,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #eihe  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,may #bi1 #bjah,mr4   
,pauls5 7= himself & ,mr4 ,m>*ant7      
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,ways & ,means  ,a     
,,bill  ,to am5d title ,,xviii ( !      
,social ,security ,act to p]mit review (
 c]ta9 ,m$ic>e paym5t det]m9ations =    
disproportionate %>e hospitals1 & = o!r 
purposes4  #a4 ,review ( ,m$ic>e paym5t 
det]m9ations = disproportionate %>e     
hospitals  7a7 ,9 g5]al ,section        
#ahhf7r7 ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #acieww7r77 is am5d$ by /rik+
 p>agraph 7#c74  7b7 ,effective date ,! 
am5dm5t made by subsection 7a7 %all     
apply ) respect to any claim relat+ to a
 det]m9ation made "u p>agraph 7#b7 ( su*
 section #ahhf7r7 t is p5d+ on a date t 
is on or aft] ! date ( ! enactm5t ( ?is 
,act4