,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #acbc  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #b1 #bjag,mr4    
,coll9s ( ,new ,york 7= himself & ,mr4  
,flores7 introduc$ ! foll[+ bill2 :i* 0 
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to am5d title     
,,xix ( ! ,social ,security ,act to     
r$uce unnecess>y em]g5cy room visits "u 
! ,m$icaid program4  #a4 ,%ort title    
,?is ,act may be cit$ z ! ,r$uc+        
,unnecess>y ,em]g5cy ,room ,visits "u   
,m$icaid ,act4  #b4 ,/ate option to     
impose high] co/ %>+ = nonem]g5cy use ( 
em]g5cy room s]vices  7a7 ,9 g5]al      
,section #aiaf ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acifo7 is am5d$--  
7#a7 9 subsection 7a77#c71 by /rik+ up  
to twice ! nom9al am\nt & ins]t+ up to  
#be2 &  7#b7 9 subsection 7b77#c71 by   
/rik+ up to twice ! nom9al am\nt &      
ins]t+ up to #be4  7b7 ,/ate option =   
alt]native premiums & co/ %>+ ,section  
#aiaf;,a7e77#b7 ( ! ,social ,security   
,act 7#db ,u4,s4,c4 #acifo-#a7;e77#b77  

is am5d$-- 7#a7 9 subp>agraph 7,a71 by  
/rik+ twice ! am\nt det]m9$ to be nom9al
 "u section #aiaf & ins]t+ ! am\nt      
specifi$ 9 p>agraph 7#c7 ( subsection   
7a7 or 7b7 7z applicable7 ( section     
#aiaf ) respect to non-em]g5cy s]vices2 
&  7#b7 9 subp>agraph 7,b71 by /rik+ a  
nom9al am\nt 7z o!rwise det]m9$ "u      
section #aiaf7 & ins]t+ ! am\nt specifi$
 9 p>agraph 7#c7 ( subsection 7a7 or 7b7
 7z applicable7 ( section #aiaf )       
respect to non-em]g5cy s]vices4  7c7    
,effective date ,! am5dm5ts made by ?is 
section %all apply ) respect to items & 
s]vices furni%$ on or aft] ,octob] #a1  
#bjag4