,,ii ,calendar ,no4 #ca #aagth ,,congress #ast ,session ,h4 ,r4 #ahfh ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,march #bb1 #bjba,received ,march #bd1 #bjba,read the first time ,march #be1 #bjba,read the second time and placed on the calendar ,,an ,,act ,to prevent across-the-board direct spending cuts1 and for other purposes4 #a4 ,preventing ,,paygo sequestration 7a7 ,statutory ,,paygo scorecards ,the budgetary effects of this ,act and the ,american ,rescue ,plan ,act of #bjba 7,public ,law #aag-b7 shall not be counted on either ,,paygo scorecard maintained pursuant to section #d7;d7 of the ,statutory ,pay-,as-,you-,go ,act of #bjaj 7#b ,u4,s4,c4 #icc7;d774 7b7 ,senate ,,paygo scorecards ,the budgetary effects of this ,act shall not be counted on any ,,paygo scorecard maintained for purposes of section #dajf of ,h4 ,con4 ,res4 #ga 7#aaeth ,congress74 #b4 ,extension of temporary suspension of medicare sequestration 7a7 ,in general ,section #cgji7;a7 of division ,a of the ,,cares ,act 7#b ,u4,s4,c4 #ija;a note7 is amended by striking ,march #ca1 #bjba and inserting ,december #ca1 #bjba4 7b7 ,effective date ,the amendment made by subsection 7a7 shall take effect as if enacted as part of the ,,cares ,act 7,public ,law #aaf-acf74 #c4 ,technical corrections 7a7 ,disregard of certain additional compensation for purposes of medicaid and chip ,section #bajd7;h7 of the ,,cares ,act 7#ae ,u4,s4,c4 #ijbc7;h77 is amended by striking ,federal pandemic unemployment compensation and inserting ,federal ,pandemic ,unemployment ,compensation or ,mixed ,earner ,unemployment ,compensation4 7b7 ,rural health clinic payments 7#a7 ,in general ,section #ahcc7;f77#c7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciel7f77#c77 is amended-- 7,a7 in subparagraph 7,a7-- 7i7 in clause 7i71 by striking subclauses 7,i7 and 7,,ii7 and inserting the following3 7,i7 with respect to a rural health clinic that had a per visit payment amount established for services furnished in #bjbj-- 7aa7 the per visit payment amount applicable to such rural health clinic for rural health clinic services furnished in #bjbj1 increased by the percentage increase in the ,,mei applicable to primary care services furnished as of the first day of #bjba2 or 7bb7 the limit described in paragraph 7#b77;,a72 and 7,,ii7 with respect to a rural health clinic that did not have a per visit payment amount established for services furnished in #bjbj-- 7aa7 the per visit payment amount applicable to such rural health clinic for rural health clinic services furnished in #bjba2 or 7bb7 the limit described in paragraph 7#b77;,a72 and 2 and 7ii7 in clause 7ii77,i71 by striking under clause 7i77,i7 and inserting under subclause 7,i7 or 7,,ii7 of clause 7i71 as applicable12 and 7,b7 in subparagraph 7,b7-- 7i7 in the matter preceding clause 7i71 by striking #bjai1 was and inserting #bjbj2 7ii7 in clause 7i71 by inserting was after 7i72 and 7iii7 by striking clause 7ii7 and inserting the following3 7ii7 7,i7 was enrolled under section #ahff7;j7 7including temporary enrollment during the emergency period described in section #aace7;g77#a77;,b7 for such period72 or 7,,ii7 submitted an application for enrollment under section #ahff7;j7 7or requested such a temporary enrollment for such period7 that was received not later than ,december #ca1 #bjbj4 4 7#b7 ,effective date ,the amendments made by this subsection shall take effect as if included in the enactment of the ,consolidated ,appropriations ,act1 #bjba 7,public ,law #aaf-bfj74 7c7 ,eligibility for reemployment services ,section #cjf7;a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #ejf7;a77 is amended-- 7#a7 by striking individuals referred to reemployment services as described in section #cjc7;j7 and inserting claimants for unemployment compensation1 including claimants referred to reemployment services as described in section #cjc7;j712 and 7#b7 by striking such individuals and inserting such claimants4 7d7 ,additional amount for certain hospitals with high disproporationate share ,effective as if included in the enactment of section #bjc7;a7 of title ,,ii of division ,,cc of ,public ,law #aaf-bfj1 subsection 7g7 of section #aibc of the ,social ,security ,act 7#db ,u4,s4,c4 #acifr-#d7 amended by such section #bjc7;a7 is amended by adding at the end the following new paragraph3 7#c7 ,additional amount for certain hospitals with high disproporationate share 7,a7 ,in general ,in the case of a hospital with high disproportionate share 7as defined in subparagraph 7,b77 located in a ,state referenced in subsection 7e7 of section #dgba of the ,balanced ,budget ,act of #aiig1 a payment adjustment during a ,state fiscal year shall be considered consistent with subsection 7c7 if the payment adjustment does not exceed #age percent of the costs of furnishing hospital services during the year1 but only if the ,governor of the ,state certifies to the satisfaction of the ,secretary that the hospital's applicable minimum amount is used for health services during the year4 ,in determining the amount that is used for such services during a year1 there shall be excluded any amounts received under the ,public ,health ,service ,act1 title ,v1 title ,,xviii1 or from third party payors 7not including the ,state plan under this title7 that are used for providing such services during the year4 7,b7 ,hospital with high disproporationate share defined ,in subparagraph 7,a71 a hospital is a hospital with high disproportionate share if-- 7i7 the hospital is owned or operated by the ,state 7or by an instrumentality or a unit of government within the ,state72 and 7ii7 the hospital-- 7,i7 meets the requirement described in subparagraphs 7,a7 or 7,b7 of subsection 7b77#a72 or 7,,ii7 has the largest number of inpatient days attributable to individuals entitled to benefits under the ,state plan of any hospital in such ,state for the previous fiscal year4 7,c7 ,applicable minimum amount defined ,in subparagraph 7,a71 the applicable minimum amount for a hospital for a fiscal year is equal to the difference between the amount of the hospital's payment adjustment for the fiscal year and the costs to the hospital of furnishing hospital services described in paragraph 7#a77;,a7 during the fiscal year4 4 ,passed the ,house of ,representatives ,march #ai1 #bjba4;,cheryl ,l4 ,johnson1,clerk4 ,march #be1 #bjba,read the second time and placed on the calendar