,,ii  #aah? ,,congress  #b;d ,session   
,s4 #dice  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,augu/ #a1 #bjbd,mr4   
,boozman 7= himself1 ,mr4 ,wel*1 ,mr4   
,tillis1 ,mr4 ,k+1 ,mr4 ,m>%all1 & ,mrs4
 ,%ahe57 introduc$ ! foll[+ bill2 :i* 0 
read twice & ref]r$ to ! ,committee on  
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
update ! budget neutrality ?re%old "u ! 
,m$ic>e physician fee s*$ule4  #a4 ,%ort
 title ,?is ,act may be cit$ z !        
,physician ,fee ,/abilization ,act4  #b4
 ,updat+ ! budget neutrality ?re%old    
,section #ahdh7;c77#b77;,b77ii77,,ii7 ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#aciew-#d7;c77#b77;,b77ii77,,ii77 is    
am5d$-- 7#a7 by /rik+ ,subject to &     
ins]t+ ! foll[+3  7aa7 ,9 g5]al ,subject
 to  2  7#b7 9 item 7aa71 z ins]t$ by   
p>agraph 7#a71 by /rik+ #bj1jjj1jjj &   
ins]t+ ! am\nt specifi$ 9 item 7bb7 =   
su* ye>2 &  7#c7 by add+ at ! end !     
foll[+ new items3  7bb7 ,am\nt specifi$ 
,= purposes ( item 7aa71 subject to item

 7cc71 ! am\nt specifi$ 9 ?is item is-- 
7,,aa7 = ye>s be=e #bjbf1 #bj1jjj1jjj2  
7,,bb7 = #bjbf1 #ec1jjj1jjj2 & 7,,cc7 = 
#bjbg & ea* subsequ5t ye>1 ! am\nt      
specifi$ 9 ?is item = ! prec$+ ye>4     
7cc7 ,index+ limitation on annual       
adju/m5ts ,= #bjca & e subsequ5t fif?   
ye>1 ! ,secret>y %all increase ! am\nt  
specifi$ 9 item 7bb7 = su* ye> by !     
cumulative increase 9 ! ,,mei 7z def9$ 9
 section #ahdb7;i77#c77 applicable to   
physicians' s]vices ov] ! #e-ye> p]iod  
end+ on ! la/ day ( ! prec$+ ye>4  4