,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #eadb  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,septemb] #d1         
#bjbe,mr4 ,h]n ( ,oklahoma 7= himself & 
,ms4 ,sewell7 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   
ensure /ability 9 paym5ts to home heal? 
ag5cies "u ! ,m$ic>e program4  #a4 ,%ort
 title ,?is ,act may be cit$ z ! ,home  
,heal? ,/abilization ,act ( #bjbe4  #b4 
,ensur+ b5efici>y access to ,m$ic>e home
 heal? s]vices  7a7 ,delay+ adju/m5ts   
,section #ahie7;b77#c77;,d7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           
#acie;fff7b77#c77;,d77 is am5d$ by add+ 
at ! end ! foll[+ new clauses3  7iv7    
,special rule = #bjbf & #bjbg ,= #bjbf &
 #bjbg1 ! ,secret>y %all provide = a    

positive adju/m5t to ! /&>d prospective 
paym5t am\nt to fully (fset ! -#d4jei   
p]c5t ,p]man5t ,adju/m5t ,factor & !    
-#e4j p]c5t ,tempor>y ,adju/m5t ,factor 
appli$ to ! cal5d> ye> #bjbf national1  
/&>diz$ #cj-;day p]iod paym5t rate 9 !  
propos$ rule entitl$1 ,m$ic>e & ,m$icaid
 ,programs2 ,cal5d> ,ye> #bjbf ,home    
,heal? ,prospective ,paym5t ,sy/em 7,,hh
 ,,pps7 ,rate ,update2 ,requirem5ts = ! 
,,hh ,quality ,report+ ,program & ! ,,hh
 ,value-,bas$ ,pur*as+ ,exp&$ ,model2   
,durable ,m$ical ,equipm5t1 ,pro/hetics1
 ,or?otics1 & ,supplies 7,,dmepos7      
,competitive ,bidd+ ,program ,updates2  
,,dmepos ,accr$itation ,requirem5ts2    
,provid] ,enrollm5t2 & ,o!r ,m$ic>e &   
,m$icaid ,policies publi%$ 9 ! ,f$]al   
,regi/] on ,july #b1 #bjbe 7#ij ,f$4    
,reg4 #biajh74 ,not)/&+ any o!r         
provision ( law1 ! ,secret>y may        
implem5t ?is clause by program          
in/ruction or o!rwise4  7v7 ,special    
rule = #bjbf & #bjbg ,= #bjbf & #bjbg1 !
 ,secret>y %all e/abli% ! national1     

/&>diz$ #cj-;day p]iod paym5t rate bas$ 
on ! #bjbe rate1 tak+ into acc\nt !     
adju/m5t "u clause 7iv7 & updat$ bas$ on
 all o!r provisions ( ?is section1      
except t su* rate = #bjbf or #bjbg %all 
n be fur!r adju/$ bas$ on clause 7ii7 or
 clause 7iii74  7vi7 ,exception ,9      
det]m9+ actual exp5ditures "u clause 7i7
 = #bjbf & #bjbg ! ,secret>y %all       
exclude ! additional am\nts paid z a    
result ( clauses 7iv7 & 7v71 & no       
adju/m5ts "u clause 7ii7 or clause 7iii7
 %all be made to (fset = su* am\nts4  4 
7b7 ,con/ruction ,no?+ 9 ?is section    
%all be con/ru$ z signify+ congressional
 approval or disapproval ( ! me?odology 
promulgat$ by ! ,secret>y to implem5t   
section #ahie7;b77#c77;,d7 ( ! ,social  
,security ,act 9 ! f9al rule entitl$1   
,m$ic>e ,program2 ,cal5d> ,ye> 7,,cy7   
#bjbc ,home ,heal? ,prospective ,paym5t 
,sy/em ,rate ,update2 ,home ,heal?      
,quality ,report+ ,program ,requirem5ts2
 ,home ,heal? ,value-,bas$ ,pur*as+     
,exp&$ ,model ,requirem5ts2 & ,home     

,infusion ,!rapy ,s]vices ,requirem5ts  
publi%$ 9 ! ,f$]al ,regi/] on ,novemb]  
#d1 #bjbb 7#hg ,f$4 ,reg4 #ffgij74