,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #daea  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #b1 #bjbj,mr4    
,hoev5 7= himself & ,mr4 ,jones7        
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
all[ paym5ts "u ! ,m$ic>e program =     
c]ta9 items & s]vices furni%$ by        
(f-campus outpati5t dep>tm5ts ( a       
provid] to be det]m9$ "u ! prospective  
paym5t sy/em = hospital outpati5t       
dep>tm5t s]vices1 & = o!r purposes4  #a4
 ,%ort title ,?is ,act may be cit$ z !  
,,sos3 ,su/a9+ ,outpati5t ,s]vices ,act4
  #b4 ,all[+ ,m$ic>e paym5ts = c]ta9    
items & s]vices furni%$ by (f-campus    
outpati5t dep>tm5ts ( a provid] to be   
det]m9$ "u ! prospective paym5t sy/em = 
hospital outpati5t dep>tm5t s]vices     
,section #ahcc7t77#a77;,b7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           
#aciel7t77#a77;,b77 is am5d$-- 7#a7 9   
clause 7iv71 by /rik+ & at ! end2  7#b7 

9 clause 7v7-- 7,a7 by ins]t+ be=e does 
n include ! foll[+3 subject to clause   
7vi712 &  7,b7 by /rik+ ! p]iod at ! end
 & ins]t+ 2 &2 &  7#c7 by add+ at ! end 
! foll[+ new clause3  7vi7 includes1 )  
respect to a ye> 7beg9n+ ) #bjba71 any  
item or s]vice-- 7,i7 t is furni%$ dur+ 
su* ye> by an (f-campus outpati5t       
dep>tm5t ( a provid] 7z def9$ 9         
subp>agraph 7,b7 ( p>agraph 7#ba772 &   
7,,ii7 ) respect to :i* ! greate/ total 
am\nt paid ) respect to a physician     
speciality "u ! physician fee s*$ule "u 
section #ahdh = all su* items or s]vices
 furni%$ by physicians 9 su* specialty  
dur+ ! previ\s ye> 0 less ?an           
#b1jjj1jjj4  4