,,ii ,cal5d> ,no4 #ca #aag? ,,congress #a/ ,session ,h4 ,r4 #ahfh ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,m>* #bb1 #bjba,receiv$ ,m>* #bd1 #bjba,read ! fir/ "t ,m>* #be1 #bjba,read ! second "t & plac$ on ! cal5d> ,,an ,,act ,to prev5t across-!-bo>d direct sp5d+ cuts1 & = o!r purposes4 #a4 ,prev5t+ ,,paygo seque/ration 7a7 ,/atutory ,,paygo scorec>ds ,! budget>y effects ( ?is ,act & ! ,am]ican ,rescue ,plan ,act ( #bjba 7,public ,law #aag-b7 %all n be c\nt$ on ei!r ,,paygo scorec>d ma9ta9$ pursuant to section #d7;d7 ( ! ,/atutory ,pay-,z-,y-,g ,act ( #bjaj 7#b ,u4,s4,c4 #icc7;d774 7b7 ,s5ate ,,paygo scorec>ds ,! budget>y effects ( ?is ,act %all n be c\nt$ on any ,,paygo scorec>d ma9ta9$ = purposes ( section #dajf ( ,h4 ,con4 ,res4 #ga 7#aae? ,congress74 #b4 ,ext5sion ( tempor>y susp5sion ( m$ic>e seque/ration 7a7 ,9 g5]al ,section #cgji7;a7 ( division ,a ( ! ,,c>es ,act 7#b ,u4,s4,c4 #ija;a note7 is am5d$ by /rik+ ,m>* #ca1 #bjba & ins]t+ ,decemb] #ca1 #bjba4 7b7 ,effective date ,! am5dm5t made by subsection 7a7 %all take effect z if enact$ z "p ( ! ,,c>es ,act 7,public ,law #aaf-acf74 #c4 ,te*nical corrections 7a7 ,disreg>d ( c]ta9 additional comp5sation = purposes ( m$icaid & *ip ,section #bajd7;h7 ( ! ,,c>es ,act 7#ae ,u4,s4,c4 #ijbc7;h77 is am5d$ by /rik+ ,f$]al p&emic unemploym5t comp5sation & ins]t+ ,f$]al ,p&emic ,unemploym5t ,comp5sation or ,mix$ ,e>n] ,unemploym5t ,comp5sation4 7b7 ,rural heal? cl9ic paym5ts 7#a7 ,9 g5]al ,section #ahcc7;f77#c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel7f77#c77 is am5d$-- 7,a7 9 subp>agraph 7,a7-- 7i7 9 clause 7i71 by /rik+ subclauses 7,i7 & 7,,ii7 & ins]t+ ! foll[+3 7,i7 ) respect to a rural heal? cl9ic t _h a p] visit paym5t am\nt e/abli%$ = s]vices furni%$ 9 #bjbj-- 7aa7 ! p] visit paym5t am\nt applicable to su* rural heal? cl9ic = rural heal? cl9ic s]vices furni%$ 9 #bjbj1 increas$ by ! p]c5tage increase 9 ! ,,mei applicable to prim>y c>e s]vices furni%$ z ( ! fir/ day ( #bjba2 or 7bb7 ! limit describ$ 9 p>agraph 7#b77;,a72 & 7,,ii7 ) respect to a rural heal? cl9ic t did n h a p] visit paym5t am\nt e/abli%$ = s]vices furni%$ 9 #bjbj-- 7aa7 ! p] visit paym5t am\nt applicable to su* rural heal? cl9ic = rural heal? cl9ic s]vices furni%$ 9 #bjba2 or 7bb7 ! limit describ$ 9 p>agraph 7#b77;,a72 & 2 & 7ii7 9 clause 7ii77,i71 by /rik+ "u clause 7i77,i7 & ins]t+ "u subclause 7,i7 or 7,,ii7 ( clause 7i71 z applicable12 & 7,b7 9 subp>agraph 7,b7-- 7i7 9 ! matt] prec$+ clause 7i71 by /rik+ #bjai1 0 & ins]t+ #bjbj2 7ii7 9 clause 7i71 by ins]t+ 0 aft] 7i72 & 7iii7 by /rik+ clause 7ii7 & ins]t+ ! foll[+3 7ii7 7,i7 0 enroll$ "u section #ahff7;j7 7includ+ tempor>y enrollm5t dur+ ! em]g5cy p]iod describ$ 9 section #aace7;g77#a77;,b7 = su* p]iod72 or 7,,ii7 submitt$ an application = enrollm5t "u section #ahff7;j7 7or reque/$ su* a tempor>y enrollm5t = su* p]iod7 t 0 receiv$ n lat] ?an ,decemb] #ca1 #bjbj4 4 7#b7 ,effective date ,! am5dm5ts made by ?is subsection %all take effect z if includ$ 9 ! enactm5t ( ! ,consolidat$ ,appropriations ,act1 #bjba 7,public ,law #aaf-bfj74 7c7 ,eligibility = reemploym5t s]vices ,section #cjf7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #ejf7;a77 is am5d$-- 7#a7 by /rik+ individuals ref]r$ to reemploym5t s]vices z describ$ 9 section #cjc7;j7 & ins]t+ claimants = unemploym5t comp5sation1 includ+ claimants ref]r$ to reemploym5t s]vices z describ$ 9 section #cjc7;j712 & 7#b7 by /rik+ su* individuals & ins]t+ su* claimants4 7d7 ,additional am\nt = c]ta9 hospitals ) high disproporationate %>e ,effective z if includ$ 9 ! enactm5t ( section #bjc7;a7 ( title ,,ii ( division ,,cc ( ,public ,law #aaf-bfj1 subsection 7g7 ( section #aibc ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifr-#d7 am5d$ by su* section #bjc7;a7 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#c7 ,additional am\nt = c]ta9 hospitals ) high disproporationate %>e 7,a7 ,9 g5]al ,9 ! case ( a hospital ) high disproportionate %>e 7z def9$ 9 subp>agraph 7,b77 locat$ 9 a ,/ate ref]5c$ 9 subsection 7e7 ( section #dgba ( ! ,balanc$ ,budget ,act ( #aiig1 a paym5t adju/m5t dur+ a ,/ate fiscal ye> %all be consid]$ consi/5t ) subsection 7c7 if ! paym5t adju/m5t does n exce$ #age p]c5t ( ! co/s ( furni%+ hospital s]vices dur+ ! ye>1 b only if ! ,gov]nor ( ! ,/ate c]tifies to ! satisfaction ( ! ,secret>y t ! hospital's applicable m9imum am\nt is us$ = heal? s]vices dur+ ! ye>4 ,9 det]m9+ ! am\nt t is us$ = su* s]vices dur+ a ye>1 !re %all be exclud$ any am\nts receiv$ "u ! ,public ,heal? ,s]vice ,act1 title ,v1 title ,,xviii1 or f ?ird p>ty payors 7n includ+ ! ,/ate plan "u ?is title7 t are us$ = provid+ su* s]vices dur+ ! ye>4 7,b7 ,hospital ) high disproporationate %>e def9$ ,9 subp>agraph 7,a71 a hospital is a hospital ) high disproportionate %>e if-- 7i7 ! hospital is own$ or op]at$ by ! ,/ate 7or by an in/rum5tality or a unit ( gov]nm5t )9 ! ,/ate72 & 7ii7 ! hospital-- 7,i7 meets ! requirem5t describ$ 9 subp>agraphs 7,a7 or 7,b7 ( subsection 7b77#a72 or 7,,ii7 has ! l>ge/ numb] ( inpati5t days attributable to individuals entitl$ to b5efits "u ! ,/ate plan ( any hospital 9 su* ,/ate = ! previ\s fiscal ye>4 7,c7 ,applicable m9imum am\nt def9$ ,9 subp>agraph 7,a71 ! applicable m9imum am\nt = a hospital = a fiscal ye> is equal to ! diff]5ce betwe5 ! am\nt ( ! hospital's paym5t adju/m5t = ! fiscal ye> & ! co/s to ! hospital ( furni%+ hospital s]vices describ$ 9 p>agraph 7#a77;,a7 dur+ ! fiscal ye>4 4 ,pass$ ! ,h\se ( ,repres5tatives ,m>* #ai1 #bjba4;,*]yl ,l4 ,johnson1,cl]k4 ,m>* #be1 #bjba,read ! second "t & plac$ on ! cal5d>