,,ii  #aai? ,,congress  #a/ ,session    
,s4 #afbd  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #f1 #bjbe,mr4     
,s*atz 7= himself & ,ms4 ,hirono7       
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,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