,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #ddaa  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,june #cj1 #bjbc,mrs4 
,gonzlez-,coln 7= h]self1 ,mr4 ,soto1 & 
,ms4 ,salaz>7 introduc$ ! foll[+ bill2  
:i* 0 ref]r$ to ! ,committee on ,ways & 
,means1 & 9 addition to ! ,committee on 
,en]gy & ,comm]ce1 = 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   
e/abli% a floor 9 ,m$ic>e ,advantage    
b5*m>k rates = regions ) l[ ,m$ic>e     
fee-=-s]vice p5etration4  #a4 ,%ort     
title ,?is ,act may be cit$ z ! ,m$ic>e 
,advantage ,integrity ,act ( #bjbc4  #b4
 ,address+ disp>ities 9 ,m$ic>e         
,advantage b5*m>k levels bas$ on        
p5etration  7a7 ,9 g5]al ,section       
#ahec7n7 ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #aciew-#bc7n77 is am5d$--    
7#a7 9 p>agraph 7#a77;,b71 by /rik+     
subsequ5t ye> & ins]t+ subsequ5t ye>1   

subject to p>agraph 7#f712 &  7#b7 by   
add+ at ! end ! foll[+ new p>agraph3    
7#f7 ,av]age geographic adju/m5t floor  
,= #bjbd & subsequ5t ye>s1 :5 calculat+ 
! adju/$ av]age p] capita co/ "u section
 #ahgf7;a77#d7 = ! purposes ( e/abli%+ !
 base paym5t am\nt specifi$ 9 p>agraph  
7#b77;,e71 ! av]age geographic adju/m5t 
%all n be less ?an #j4gj = any area4 ,= 
! purposes ( ! previ\s s5t5ce1 !        
,secret>y may def9e ! t]m av]age        
geographic adju/m5t "u subp>agraph 7,a7 
by program in/ruction or o!rwise4  4    
7b7 ,ensur+ plan paym5ts fl[ to provid]s
 & pati5ts ,section #ahed7;a77#f7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#aciew-#bd7;a77#f77 is am5d$ by add+ at 
! end ! foll[+ new subp>agraph3  7,c7   
,ensur+ increas$ paym5ts support c>e ,) 
respect to ! increase 9 bl5d$ b5*m>k    
am\nt attributable to ! application (   
section #ahec7n77#f71 no less ?an #ej   
p]c5t %all be direct$ t[>d paym5t =     
basic b5efits z def9$ 9 section         
#aheb7;a77#a77;,b74  4