,,ii  #aag? ,,congress  #b;d ,session   
,s4 #eaid  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #f1 #bjbb,mr4 
,k5n$y introduc$ ! foll[+ bill2 :i* 0   
read twice & ref]r$ to ! ,committee on  
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
ext5d c]ta9 increases 9 paym5ts =       
physicians s]vices "u ! ,m$ic>e program 
?r\gh #bjbc4  #a4 ,%ort title ,?is ,act 
may be cit$ z ! ,protect+ ,m$ic>e       
,pati5ts & ,physicians ,act4  #b4 ,s5se 
( ,congress ,x is ! s5se ( ,congress t !
 ,secret>y ( ,heal? & ,human ,s]vices1 !
 ,h\se ( ,repres5tatives1 & ! ,s5ate    
%\ld commit to take adm9i/rative &      
legislative actions to-- 7#a7 ensure    
f9ancial /ability & pr$ictability 9 !   
,m$ic>e physician paym5t sy/em2  7#b7   
promote & rew>d value-bas$ c>e          
innovation2 &  7#c7 safegu>d timely     
access to high-quality c>e by advanc+   
heal? equity & r$uc+ disp>ities4  #c4   
,ext5sion ( support = physicians & o!r  
pr(essionals 9 adju/+ to ,m$ic>e paym5t 

*anges  7a7 ,9 g5]al ,section #ahdh ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#aciew-#d7 is am5d$-- 7#a7 9 subsection 
7c77#b77;,b77iv77,v71 by /rik+ or #bjbb 
& ins]t+ 1 #bjbb1 or #bjbc2 &  7#b7 9   
subsection 7t7-- 7,a7 9 ! head+1 by     
/rik+ & #bjbb & ins]t+ 1 #bjbb1 & #bjbc2
  7,b7 9 p>agraph 7#a7-- 7i7 by /rik+ & 
#bjbb & ins]t+ 1 #bjbb1 & #bjbc2  7ii7 9
 subp>agraph 7,a71 by /rik+ & at ! end2 
7iii7 9 subp>agraph 7,b71 by /rik+ !    
p]iod at ! end & ins]t+ 2 &2 &  7iv7 by 
add+ at ! end ! foll[+ new subp>agraph3 
7,c7 su* s]vices furni%$ on or aft]     
,janu>y #a1 #bjbc1 & be=e ,janu>y #a1   
#bjbd1 by #d4db p]c5t4  2 &  7,c7 9     
p>agraph 7#b77;,c7-- 7i7 9 ! head+1 by  
/rik+ & #bjbb & ins]t+ 1 #bjbb & #bjbc2 
&  7ii7 by /rik+ or #bjbb ea* place x   
appe>s & ins]t+ 1 #bjbb1 or #bjbc4  7b7 
,tempor>y susp5sion ( ,,paygo ,m$ic>e   
seque/ration ,dur+ ! p]iod beg9n+ on !  
date ( enactm5t ( ?is ,act & end+ on    
,decemb] #ca1 #bjbc1 ! ,m$ic>e programs 
"u title ,,xviii ( ! ,social ,security  

,act 7#db ,u4,s4,c4 #acie et seq47 %all 
be exempt f r$uction "u any seque/ration
 ord] issu$ "u ! ,/atutory ,pay-,z-,y-,g
 ,act ( #bjaj 7#b ,u4,s4,c4 #ica et     
seq47 be=e1 on1 or aft] ! date (        
enactm5t ( ?is ,act4  7c7 ,transf] (    
return$ provid] relief funds ,section   
#aaej;,c ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #acbj;b-#bf7 is am5d$ by add+
 at ! end ! foll[+ new subsection3  7f7 
,transf] ( return$ funds ,! ,secret>y   
%all provide = ! transf] to ! ,f$]al    
,supplem5t>y ,m$ical ,insurance ,tru/   
,fund "u section #ahda ( any am\nts     
return$ to ! ,secret>y by an eligible   
heal? c>e provid] "u ?is section t are  
unobligat$ z ( ! date ( ! enactm5t ( ?is
 subsection4  4