,,ii  #aai? ,,congress  #a/ ,session    
,s4 #eea  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,febru>y #ab1 #bjbe,mr4
 ,sullivan 7= himself1 ,mr4 ,s*atz1 &   
,ms4 ,murk[ski7 introduc$ ! foll[+ bill2
 :i* 0 read twice & ref]r$ to !         
,committee on ,f9ance  ,a ,,bill  ,to   
am5d title ,,xviii ( ! ,social ,security
 ,act to provide = ! application ( a    
co/-(-liv+ adju/m5t to ! non-labor      
relat$ portion = hospital outpati5t     
dep>tm5t s]vices furni%$ 9 ,alaska &    
,hawaii4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,ensur+ ,outpati5t ,quality 
= ,rural ,/ates ,act4  #b4 ,application 
( co/-(-liv+ adju/m5t to non-labor      
relat$ portion = hospital outpati5t     
dep>tm5t s]vices furni%$ 9 ,alaska &    
,hawaii ,section #ahcc7t7 ( ! ,social   
,security ,act 7#db ,u4,s4,c4 #aciel7t77
 is am5d$ by add+ at ! end ! foll[+ new 
p>agraph3  7#bc7 ,application (         
co/-(-liv+ adju/m5t to non-labor relat$ 
portion = hospital outpati5t dep>tm5t   
s]vices furni%$ 9 ,alaska & ,hawaii ,)  

respect to cov]$ ,,opd s]vices furni%$  
on or aft] ,janu>y #a1 #bjbf1 !         
,secret>y may provide = adju/m5ts to !  
paym5t am\nts "u ?is subsection = su*   
s]vices 9 ! same mann] t is provid$ "u  
section #ahhf7;d77#e77;,h7 ) respect to 
! application ( ! co/-(-liv+ adju/m5t to
 ! non-labor relat$ portion ( su* paym5t
 am\nts to take into acc\nt ! unique    
circum/ances ( hospitals locat$ 9       
,alaska or ,hawaii4 ,! prec$+ s5t5ce    
%all n be appli$ 9 a budget neutral     
mann]4  4