,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #bdgd  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,april #c1 #bjbc,mr4  
,ruiz 7= himself1 ,mr4 ,buc%on1 ,mr4    
,b]a1 & ,mrs4 ,mill]-,meeks7 introduc$ !
 foll[+ bill2 :i* 0 ref]r$ to !         
,committee on ,en]gy & ,comm]ce1 & 9    
addition to ! ,committee on ,ways &     
,means1 = 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 provide = an  
update to a s+le conv]sion factor "u !  
,m$ic>e physician fee s*$ule t is bas$  
on ! ,m$ic>e economic index4  #a4 ,%ort 
title ,?is ,act may be cit$ z ! ,/r5g!n+
 ,m$ic>e = ,pati5ts & ,provid]s ,act4   
#b4 ,transition to an update to a s+le  
conv]sion factor "u ! ,m$ic>e physician 
fee s*$ule bas$ on ! ,m$ic>e economic   
index  7a7 ,9 g5]al ,section #ahdh7;d7 (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #aciew-#d7;d77 is am5d$-- 7#a7 9       

p>agraph 7#ai7-- 7,a7 9 ! head]1 by     
/rik+ #bjbe & ins]t+ #bjbc2 &  7,b7 by  
/rik+ #bjbe & ins]t+ #bjbc2 &  7#b7 by  
am5d+ p>agraph 7#bj7 to read z foll[s3  
7#bj7 ,update = #bjbd & subsequ5t ye>s  
,! update to ! s+le conv]sion factor    
e/abli%$ 9 p>agraph 7#a77;,c7 = #bjbd & 
ea* subsequ5t ye> %all be equal to !    
,secret>y's e/imate ( ! p]c5tage        
increase 9 ! ,,mei 7z def9$ 9 section   
#ahdb7;i77#c77 = ! ye>4  4  7b7 ,con=m+ 
am5dm5t ,to provide = a s+le conv]sion  
factor aft] #bjbe ,section              
#ahdh7;d77#a77;,a7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#aciew-#d7;d77#a77;,a77 is am5d$-- 7#a7 
by /rik+ & end+ ) #bjbe2 &  7#b7 by     
/rik+ ,!re %all be two sep>ate conv]sion
 factors & all t foll[s ?r\gh ! end ( ! 
subp>agraph4