,i  #aag? ,,congress  #b;d ,session  ,h4
 ,r4 #hefe  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #bh1 #bjbb,mr4  
,graves ( ,miss\ri introduc$ ! foll[+   
bill2 :i* 0 ref]r$ to ! ,committee on   
,ways & ,means  ,a ,,bill  ,to am5d     
title ,,xviii ( ! ,social ,security ,act
 to p]man5tly ext5d ! ,m$ic>e-dep5d5t   
hospital & l[-volume hospital programs  
"u ! ,m$ic>e program4  #a4 ,%ort title  
,?is ,act may be cit$ z ! ,rural        
,hospital ,ext5sions = ,l[-volume       
,programs ,act ( #bjbb or ! ,rural      
,,help ,act ( #bjbb4  #b4 ,p]man5tly    
ext5d+ ! ,m$ic>e-dep5d5t hospital &     
l[-volume hospital programs "u ! ,m$ic>e
 program  7a7 ,ext5sion ( !             
,m$ic>e-,dep5d5t hospital 7,,mdh7       
program  7#a7 ,ext5sion ( paym5t        
me?odology ,section #ahhf7;d77#e77;,g7 (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #acieww7d77#e77;,g77 is am5d$-- 7,a7 9 
clause 7i71 by /rik+ 1 & be=e ,octob]   
#a1 #bjbb2 &  7,b7 9 clause 7ii77,,ii71 
by /rik+ 1 & be=e ,octob] #a1 #bjbb4    

7#b7 ,con=m+ am5dm5ts  7,a7 ,ext5sion ( 
t>get am\nt ,section #ahhf7;b77#c77;,d7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #acieww7b77#c77;,d77 is       
am5d$-- 7i7 9 ! matt] prec$+ clause 7i71
 by /rik+ 1 & be=e ,octob] #a1 #bjbb2 & 
7ii7 9 clause 7iv71 by /rik+ ?r\gh      
fiscal ye> #bjbb & ins]t+ or a subsequ5t
 fiscal ye>4  7,b7 ,p]mitt+ hospitals to
 decl9e reclassification ,section       
#aceja7;e77#b7 ( ! ,omnibus ,budget     
,reconciliation ,act ( #aiic 7#db       
,u4,s4,c4 #acieww note7 is am5d$ by     
/rik+ fiscal ye> #bjjj ?r\gh fiscal ye> 
#bjbb & ins]t+ a subsequ5t fiscal ye>4  
7b7 ,ext5sion ( ! increas$ paym5ts "u ! 
m$ic>e l[-,volume hospital program      
,section #ahhf7;d77#ab7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4           
#acieww7d77#ab77 is am5d$-- 7#a7 9      
subp>agraph 7,b7-- 7,a7 9 ! head]1 by   
ins]t+ = fiscal ye>s #bjje ?r\gh #bjaj  
aft] increase2 &  7,b7 9 ! matt] prec$+ 
clause 7i71 by /rik+ & = dis*>ges       
occurr+ 9 fiscal ye> #bjbc & subsequ5t  

fiscal ye>s2  7#b7 9 subp>agraph        
7,c77i7-- 7,a7 9 ! matt] prec$+         
subclause 7,i71 by /rik+ ?r\gh #bjbb &  
ins]t+ & ea* subsequ5t fiscal ye>2  7,b7
 9 subclause 7,,ii71 by add+ at ! end &2
  7,c7 9 subclause 7,,iii7-- 7i7 by     
/rik+ fiscal ye>s #bjai ?r\gh #bjbb &   
ins]t+ fiscal ye> #bjai & ea* subsequ5t 
fiscal ye>2 &  7ii7 by /rik+ 2 & &      
ins]t+ a p]iod2 &  7,d7 by /rik+        
subclause 7,,iv72 &  7#c7 9 subp>agraph 
7,d7-- 7,a7 by am5d+ ! head] to read z  
foll[s3 ,applicable p]c5tage increase   
beg9n+ ) fiscal ye> #bjba2  7,b7 9 !    
matt] prec$+ clause 7i71 by /rik+ fiscal
 ye>s #bjaa ?r\gh #bjbb & ins]t+ fiscal 
ye> #bjai & ea* subsequ5t fiscal ye>2 & 
7,c7 9 clause 7ii71 by /rik+ ea* (      
fiscal ye>s #bjai ?r\gh #bjbb & ins]t+  
fiscal ye> #bjai & ea* subsequ5t fiscal 
ye>4