,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #aiee  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,april #e1 #bjag,mr4  
,re$ 7= himself & ,mr4 ,wel*7 introduc$ 
! foll[+ bill2 :i* 0 ref]r$ to !        
,committee on ,ways & ,means  ,a ,,bill 
,to am5d title ,,xviii ( ! ,social      
,security ,act to make p]man5t !        
ext5sion ( ! ,m$ic>e-dep5d5t hospital   
7,,mdh7 program & ! increas$ paym5ts "u 
! ,m$ic>e l[-volume hospital program4   
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,rural ,hospital ,access ,act ( #bjag4
  #b4 ,ext5sion ( ! ,m$ic>e-dep5d5t     
hospital 7,,mdh7 program  7a7 ,ext5sion 
( paym5t me?odology ,section            
#ahhf7;d77#e77;,g7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#acieww7d77#e77;,g77 is am5d$--  7#a7 9 
clause 7i71 by /rik+ 1 & be=e ,octob]   
#a1 #bjag2 &  7#b7 9 clause 7ii77,,ii71 
by /rik+ 1 & be=e ,octob] #a1 #bjag4    
7b7 ,con=m+ am5dm5ts  7#a7 ,ext5sion (  
t>get am\nt ,section #ahhf7;b77#c77;,d7 
( ! ,social ,security ,act 7#db         

,u4,s4,c4 #acieww7b77#c77;,d77 is       
am5d$-- 7,a7 9 ! matt] prec$+ clause    
7i71 by /rik+ 1 & be=e ,octob] #a1      
#bjag2 &  7,b7 9 clause 7iv71 by /rik+  
?r\gh fiscal ye> #bjag & ins]t+ or a    
subsequ5t fiscal ye>4  7#b7 ,p]mitt+    
hospitals to decl9e reclassification    
,section #aceja7;e77#b7 ( ! ,omnibus    
,budget ,reconciliation ,act ( #aiic    
7#db ,u4,s4,c4 #acieww note7 is am5d$ by
 /rik+ fiscal ye> #bjjj ?r\gh fiscal ye>
 #bjag & ins]t+ a subsequ5t fiscal ye>4 
#c4 ,ext5sion ( ! increas$ paym5ts "u ! 
,m$ic>e ,l[-,volume ,hospital ,program  
,section #ahhf7;d77#ab7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4           
#acieww7d77#ab77 is am5d$-- 7#a7 9      
subp>agraph 7,b7--  7,a7 9 ! head+1 by  
ins]t+ = fiscal ye>s #bjje ?r\gh #bjaj  
aft] increase2 &  7,b7 9 ! matt] prec$+ 
clause 7i71 by /rik+ & = dis*>ges       
occurr+ 9 fiscal ye> #bjah & subsequ5t  
fiscal ye>s2  7#b7 9 subp>agraph        
7,c77i7-- 7,a7 by /rik+ fiscal ye>s     
#bjaa ?r\gh #bjag ea* place x appe>s &  

ins]t+ fiscal ye> #bjaa & ea* subsequ5t 
ye>2 &  7,b7 by /rik+ or portion (      
fiscal ye>2 &  7#c7 9 subp>agraph 7,d7--
  7,a7 9 ! head+1 by /rik+ ,tempor>y    
applicable p]c5tage increase & ins]t+   
applicable p]c5tage increase beg9n+ )   
fiscal ye> #bjaa2  7,b7 by /rik+ fiscal 
ye>s #bjaa ?r\gh #bjag1 & ins]t+ fiscal 
ye> #bjaa & ea* subsequ5t fiscal ye>2 & 
7,c7 by /rik+ or ! portion ( fiscal ye> 
ea* place x appe>s4