,,ii  #aag? ,,congress  #b;d ,session   
,s4 #ebdi  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #ad1 #bjbb,mr4
 ,b>rasso 7= himself & ,mr4 ,:iteh\se7  
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
enc\rage p>ticipation 9 advanc$ paym5t  
models4  #a4 ,%ort title ,?is ,act may  
be cit$ z ! ,pres]v+ ,pati5t ,access to 
,value-,bas$ ,c>e ,act4  #b4 ,advanc$   
paym5t model inc5tive1 p>ticipation1 &  
?re%old modifications  7a7 ,9 g5]al     
,section #ahcc7z7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciel7z77 is       
am5d$-- 7#a7 9 p>agraph 7#a77;,a71 by   
/rik+ #bjbd & ins]t+ #bjbf2 &  7#b7 9   
p>agraph 7#b77;,c7-- 7,a7 9 clause 7i71 
by /rik+ #ge p]c5t & ins]t+ ! applicable
 p]c5t 7z def9$ 9 clause 7iv77 = su*    
ye>2  7,b7 9 clause 7ii77,i7-- 7i7 9 !  
matt] prec$+ item 7aa71 by /rik+ #ge    
p]c5t & ins]t+ ! applicable p]c5t 7z    
def9$ 9 clause 7iv77 = su* ye>2 &  7ii7 

9 item 7bb7-- 7,i7 by /rik+ & o!r ?an   
paym5ts made "u title ,,xix & ins]t+ o!r
 ?an paym5ts made "u title ,,xix2 &     
7,,ii7 by /rik+ ,/ate program "u t      
title71 & ins]t+ ,/ate program "u t     
title1 & o!r ?an paym5ts made by pay]s 9
 :i* no paym5t or program meet+ !       
requirem5ts describ$ 9 clause           
7iii77,,ii7 is available f ! pay] =     
p>ticipation by ! eligible pr(essional72
 &  7,c7 by add+ at ! end ! foll[+ new  
clause3  7iv7 ,applicable p]c5t def9$ ,=
 purposes ( clauses 7i7 & 7ii71 ! t]m   
applicable p]c5t means-- 7,i7 = #bjbe1 a
 p]c5t specifi$ by ! ,secret>y1 b 9 no  
case less ?an #ej p]c5t or m ?an #ee    
p]c5t2 &  7,,ii7 = a subsequ5t ye>1 a   
p]c5t specifi$ by ! ,secret>y1 b 9 no   
case less ?an ! p]c5t specifi$ "u ?is   
clause = ! prec$+ ye> or m ?an #e       
p]c5tage po9ts high] ?an ! p]c5t        
specifi$ "u ?is clause = su* prec$+ ye>4
  4  7b7 ,p>tial qualify+ apm p>ticipant
 modifications ,section                 
#ahdh7q77#a77;,c77iii77,,iii7 ( !       

,social ,security ,act 7#db ,u4,s4,c4   
#aciew-#d7q77#a77;,c77iii77,,iii77 is   
am5d$-- 7#a7 9 item 7aa71 by /rik+ #ge  
p]c5t 0 in/ead a ref]5ce to #ej p]c5t & 
ins]t+ ! applicable p]c5t 0 in/ead a    
ref]5ce to #aj p]c5tage po9ts less ?an !
 applicable p]c5t2 &  7#b7 9 item 7bb7--
 7,a7 by /rik+ #ge p]c5t & ins]t+ !     
applicable p]c5t2  7,b7 by /rik+ #ej    
p]c5t & ins]t+ #aj p]c5tage po9ts less  
?an ! applicable p]c5t4