,,ii  #aaith ,,congress  #ast ,session  
,s4 #adfj  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,april #aj1    
#bjbe,mr4 ,barrasso 7for himself1 ,mr4  
,whitehouse1 ,mr4 ,cassidy1 ,mr4 ,welch1
 ,mr4 ,tillis1 and ,mrs4 ,blackburn7    
introduced the following bill2 which was
 read twice and referred to the         
,committee on ,finance  ,a ,,bill  ,to  
amend title ,,xviii of the ,social      
,security ,act to extend incentive      
payments for participation in eligible  
alternative payment models under the    
,medicare program4  #a4 ,short title    
,this ,act may be cited as the          
,preserving ,patient ,access to         
,accountable ,care ,act4  #b4 ,extending
 incentive payments for participation in
 eligible alternative payment models    
7a7 ,in general ,section #ahcc7z7 of the
 ,social ,security ,act 7#db ,u4,s4,c4  
#aciel7z77 is amended-- 7#a7 in         
paragraph 7#a77;,a7-- 7,a7 by striking  
with #bjbf and inserting with #bjbg2 and
  7,b7 by inserting 1 or1 with respect  

to #bjbg1 #c4ec percent after #a4hh     
percent2  7#b7 in paragraph 7#b7-- 7,a7 
in subparagraph 7,b7-- 7i7 in the       
subsection heading1 by striking #bjbf   
and inserting #bjbg2 and  7ii7 in the   
matter preceding clause 7i71 by striking
 #bjbf and inserting #bjbg2  7,b7 in    
subparagraph 7,c7-- 7i7 in the          
subparagraph heading1 by striking #bjbg 
and inserting #bjbh2 and  7ii7 in the   
matter preceding clause 7i71 by striking
 #bjbg and inserting #bjbh2 and  7,c7 in
 subparagraph 7,d71 by striking and     
#bjbf and inserting #bjbf1 and #bjbg2   
and  7#c7 in paragraph 7#d77;,b71 by    
inserting 1 or1 with respect to #bjbg1  
#c4ec percent after #a4hh percent4  7b7 
,conforming amendments ,section         
#ahdh7q77#a77;,c77iii7 of the ,social   
,security ,act 7#db ,u4,s4,c4           
#aciew-#d7q77#a77;,c77iii77 is amended--
 7#a7 in subclause 7,,ii71 by striking  
#bjbf and inserting #bjbg2 and  7#b7 in 
subclause 7,,iii71 by striking #bjbg and
 inserting #bjbh4