,,ii  #aai? ,,congress  #b;d ,session   
,s4 #cfhh  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,janu>y #ae1 #bjbf,mr4 
,sullivan introduc$ ! foll[+ bill2 :i* 0
 read twice & ref]r$ to ! ,committee on 
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
increase ! floor = ! practice exp5se &  
"w geographic indices = c]ta9 areas4    
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,rural ,und]paym5t ,rem$y ?r\gh       
,adju/$ ,local ,rate ,act or ! ,,rural  
,rate ,act4  #b4 ,increase ( ! floor =  
practice exp5se & "w geographic indices 
= c]ta9 areas ,section                  
#ahdh7;e77#a77;,g7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#aciew-#d7;e77#a77;,g77 is am5d$-- 7#a7 
9 ! second s5t5ce-- 7,a7 by ins]t+ &    
be=e ,janu>y #a1 #bjbf1 aft] ,janu>y #a1
 #bjji12 &  7,b7 by ins]t+ a p]iod at ! 
end2 &  7#b7 by add+ at ! end ! foll[+  
new s5t5ce3 ,= purposes ( paym5t =      
s]vices furni%$ 9 ! ,/ate describ$ 9 !  
fir/ s5t5ce on or aft] ,janu>y #a1      

#bjbf1 aft] calculat+ ! practice exp5se 
& "w geographic indices 9 clauses 7i7 & 
7iii7 ( subp>agraph 7,a7 & 9 subp>agraph
 7,b71 ! ,secret>y %all increase ei!r   
su* index to #a4fg if su* index w\ld    
o!rwise be less ?an #a4fg44