,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #cbfc  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #g1 #bjbe,ms4    
,tokuda 7= h]self & ,mr4 ,case7         
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 am5d title ,,xviii ( !     
,social ,security ,act to e/abli% a     
floor on ! "w geographic index =        
physicians' s]vices furni%$ 9 ,hawaii4  
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,protect+ ,access ,to ,c>e 9 ,hawaii  
,act or ! ,,pat* ,act4  #b4 ,floor on "w
 geographic index = physicians' s]vices 
furni%$ 9 ,hawaii ,section #ahdh7;e7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#aciew-#d7;e77 is am5d$--  7#a7 9       
p>agraph 7#a77;,a71 9 ! matt] prec$+    
clause 7i71 by /rik+ & 7,i7 & ins]t+    
7,i71 & 7,j72 &  7#b7 by add+ at ! end !

 foll[+ new subp>agraph3  7,j7 ,floor on
 "w geographic index = s]vices furni%$ 9
 ,hawaii ,= purposes ( paym5t = s]vices 
furni%$ 9 ,hawaii on or aft] ,janu>y #a1
 #bjbf1 aft] calculat+ ! "w geographic  
index 9 subp>agraph 7,a77iii71 !        
,secret>y %all increase ! "w geographic 
index to #a4e if su* index w\ld o!rwise 
be less ?an #a4e4 ,! prec$+ s5t5ce %all 
n be appli$ 9 a budget neutral mann]4  4