,i  #aag? ,,congress  #b;d ,session  ,h4
 ,r4 #heha  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #bh1 #bjbb,ms4  
,sewell 7= h]self & ,mr4 ,bu*anan7      
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,ways & ,means1 & 9    
addition to ! ,committee on ,en]gy &    
,comm]ce1 = 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 am5d title ,,xviii ( !     
,social ,security ,act to ensure        
/ability 9 paym5ts to home heal? ag5cies
 "u ! ,m$ic>e program4  #a4 ,%ort title 
,?is ,act may be cit$ z ! ,pres]v+      
,access to ,home ,heal? ,act ( #bjbb4   
#b4 ,ensur+ /ability 9 paym5ts to home  
heal? ag5cies  7a7 ,limitation on       
p]man5t & tempor>y adju/m5ts ,section   
#ahie7;b77#c77;,d7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#acie;fff7b77#c77;,d77 is am5d$--  7#a7 
9 ea* ( clauses 7ii7 & 7iii71 by /rik+  
,! ,secret>y %all & ins]t+ ,subject to  

clause 7iv71 ! ,secret>y %all2 &  7#b7  
by add+ at ! end ! foll[+ new clause3   
7iv7 ,special rules = decreases 9       
paym5ts  7,i7 ,po/ponem5t ,no p]man5t   
decrease to ! /&>d prospective paym5t   
am\nt 7or am\nts7 = a ye> "u clause 7ii7
 & no tempor>y decrease to ! paym5t     
am\nt = a unit ( home heal? s]vices = a 
ye> "u clause 7iii7 %all be made prior  
to #bjbf4  7,,ii7 ,sunset ,subject to   
subclause 7,i71 ! ,secret>y %all ensure 
t all necess>y p]man5t or tempor>y      
decreases describ$ 9 subclause 7,i7 are 
made prior to #bjcb4  4  7b7            
,implem5tation ,not)/&+ any o!r         
provision ( law1 ! ,secret>y may        
implem5t ! provisions (1 & ! am5dm5ts   
made by1 ?is section by program         
in/ruction or o!rwise4