,,ii  #aaith ,,congress  #b;d ,session  
,s4 #cfhh  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,january #ae1  
#bjbf,mr4 ,sullivan 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 increase  
the floor for the practice expense and  
work geographic indices for certain     
areas4  #a4 ,short title ,this ,act may 
be cited as the ,rural ,underpayment    
,remedy through ,adjusted ,local ,rate  
,act or the ,,rural ,rate ,act4  #b4    
,increase of the floor for practice     
expense and work geographic indices for 
certain areas ,section                  
#ahdh7;e77#a77;,g7 of the ,social       
,security ,act 7#db ,u4,s4,c4           
#aciew-#d7;e77#a77;,g77 is amended--    
7#a7 in the second sentence-- 7,a7 by   
inserting and before ,january #a1 #bjbf1
 after ,january #a1 #bjji12 and  7,b7 by
 inserting a period at the end2 and     
7#b7 by adding at the end the following 

new sentence3 ,for purposes of payment  
for services furnished in the ,state    
described in the first sentence on or   
after ,january #a1 #bjbf1 after         
calculating the practice expense and    
work geographic indices in clauses 7i7  
and 7iii7 of subparagraph 7,a7 and in   
subparagraph 7,b71 the ,secretary shall 
increase either such index to #a4fg if  
such index would otherwise be less than 
#a4fg44