,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #bgga  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #ae1 #bjai,mrs4  
,rodg]s ( ,wa%+ton 7= h]self & ,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 direct !        
,secret>y ( ,heal? & ,human ,s]vices to 
revise regulations ) respect to paym5t  
rates = durable m$ical equipm5t "u !    
,m$ic>e program1 & = o!r purposes4  #a4 
,%ort title ,?is ,act may be cit$ z !   
,protect+ ,home ,oxyg5 & ,m$ical        
,equipm5t ,act ( #bjai or ! ,protect+   
,,home ,act ( #bjai4  #b4 ,revis+ paym5t
 rates = durable m$ical equipm5t "u !   
,m$ic>e program  7a7 ,rural &           
noncontigu\s areas ,n lat] ?an ,decemb] 
#ca1 #bjbj1 ! ,secret>y ( ,heal? &      
,human ,s]vices %all revise section     

#dad4baj7;g77#i77;iii7 ( title #db1     
,code ( ,f$]al ,regulations 7or any     
successor regulation71 to apply !       
transition rule describ$ 9 su* section  
to all applicable items & s]vices       
furni%$ 9 rural areas & noncontigu\s    
areas 7z su* t]ms are def9$ = purposes (
 su* section7 on or aft] ,june #a1      
#bjah4  7b7 ,areas o!r ?an rural &      
noncontigu\s areas ,) respect to items &
 s]vices furni%$ on or aft] ! date t is 
#cj days aft] ! date ( ! enactm5t ( ?is 
,act1 ! ,secret>y ( ,heal? & ,human     
,s]vices %all apply section             
#dad4baj7;g77#i77;iv7 ( title #db1 ,code
 ( ,f$]al ,regulations 7or any successor
 regulation71 z if ! ref]5ce to #ajj    
p]c5t ( ! adju/$ paym5t am\nt e/abli%$  
"u ?is section 7 in/ead a ref]5ce to #ge
 p]c5t ( ! adju/$ paym5t am\nt e/abli%$ 
"u ?is section & #be p]c5t ( ! unadju/$ 
fee s*$ule am\nt4  #c4 ,budget          
neutrality = oxyg5 "u ! ,m$ic>e program 
,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 beg9n+ on ,janu>y #a1 #bjbj44