,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #bdcc  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #cj1 #bjbc,mr4   
,meus] 7= himself1 ,ms4 ,wild1 & ,mr4   
,mool5a>7 introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ,ways &      
,means  ,a ,,bill  ,to am5d title       
,,xviii ( ! ,social ,security ,act to   
update ! calculation ( ! hospital       
specific rate = su* hospitals1 & = o!r  
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,fairness = ,rural ,tea*+  
,hospitals ,act ( #bjbc4  #b4 ,update to
 calculation ( hospital specific rate = 
m$ic>e-dep5d5t hospitals ,section       
#ahhf7;d77#e77;,g7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#acieww7d77#e77;,g77 is am5d$ by ins]t+ 
aft] clause 7ii7 ! foll[+3  ,= purposes 
( clause 7ii77,,ii71 9 calculat+ ! am\nt
 det]m9$ "u p>agraph 7#a77;,a77iii7 )   
respect to dis*>ges occurr+ on or aft] !
 fir/ day ( ! fir/ fiscal ye> foll[+ !  
date ( enactm5t ( ! ,fairness = ,rural  
,tea*+ ,hospitals ,act ( #bjbc1 !       

,secret>y %all exclude an e/imate (     
indirect m$ical co/s 9 accordance ) !   
requirem5ts specifi$ 9 p>agraph         
7#b77;,c77i74 ,foll[+ su* calculation1 !
 ,secret>y %all provide = an additional 
paym5t to a hospital = ! indirect m$ical
 co/s incurr$ by su* hospital4 4