,,ii  #aae? ,,congress  #b;d ,session   
,s4 #bfij  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,april #ag1 #bjah ,mr4 
,rubio 7= himself1 ,ms4 ,/ab5[1 ,mr4    
,cornyn1 & ,mr4 ,nelson7 introduc$ !    
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,f9ance  ,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