,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #fafj  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,novemb] #ai1         
#bjbe,mr4 ,ruiz 7= himself1 ,mr4        
,bilirakis1 ,mr4 ,panetta1 ,mr4 ,b]a1 & 
,ms4 ,s*ri]7 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   
provide = an update to a s+le conv]sion 
factor "u ! ,m$ic>e physician fee s*$ule
 t is bas$ on ! ,m$ic>e economic index4 
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,/r5g!n+ ,m$ic>e = ,pati5ts &         
,provid]s ,act4  #b4 ,transition to an  
update to a s+le conv]sion factor "u !  
,m$ic>e physician fee s*$ule bas$ on !  
,m$ic>e economic index  7a7 ,9 g5]al    
,section #ahdh7;d77#b7 ( ! ,social      
,security ,act 7#db ,u4,s4,c4           

#aciew-#d7;d77#bj77 is am5d$ to read z  
foll[s3  7#bj7 ,update = #bjbf &        
subsequ5t ye>s ,! update to ! s+le      
conv]sion factor e/abli%$ 9 p>agraph    
7#a77;,c7 = #bjbf & ea* subsequ5t ye>   
%all be equal to ! ,secret>y's e/imate (
 ! p]c5tage increase 9 ! ,,mei 7z def9$ 
9 section #ahdb7;i77#c77 = ! ye>4  4    
7b7 ,con=m+ am5dm5t ,to provide = a s+le
 conv]sion factor aft] #bjbe ,section   
#ahdh7;d77#a77;,a7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#aciew-#d7;d77#a77;,a77 is am5d$--  7#a7
 by /rik+ & end+ ) #bjbe2 &  7#b7 by    
/rik+ ,!re %all be two sep>ate conv]sion
 factors & all t foll[s ?r\gh ! end ( ! 
subp>agraph4