,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #eeee  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,septemb] #ai1        
#bjbc,mrs4 ,mill]-,meeks 7= h]self1 ,mr4
 ,tonko1 & ,mrs4 ,h9son7 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 direct ! ,secret>y ( ,heal?
 & ,human ,s]vices to provide = c]ta9   
adju/m5ts to ,m$ic>e paym5t = items (   
durable m$ical equipm5t t 7 =m]ly       
includ$ 9 r\nd #bjba ( ! ,,dmepos       
competitive bidd+ program4  #a4 ,%ort   
title ,?is ,act may be cit$ z ! ,,dmepos
 ,relief ,act ( #bjbc or ! ,,dra (      
#bjbc4  #b4 ,adju/m5ts to m$ic>e paym5t 
= items ( durable m$ical equipm5t =m]ly 
includ$ 9 r\nd #bjba ( ! ,,dmepos       
competitive bidd+ program  7a7 ,9 g5]al 
,! ,secret>y ( ,heal? & ,human ,s]vices 

%all implem5t section #dad4baj ( title  
#db1 ,code ( ,f$]al ,regulations1 su* t 
! fee s*$ule am\nts det]m9$ pursuant to 
su* section = cov]$ items furni%$ dur+ !
 p]iod beg9n+ on ,janu>y #a1 #bjbd1 &   
end+ on ,decemb] #ca1 #bjbd1 %all be    
appli$ z if ! transition rules "u       
p>agraph 7g77#i7 ( su* section provid$ t
 = su* cov]$ items s furni%$1 ! fee     
s*$ule am\nt = ! area involv$ is equal  
to #ij p]c5t ( ! adju/$ paym5t am\nt    
e/abli%$ "u su* section & #aj p]c5t ( ! 
unadju/$ fee s*$ule am\nt e/abli%$ "u   
su* section4  7b7 ,cov]$ item def9$ ,=  
purposes ( subsection 7a71 ! t]m cov]$  
item means any item-- 7#a7 t 7 compet$  
"u ! ,r\nd #bjba ,,dmepos ,competitive  
,bidd+ ,program2  7#b7 = :i* contracts 7
 n execut$ = su* r\nd ( bidd+2 &  7#c7  
:i* did n1 z ( ,janu>y #a1 #bjba1 rev]t 
to ! unadju/$ fee s*$ule am\nt e/abli%$ 
"u section #dad4baj ( title #db1 ,code (
 ,f$]al ,regulations4  #c4 ,paym5t rates
 = durable m$ical equipm5t 9 ,,dmepos   
non-competative bidd+ areas "u ! m$ic>e 

program  7a7 ,areas o!r ?an rural &     
noncontigu\s areas ,! ,secret>y %all    
implem5t section #dad4baj7;g77#i77v7 (  
title #db1 ,code ( ,f$]al ,regulations  
7or any successor regulation71 to apply 
! transition rule describ$ 9 ! fir/     
s5t5ce ( su* section to all applicable  
items & s]vices furni%$ 9 areas o!r ?an 
rural or noncontigu\s areas 7z su* t]ms 
are def9$ = purposes ( su* section7     
?r\gh ,decemb] #ca1 #bjbd4  7b7 ,all    
areas ,! ,secret>y %all n implem5t      
section #dad4baj7;g77#i77vi7 ( title    
#db1 ,code ( ,f$]al ,regulations 7or any
 successor regulation7 until ,janu>y #a1
 #bjbe4  7c7 ,implem5tation ,not)/&+ any
 o!r provision ( law1 ! ,secret>y may   
implem5t ! provisions ( ?is section by  
program in/ruction or o!rwise4