,i  #aah? ,,congress  #b;d ,session  ,h4
 ,r4 #hcbg  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,may #h1 #bjbd,mr4    
,sablan 7= himself1 ,mr4 ,moylan1 &     
,mrs4 ,radewag57 introduc$ ! foll[+     
bill2 :i* 0 ref]r$ to ! ,committee on   
,en]gy & ,comm]ce  ,a ,,bill  ,to am5d  
title ,,xi ( ! ,social ,security ,act to
 provide = ! r$i/ribution ( unus$       
t]ritorial cap am\nts "u ! ,m$icaid     
program4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,ensur+ ,m$icaid ,cont9uity 
= ! ,insul> ,areas ,act ( #bjbd4  #b4   
,provid+ = ! r$i/ribution ( unus$       
t]ritorial cap am\nts "u ! ,m$icaid     
program ,section #aajh7;g7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4 #acjh7;g77
 is am5d$ by add+ at ! end ! foll[+ new 
p>agraph3  7#ad7 ,proc$ure =            
r$i/ribution ( unus$ am\nts  7,a7 ,9    
g5]al ,= ea* fiscal ye> 7beg9n+ ) fiscal
 ye> #bjbb71 9 ! case t !re is at lea/  
#a specifi$ t]ritory 7z def9$ 9         
subp>agraph 7,d77 ) unus$ am\nts 7z s   
def9$7 ) respect to su* fiscal ye>1 !   

,secret>y %all det]m9e an appropriate   
proc$ure1 ) respect to ea* t]ritory t is
 a %ortfall t]ritory 7z s def9$7 = su*  
fiscal ye>1 to increase ! limit o!rwise 
det]m9$ "u ?is subsection on ! am\nt    
c]tifi$ by ! ,secret>y "u title ,,xix = 
paym5t to su* t]ritory by ! am\nt       
specifi$ 9 subp>agraph 7,b74  7,b7      
,am\nt specifi$  7i7 ,9 g5]al ,=        
purposes ( subsection 7,a71 ! am\nt     
specifi$ 9 ?is subp>agraph is1 ) respect
 to a %ortfall t]ritory & a fiscal ye>--
 7,i7 9 ! case ! aggregate unus$ am\nts 
= su* fiscal ye> = all specifi$         
t]ritories are great] ?an ! aggregate   
%ortfall am\nts = su* fiscal ye> = all  
su* t]ritories1 ! diff]5ce betwe5 !     
am\nt t w\ld h be5 c]tifi$ by !         
,secret>y "u title ,,xix = paym5t to su*
 %ortfall t]ritory = su* fiscal ye> )\t 
application ( ?is p>agraph & ! am\nt (  
paym5t t su* t]ritory w\ld h receiv$ "u 
title ,,xix _h ?is section n appli$2 &  
7,,ii7 9 ! case ! aggregate unus$ am\nts
 = su* fiscal ye> = all specifi$        

t]ritories are less ?an ! aggregate     
%ortfall am\nts = su* fiscal ye> = all  
su* t]ritories1 an am\nt t be>s ! same  
ratio to su* aggregate unus$ am\nts z   
su* %ortfall t]ritory's %ortfall am\nt  
be>s to su* aggregate %ortfall am\nts4  
7ii7 ,retrospective adju/m5t ,!         
,secret>y may adju/ any increases made  
"u ?is p>agraph = a fiscal ye> z        
necess>y on ! basis ( in=mation report$ 
by specifi$ t]ritories n lat] ?an       
,novemb] #cj ( ! succe$+ fiscal ye>1 z  
det]m9$ appropriate by ! ,secret>y4     
7,c7 ,nonapplication ( increase to      
future fiscal ye>s ,any increase 9 !    
limit describ$ 9 subp>agraph 7,a7 ( a   
specifi$ t]ritory = a fiscal ye> %all n 
be tak5 into acc\nt 9 det]m9+ su* limit 
= su* t]ritory 9 ! succe$+ fiscal ye>4  
7,d7 ,def9itions ,9 ?is p>agraph3 7i7   
,%ortfall am\nt ,! t]m %ortfall am\nt   
means1 ) respect to a specifi$ t]ritory 
t1 b = ! limit on ! am\nt c]tifi$ by !  
,secret>y "u title ,,xix = paym5t to su*
 t]ritories = a fiscal ye> e/abli%$ "u  

?is section1 w\ld h receiv$ paym5t "u   
title ,,xix = su* fiscal ye> 9 an am\nt 
exce$+ su* limit1 ! am\nt ( su* excess4 
7ii7 ,%ortfall t]ritory ,! t]m %ortfall 
t]ritory means1 ) respect to a fiscal   
ye>1 a specifi$ t]ritory ) respect to   
:i* ! am\nt t w\ld be payable to su*    
t]ritory "u title ,,xix = su* ye>1 )\t  
application ( ?is section1 exce$s !     
limit on ! am\nt c]tifi$ by ! ,secret>y 
"u title ,,xix = paym5t to su* t]ritory 
= su* ye> e/abli%$ "u ?is section 7)\t  
application ( ?is p>agraph74  7iii7     
,specifi$ t]ritory ,! t]m specifi$      
t]ritory means ! ,virg9 ,isl&s1 ,guam1 !
 ,nor!rn ,m>iana ,isl&s1 & ,am]ican     
,samoa4  7iv7 ,unus$ am\nt ,! t]m unus$ 
am\nt means1 ) respect to a specifi$    
t]ritory t 0 subject to a limit on !    
am\nt c]tifi$ by ! ,secret>y "u title   
,,xix = paym5t to su* t]ritory = a      
fiscal ye> e/abli%$ "u ?is section b =  
:i* ! ,secret>y s c]tifi$ an am\nt = su*
 fiscal ye> t 0 l[] ?an su* limit1 !    
diff]5ce betwe5 su* am\nt & su* limit4  

4