,i  #aah? ,,congress  #b;d ,session  ,h4
 ,r4 #hefa  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,may #bc1 #bjbd,ms4   
,t5ney 7= h]self1 ,mr4 ,tonko1 ,ms4     
,/efanik1 ,mr4 ,williams ( ,new ,york1  
,mr4 ,morelle1 ,mr4 ,langwor?y1 & ,mr4  
,mol9>o7 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   
address significant "u projection ( ,,ma
 local area gr[? due to wage index      
reclassification4  #a4 ,address+        
significant "u projection ( ,,ma local  
area gr[? due to wage index             
reclassification  7a7 ,local adju/m5t   
me?od & applicability ,section          
#ahec7;c77#f7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #aciew-#bc7;c77#f77 is  
am5d$ at ! end by add+ ! foll[+ new     

subp>agraph3  7,d7 ,fur!r adju/m5t =    
significant "u projection ( local area  
gr[? ,beg9n+ ) rates calculat$ = #bjbe  
:5 comput+ rates = purposes ( calculat+ 
b5*m>k am\nts = an applicable plan1 !   
,secret>y %all adju/ ! gr[? p]c5tage "u 
subp>agraph 7,a7 to reflect ! rate (    
gr[? 9 ! ,,ma local area1 includ+ mak+  
adju/m5ts to gr[? e/imates = previ\s    
ye>s back no fur!r ?an #bjbd4 ,=        
purposes ( ?is subp>agraph1 an          
applicable plan is an ,,ma local plan 9 
a s]vice area :]e ! area wage index "u  
section #ahhf7;d77#c77;,e7 increas$ by m
 ?an #bj p]c5t 9 a prior ye> on av]age  
across ! s]vice area ( ! plan4 ,^u      
reque/ f an applicable plan1 ! ,secret>y
 %all issue ! adju/m5t = t ye> = ! ,,ma 
local plan z soon z practicable4  4  7b7
 ,adju/+ ! b5*m>k cap ,section          
#ahec7k77#a7 ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #aciew-#bc7k77#a77 is    
am5d$-- 7#a7 9 subp>agraph 7,b77i71 by  
/rik+ adju/m5t "u subp>agraph 7,c7 ( su*
 subsection = a ye> be=e #bjjd & ins]t+ 

adju/m5ts "u subp>agraphs 7,c7 or 7,d7 (
 su* subsection = a ye> be=e #bjjd or   
#bjbd1 respectively2 &  7#b7 9          
subp>agraph 7,b77ii7 add ! foll[+ new   
subp>agraph3  7,,iii7 = an applicable   
plan "u subsection 7c77#f77;,d71 ! am\nt
 specifi$ 9 subsection 7c77#a77;,d7     
adju/$ by ! gr[? p]c5tage det]m9$ "u    
subsection 7c77#f77;,d7  4  7c7 ,adju/+ 
! base paym5t am\nt ,section            
#ahec7n77#b77;,e7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4                     
#aciew-#bc7n77#b77;,e77 is am5d$-- 7#a7 
9 clause 7i77,i71 by /rik+ adju/m5t "u  
subp>agraph 7,c7 ( su* subsection = a   
ye> be=e #bjjd & ins]t+ adju/m5ts "u    
subp>agraphs 7,c7 or 7,d7 ( su*         
subsection = a ye> be=e #bjjd or #bjbd1 
respectively2 &  7#b7 9 clause          
7i77,,ii71 by ins]t+ 1 or1 = an         
applicable plan "u subsection           
7c77#f77;,d71 ! am\nt specifi$ 9        
subsection 7c77#a77;,d7 adju/$ by ! gr[?
 p]c5tage det]m9$ "u subsection         
7c77#f77;,d7 be=e ! p]iod at ! end4  7d7

 ,imm$iate implem5tation ,to address    
curr5t "u projection ( local area gr[?  
,not)/&+ section #ahec7;b7 ( ! ,social  
,security ,act & any o!r provision ( law
 t w\ld o!rwise require prior notice1 ! 
,secret>y %all take imm$iate action to  
adopt or am5d cal5d> ye> #bjbe ,m$ic>e  
,advantage ,capitation ,rates 9         
accordance ) ! provisions ( ?is section 
& to make any o!r me?odological *anges  
or take o!r actions necess>y &          
appropriate to assure appropriate rate  
adju/m5ts = ,,ma local plans affect$ by 
significant "u projection ( local area  
gr[? z describ$ 9 section               
#ahec7;c77#f77;,d7 ( ! ,social ,security
 ,act made effective h]e)1 provid$ t if 
o!rwise requir$ notice ( su* actions    
%all be publi%$ 9 ! f$]al regi/] z soon 
z possible & 9 any case )9 #cj days (   
su* actions4