,i  #aah? ,,congress  #b;d ,session  ,h4
 ,r4 #ajjhf  ,,9 ,,! ,,h\se ,,(         
,,repres5tatives  ,novemb] #a1 #bjbd,mr4
 ,f]guson 7= himself & ,mr4 ,griffi?7   
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,ways & ,means  ,a     
,,bill  ,to am5d title ,,xviii ( !      
,social ,security ,act to codify !      
,m$ic>e l[-wage index hospital policy4  
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,save ,/ruggl+ ,hospitals ,act4  #b4  
,codification ( ! ,m$ic>e l[-wage index 
hospital policy ,section                
#ahhf7;d77#c77;,e7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#acieww7d77#c77;,e77 is am5d$-- 7#a7 9  
clause 7i71 9 ! fir/ s5t5ce1 by /rik+ or
 7iv7 & ins]t+ 1 7iv71 or 7v72 &  7#b7  
by add+ at ! end ! foll[+ new clause3   
7v7 ,l[-wage hospitals ,= dis*>ges      
occurr+ on or aft] ,octob] #a1 #bjai1 ! 
area wage index applicable "u ?is       
subp>agraph = a fiscal ye> to a hospital
 ) an area wage index bel[ ! #be?       
p]c5tile area wage index %all be        

increas$ by  ( ! diff]5ce betwe5 !      
o!rwise applicable f9al area wage index 
= su* fiscal ye> = su* hospital & ! #be?
 p]c5tile area wage index = su* fiscal  
ye> across all hospitals4 ,pursuant to !
 f\r? s5t5ce ( clause 7i71 ! prec$+     
s5t5ce %all be appli$ 9 a budget neutral
 mann]4  4