,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #dbbi  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,novemb] #b1          
#bjag,mrs4 ,mc,morris ,rodg]s 7= h]self1
 ,mr4 ,ad]holt1 ,mr4 ,bi%op ( ,georgia1 
,mrs4 ,blackburn1 ,mr4 ,blum1 ,mr4      
,buc%on1 ,mr4 ,coll9s ( ,georgia1 ,mr4  
,coll9s ( ,new ,york1 ,mr4 ,cook1 ,mr4  
,cram]1 ,mr4 ,duffy1 ,mr4 ,duncan (     
,t5nessee1 ,mr4 ,f]guson1 ,mr4          
,gallagh]1 ,mr4 ,gian=te1 ,mr4 ,graves (
 ,georgia1 ,mr4 ,graves ( ,miss\ri1 ,mr4
 ,griffi?1 ,mr4 ,h>p]1 ,mrs4 ,h>tzl]1   
,mr4 ,j5k9s ( ,we/ ,virg9ia1 ,ms4 ,j5k9s
 ( ,kansas1 ,mr4 ,johnson ( ,ohio1 ,mr4 
,joyce ( ,ohio1 ,ms4 ,kaptur1 ,mr4      
,kelly ( ,p5nsylvania1 ,mr4 ,k+ ( ,i[a1 
,ms4 ,ku/] ( ,new ,hamp%ire1 ,mr4       
,la,malfa1 ,mr4 ,lamborn1 ,mr4 ,latta1  
,mr4 ,long1 ,mr4 ,luetkemey]1 ,mr4      
,m>9o1 ,mr4 ,m>%all1 ,mr4 ,m\lton1 ,mrs4
 ,noem1 ,mr4 ,rog]s ( ,alabama1 ,mr4    
,ro?fus1 ,ms4 ,sewell ( ,alabama1 ,mr4  
,smi? ( ,miss\ri1 ,mr4 ,tib]i1 ,mr4     
,tipton1 ,mr4 ,turn]1 ,mrs4 ,wagn]1 ,mr4

 ,wel*1 ,mr4 ,"y ( ,i[a1 ,mr4 ,ryan (   
,ohio1 ,mr4 ,roe ( ,t5nessee1 ,mr4      
,all51 ,mr4 ,visclosky1 ,mr4 ,kelly (   
,mississippi1 ,mr4 ,mull91 & ,mr4       
,loebsack7 introduc$ ! foll[+ bill2 :i* 
0 ref]r$ to ! ,committee on ,en]gy &    
,comm]ce1 & 9 addition to ! ,committee  
on ,ways & ,means1 = 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 ext5d !         
transition to new paym5t rates = durable
 m$ical equipm5t "u ! ,m$ic>e program & 
am5d title ,,xviii ( ! ,social ,security
 ,act to update ! ,m$ic>e budget        
neutrality requirem5t = oxyg54  #a4     
,%ort title ,?is ,act may be cit$ z !   
,protect+ ,home ,oxyg5  ,m$ical         
,equipm5t ,access ,act ( #bjag or !     
,protect+ ,,home ,access ,act ( #bjag4  
#b4 ,ext5sion ( ! transition to new     
paym5t rates = durable m$ical equipm5t  
"u ! ,m$ic>e program  7a7 ,9 g5]al ,!   
,secret>y ( ,heal? & ,human ,s]vices    

%all ext5d ! transition p]iod describ$ 9
 clause 7i7 ( section #dad4baj7;g77#i7 (
 title #db1 ,code ( ,f$]al ,regulations1
 f ,janu>y #a1 #bjag1 to ,decemb] #ca1  
#bjah 7) ! full implem5tation describ$ 9
 clause 7ii7 ( su* section apply+ to    
items & s]vices furni%$ ) dates ( s]vice
 on or aft] ,janu>y #a1 #bjai74  7b7    
,paym5t am\nt ,not)/&+ section          
#dad4baj7;g77#h7 ( title #db1 ,code (   
,f$]al ,regulations1 reimbursem5t rates 
= applicable items & s]vices appli$     
pursuant to subsection 7a7 %all be equal
 to reimbursem5t rates 9 effect on      
,janu>y #a1 #bjaf4  #c4 ,budget         
neutrality = oxyg5 "u ! ,m$ic>e program 
7a7 ,9 g5]al ,section                   
#ahcd7;a77#i77;,d77ii7 ( ! ,social      
,security ,act 7#db ,u4,s4,c4           
#aciem7a77#i77;,d77ii77 is am5d$ by add+
 at ! end ! foll[+ new s5t5ce3 ,!       
requirem5t ( ! prec$+ s5t5ce %all n     
apply to an action describ$ 9 clause 7i7
 ) respect to items & s]vices describ$ 9
 su* clause = :i* !re is conduct$ a     

competitive acquisition program "u      
section #ahdg7;a7 or ) respect to :i*   
paym5t is adju/$ pursuant to clause 7ii7
 or 7iii7 ( p>agraph 7#a77;,f744  7b7   
,effective date ,! am5dm5t made by      
p>agraph 7#a7 %all apply ) respect to   
items & s]vices furni%$ on or aft] !    
date t is #cj days aft] ! date ( !      
enactm5t ( ?is ,act4