
7or a waiv] ( ! plan7 = an item or      
s]vice describ$ 9 section               
#aijc7;i77#b77;,d7 furni%$ to su* an    
individual4  4  7#b7 ,correct+ am5dm5ts 
to relat$ provisions  7,a7 ,section     
#ahff7;j7 ,section #ahff7;j7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#acie;cc7j77 is am5d$-- 7i7 9 p>agraph  
7#a77;,a7--  7,i7 by /rik+ p>agraph 7#d7
 & ins]t+ p>agraph 7#e72  7,,ii7 by     
/rik+ moratoria 9 accordance ) p>agraph 
7#e7 & ins]t+ moratoria 9 accordance )  
p>agraph 7#g72 &  7,,iii7 by /rik+      
p>agraph 7#f7 & ins]t+ p>agraph 7#i72 & 
7ii7 by r$esignat+ ! second p>agraph    
7#h7 7add$ by section #acjd7a7 ( ,public
 ,law #aaa-aeb7 z p>agraph 7#i74  7,b7  
,section #aijb7kk7 ,section #aijb7kk7 ( 
su* ,act 7#db ,u4,s4,c4 #acif;a7kk77 is 
am5d$-- 7i7 9 p>agraph 7#a71 by /rik+   
section #ahhf7;j77#b7 & ins]t+ section  
#ahff7;j77#b72  7ii7 9 p>agraph 7#b71 by

 /rik+ section #ahhf7;j77#c7 & ins]t+   
section #ahff7;j77#c72  7iii7 9 p>agraph
 7#c71 by /rik+ section #ahff7;j77#d7 & 
ins]t+ section #ahff7;j77#e72 &  7iv7 9 
p>agraph 7#d77;,a71 by /rik+ section    
#ahhf7;j77#f7 & ins]t+ section          
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