,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #ehae  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,octob] #bd1 #bjbe,mr4
 ,cl\d 7= himself1 ,mr4 ,arr+ton1 ,ms4  
,van ,duyne1 ,mr4 ,tiffany1 ,mr4 ,clyde1
 ,mr4 ,bre*e51 ,mr4 ,/eube1 ,mr4 ,roy1 &
 ,mr4 ,h>ris ( ,m>yl&7 introduc$ !      
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce  ,a     
,,bill  ,to am5d title ,,xix ( ! ,social
 ,security ,act to br+ fairness to !    
,m$icaid ,f$]al m$ical assi/ance        
p]c5tage = ! ,di/rict ( ,columbia4  #a4 
,%ort title ,?is ,act may be cit$ z !   
,di/rict ( ,columbia ,m$icaid ,fairness 
,act4  #b4 ,adju/m5t ( ,,fmap = ,di/rict
 ( ,columbia ,section #aije ( ! ,social 
,security ,act 7#db ,u4,s4,c4 #acif;d7  
is am5d$--  7#a7 9 ! fir/ s5t5ce (      
subsection 7b71 by /rik+ ?is title &    
ev]y?+ t foll[s ?r\gh %all be #gj p]c5t 
& ins]t+ title ,,xxi1 ! ,f$]al m$ical   
assi/ance p]c5tage = ! ,di/rict (       
,columbia %all be #gj p]c5t1 & =        
purposes ( ?is title1 = fiscal ye>s be=e

 #bjcj1 ! ,f$]al m$ical assi/ance       
p]c5tage = ! ,di/rict ( ,columbia %all  
be equal to ! p]c5tage t w\ld o!rwise be
 det]m9$ "u ?is subsection )\t          
application ( ?is clause or ! p]c5tage  
specifi$ 9 subsection 7ll7 = su* fiscal 
ye> 7:i*ev] is great]71 & = fiscal ye>  
#bjcj & ea* subsequ5t fiscal ye>1 !     
,f$]al m$ical assi/ance p]c5tage = !    
,di/rict ( ,columbia %all be equal to ! 
p]c5tage t w\ld o!rwise be det]m9$ "u   
?is subsection )\t application ( ?is    
clause2 &  7#b7 by add+ at ! end !      
foll[+ new subsection3  7ll7 ,f$]al     
m$ical assi/ance p]c5tage = ! ,di/rict (
 ,columbia ,= purposes ( clause 7#c7 ( !
 fir/ s5t5ce ( subsection 7b71 !        
p]c5tage specifi$ 9 ?is subsection = a  
fiscal ye> is-- 7#a7 = a fiscal ye> be=e
 fiscal ye> #bjbg1 #gj p]c5t2  7#b7 =   
fiscal ye> #bjbg1 #fe p]c5t2  7#c7 =    
fiscal ye> #bjbh1 #fj p]c5t2 &  7#d7 =  
fiscal ye> #bjbi1 #ee p]c5t4  4