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        <dc:title>Health Care and Education Reconciliation Act of 2010</dc:title>
        <citableAs>Public Law 111–152</citableAs>
        <citableAsShortTitle>Health Care and Education Reconciliation Act of 2010</citableAsShortTitle>
        <docNumber>152</docNumber>
        <currentThroughPublicLaw>111–152</currentThroughPublicLaw>
        <dc:type>Statute Compilation</dc:type>
        <dc:creator>United States House of Representatives</dc:creator>
        <dc:creator>Office of the Legislative Counsel</dc:creator>
        <dc:format>text/xml</dc:format>
        <dc:language>EN</dc:language>
        <dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
        <processedBy>GPO Statute Compilations USLM converter, version 20210527.1</processedBy>
        <processedDate>2021-10-15</processedDate>
        <containsShortTitle>Health Care and Education Reconciliation Act of 2010</containsShortTitle>
        <property role="fileId">11556</property>
        <congress>111</congress>
        <approvedDate>2010-03-30</approvedDate>
    </meta>
    <preface style="-uslm-dtd:compilation-act-form">
        <property style="-uslm-dtd:comp-short-title" role="compShortTitle">Health Care and Education Reconciliation Act of 2010</property>
        <citationNote style="-uslm-dtd:public-law">[(<citableAs>Public Law 111–152</citableAs>)]</citationNote>
        <editionNote style="-uslm-dtd:updated-through-note">[This law has not been amended]</editionNote>
        <explanationNote style="-uslm-dtd:explanatory-note"><b>[</b>Currency: This publication is a compilation of the text of Public Law 111–152. It was last amended by the public law listed in the As Amended Through note above and below at the bottom of each page of the pdf version and reflects current law through the date of the enactment of the public law listed at https://www.govinfo.gov/app/collection/comps/<b>]</b></explanationNote>
        <explanationNote style="-uslm-dtd:explanatory-note"><b>[</b>Note: While this publication does  not represent an official version of any Federal statute, substantial efforts have been made to ensure the accuracy of its contents. The official version of Federal law is found in the United States Statutes at Large and in the United States Code. The legal effect to be given to the Statutes at Large and the United States Code is established by statute (1 U.S.C. 112, 204).<b>]</b></explanationNote>
    </preface>
    <main style="-uslm-dtd:legis-body"><longTitle><docTitle style="-uslm-dtd:legis-type">AN ACT</docTitle><officialTitle style="-uslm-dtd:official-title">Health Care and Education Reconciliation Act of 2010</officialTitle></longTitle><enactingFormula style="-uslm-dtd:enacting-clause">Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,</enactingFormula>
        <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/s1" styleType="OLC">
            <num style="-uslm-dtd:enum" value="1">SECTION 1. </num><heading style="-uslm-dtd:header">SHORT TITLE; TABLE OF CONTENTS. </heading>
            <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/s1/a" styleType="OLC">
                <num style="-uslm-dtd:enum" value="a">(a) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t42/s1305">42 U.S.C. 1305 note</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">Short Title.—</heading><content style="-uslm-dtd:text">This Act may be cited as the “<shortTitle style="-uslm-dtd:quote">Health Care and Education Reconciliation Act of 2010</shortTitle>”.</content>
            </subsection>
            <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/s1/b" styleType="OLC">
                <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Table of Contents.—</heading><content style="-uslm-dtd:text">The table of contents of this Act is as follows:<toc style="-uslm-dtd:toc">
                <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1.</designator><label> Short title; table of contents.</label></referenceItem>
                <groupItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="title" class="centered"><designator>TITLE I—</designator><label>COVERAGE, MEDICARE, MEDICAID, AND REVENUES</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="subtitle" class="centered"><designator>Subtitle A—</designator><label>Coverage</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1001.</designator><label> Tax credits.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1002.</designator><label> Individual responsibility.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1003.</designator><label> Employer responsibility.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1004.</designator><label> Income definitions.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1005.</designator><label> Implementation funding.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="subtitle" class="centered"><designator>Subtitle B—</designator><label>Medicare</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1101.</designator><label> Closing the medicare prescription drug “<quotedText style="-uslm-dtd:quote">donut hole</quotedText>”.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1102.</designator><label> Medicare Advantage payments.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1103.</designator><label> Savings from limits on MA plan administrative costs.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1104.</designator><label> Disproportionate share hospital (DSH) payments.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1105.</designator><label> Market basket updates.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1106.</designator><label> Physician ownership-referral.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1107.</designator><label> Payment for imaging services.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1108.</designator><label> PE GPCI adjustment for 2010.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1109.</designator><label> Payment for qualifying hospitals.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="subtitle" class="centered"><designator>Subtitle C—</designator><label>Medicaid</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1201.</designator><label> Federal funding for States.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1202.</designator><label> Payments to primary care physicians.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1203.</designator><label> Disproportionate share hospital payments.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1204.</designator><label> Funding for the territories.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1205.</designator><label> Delay in Community First Choice option.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1206.</designator><label> Drug rebates for new formulations of existing drugs.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="subtitle" class="centered"><designator>Subtitle D—</designator><label>Reducing Fraud, Waste, and Abuse</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1301.</designator><label> Community mental health centers.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1302.</designator><label> Medicare prepayment medical review limitations.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1303.</designator><label> Funding to fight fraud, waste, and abuse.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1304.</designator><label> 90-day period of enhanced oversight for initial claims of DME suppliers.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="subtitle" class="centered"><designator>Subtitle E—</designator><label>Provisions Relating to Revenue</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1401.</designator><label> High-cost plan excise tax.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1402.</designator><label> Unearned income Medicare contribution.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1403.</designator><label> Delay of limitation on health flexible spending arrangements under cafeteria plans. </label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1404.</designator><label> Brand name pharmaceuticals.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1405.</designator><label> Excise tax on medical device manufacturers.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1406.</designator><label> Health insurance providers.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1407.</designator><label> Delay of elimination of deduction for expenses allocable to medicare part D subsidy.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1408.</designator><label> Elimination of unintended application of cellulosic biofuel producer credit.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1409.</designator><label> Codification of economic substance doctrine and penalties.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1410.</designator><label> Time for payment of corporate estimated taxes.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="subtitle" class="centered"><designator>Subtitle F—</designator><label>Other Provisions</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 1501.</designator><label> Community college and career training grant program.</label></referenceItem>
                </groupItem>
                <groupItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="title" class="centered"><designator>TITLE II—</designator><label>EDUCATION AND HEALTH</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="subtitle" class="centered"><designator>Subtitle A—</designator><label>Education</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 2001.</designator><label> Short title; references.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="part" class="centered"><designator>Part I—</designator><label>Investing in Students and Families</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 2101.</designator><label> Federal Pell Grants.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 2102.</designator><label> College access challenge grant program.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 2103.</designator><label> Investment in historically black colleges and universities and minority-serving institutions.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="part" class="centered"><designator>Part II—</designator><label>Student Loan Reform</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 2201.</designator><label> Termination of Federal Family Education Loan appropriations.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 2202.</designator><label> Termination of Federal loan insurance program.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 2203.</designator><label> Termination of applicable interest rates.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 2204.</designator><label> Termination of Federal payments to reduce student interest costs.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 2205.</designator><label> Termination of FFEL PLUS Loans.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 2206.</designator><label> Federal Consolidation Loans.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 2207.</designator><label> Termination of Unsubsidized Stafford Loans for middle-income borrowers.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 2208.</designator><label> Termination of special allowances.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 2209.</designator><label> Origination of Direct Loans at institutions outside the United States.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 2210.</designator><label> Conforming amendments.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 2211.</designator><label> Terms and conditions of loans.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 2212.</designator><label> Contracts; mandatory funds.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 2213.</designator><label> Income-based repayment.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="subtitle" class="centered"><designator>Subtitle B—</designator><label>Health</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 2301.</designator><label> Insurance reforms.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 2302.</designator><label> Drugs purchased by covered entities.</label></referenceItem>
                    <referenceItem style="-uslm-dtd:toc-entry" role="section"><designator>Sec. 2303.</designator><label> Community health centers.</label></referenceItem>
                </groupItem></toc></content>
            </subsection>
        </section>
        <title style="-uslm-dtd:title" identifier="/us/sComp/111/152/tI" styleType="OLC">
            <num style="-uslm-dtd:enum" value="I">TITLE I—</num><heading style="-uslm-dtd:header">COVERAGE, MEDICARE, MEDICAID, AND REVENUES </heading>
            <subtitle style="-uslm-dtd:subtitle" identifier="/us/sComp/111/152/tI/stA" styleType="OLC">
                <num style="-uslm-dtd:enum" value="A">Subtitle A—</num><heading style="-uslm-dtd:header">Coverage </heading>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tI/stA/s1001" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1001">SEC. 1001. </num><heading style="-uslm-dtd:header">TAX CREDITS. </heading>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stA/s1001/a" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Premium Tax Credits.—</heading><chapeau style="-uslm-dtd:text">Section 36B of the Internal Revenue Code of 1986, as added by section 1401 of the Patient Protection and Affordable Care Act and amended by section 10105 of such Act, is amended—</chapeau>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stA/s1001/a/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">in subsection (b)(3)(A)—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stA/s1001/a/1/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in clause (i), by striking “with respect to any taxpayer” and all that follows up to the end period and inserting: “for any taxable year shall be the percentage such that the applicable percentage for any taxpayer whose household income is within an income tier specified in the following table shall increase, on a sliding scale in a linear manner, from the initial premium percentage to  the final premium percentage specified in such table for such income tier:<quotedContent style="-uslm-dtd:quoted-block"><foreign id="warning-d675084e207" note="processing mode: unknown" role="passthroughContent"><compsdtd:table xmlns:compsdtd="http://schemas.gpo.gov/xml/comps-dtd" line-rules="no-gen" blank-lines-before="0" blank-lines-after="0"><compsdtd:ttitle>
</compsdtd:ttitle><compsdtd:tgroup cols="3" no-carding="1" ttitle-size="0" thead-tbody-ldg-size="9.8.9"><compsdtd:colspec colname="col1" coldef="txt-no-ldr" min-data-value="74" /><compsdtd:colspec colname="col2" align="center" coldef="txt-no-ldr" min-data-value="50" /><compsdtd:colspec colname="col3" align="center" coldef="txt-no-ldr" min-data-value="50" /><compsdtd:thead><compsdtd:row><compsdtd:entry align="left" colname="col1">``In the case of household income (expressed as a percent of poverty line) within the following income tier:</compsdtd:entry><compsdtd:entry align="center" colname="col2">The initial premium percentage is_</compsdtd:entry><compsdtd:entry align="center" colname="col3">The final premium percentage is_</compsdtd:entry></compsdtd:row></compsdtd:thead><compsdtd:tbody><compsdtd:row><compsdtd:entry stub-definition="txt-ldr" stub-hierarchy="1" colname="col1">Up to 133%</compsdtd:entry><compsdtd:entry colname="col2">2.0%</compsdtd:entry><compsdtd:entry colname="col3">2.0%</compsdtd:entry></compsdtd:row><compsdtd:row><compsdtd:entry stub-definition="txt-ldr" stub-hierarchy="1" colname="col1">133% up to 150%</compsdtd:entry><compsdtd:entry colname="col2">3.0%</compsdtd:entry><compsdtd:entry colname="col3">4.0%</compsdtd:entry></compsdtd:row><compsdtd:row><compsdtd:entry stub-definition="txt-ldr" stub-hierarchy="1" colname="col1">150% up to 200%</compsdtd:entry><compsdtd:entry colname="col2">4.0%</compsdtd:entry><compsdtd:entry colname="col3">6.3%</compsdtd:entry></compsdtd:row><compsdtd:row><compsdtd:entry stub-definition="txt-ldr" stub-hierarchy="1" colname="col1">200% up to 250%</compsdtd:entry><compsdtd:entry colname="col2">6.3%</compsdtd:entry><compsdtd:entry colname="col3">8.05%</compsdtd:entry></compsdtd:row><compsdtd:row><compsdtd:entry stub-definition="txt-ldr" stub-hierarchy="1" colname="col1">250% up to 300%</compsdtd:entry><compsdtd:entry colname="col2">8.05%</compsdtd:entry><compsdtd:entry colname="col3">9.5%</compsdtd:entry></compsdtd:row><compsdtd:row><compsdtd:entry stub-definition="txt-ldr" stub-hierarchy="1" colname="col1">300% up to 400%</compsdtd:entry><compsdtd:entry colname="col2">9.5%</compsdtd:entry><compsdtd:entry colname="col3">9.5%''; and</compsdtd:entry></compsdtd:row></compsdtd:tbody></compsdtd:tgroup></compsdtd:table></foreign></quotedContent>
</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stA/s1001/a/1/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by striking clauses (ii) and (iii), and inserting the following:<quotedContent style="-uslm-dtd:quoted-block">
                                <clause style="-uslm-dtd:clause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="ii">“(ii) </num><heading style="-uslm-dtd:header">Indexing.—</heading>
                                    <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="I">“(I) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">Subject to subclause (II), in the case of taxable years beginning in any calendar year after 2014, the initial and final applicable percentages under clause (i) (as in effect for the preceding calendar year after application of this clause) shall be adjusted to reflect the excess of the rate of premium growth for the preceding calendar year over the rate of income growth for the preceding calendar year.</content>
                                    </subclause>
                                    <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="II">“(II) </num><heading style="-uslm-dtd:header">Additional adjustment.—</heading><content style="-uslm-dtd:text">Except as provided in subclause (III), in the case of any calendar year after 2018, the percentages described in subclause (I) shall, in addition to the adjustment under subclause (I), be adjusted to reflect the excess (if any) of the rate of premium growth estimated under subclause (I) for the preceding calendar year over the rate of growth in the consumer price index for the preceding calendar year.</content>
                                    </subclause>
                                    <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="III">“(III) </num><heading style="-uslm-dtd:header">Failsafe.—</heading><content style="-uslm-dtd:text">Subclause (II) shall apply for any calendar year only if the aggregate amount of premium tax credits under this section and cost-sharing reductions under section 1402 of the Patient Protection and Affordable Care Act for the preceding calendar year exceeds an amount equal to 0.504 percent of the gross domestic product for the preceding calendar year.”</content>
                                    </subclause>
                                </clause></quotedContent>; and</content>
                            </subparagraph>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stA/s1001/a/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">in subsection (c)(2)(C)—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stA/s1001/a/2/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">9.8 percent</quotedText>” in clauses (i)(II) and (iv) and inserting “<quotedText style="-uslm-dtd:quote">9.5 percent</quotedText>”; and</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stA/s1001/a/2/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">(b)(3)(A)(iii)</quotedText>” in clause (iv) and inserting “<quotedText style="-uslm-dtd:quote">(b)(3)(A)(ii)</quotedText>”.</content>
                            </subparagraph>
                        </paragraph>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stA/s1001/b" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Cost Sharing.—</heading><chapeau style="-uslm-dtd:text">Section 1402(c) of the Patient Protection and Affordable Care Act is amended—</chapeau>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stA/s1001/b/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">in paragraph (1)(B)(i)—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stA/s1001/b/1/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in subclause (I), by striking “<quotedText style="-uslm-dtd:quote">90</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">94</quotedText>”;</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stA/s1001/b/1/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><chapeau style="-uslm-dtd:text">in subclause (II)—</chapeau>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stA/s1001/b/1/B/i" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">80</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">87</quotedText>”; and</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stA/s1001/b/1/B/ii" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">and</quotedText>”; and</content>
                                </clause>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stA/s1001/b/1/C" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">by striking subclause (III) and inserting the following:<quotedContent style="-uslm-dtd:quoted-block">
                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="III">“(III) </num><content style="-uslm-dtd:text">73 percent in the case of an eligible insured whose household income is more than 200 percent but not more than 250 percent of the poverty line for a family of the size involved; and</content>
                                </subclause>
                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="IV">“(IV) </num><content style="-uslm-dtd:text">70 percent in the case of an eligible insured whose household income is more than 250 percent but not more than 400 percent of the poverty line for a family of the size involved.”</content>
                                </subclause></quotedContent>; and</content>
                            </subparagraph>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stA/s1001/b/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">in paragraph (2)—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stA/s1001/b/2/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><chapeau style="-uslm-dtd:text">in subparagraph (A)—</chapeau>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stA/s1001/b/2/A/i" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">90</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">94</quotedText>”; and</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stA/s1001/b/2/A/ii" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">and</quotedText>”;</content>
                                </clause>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stA/s1001/b/2/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><chapeau style="-uslm-dtd:text">in subparagraph (B)—</chapeau>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stA/s1001/b/2/B/i" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">80</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">87</quotedText>”; and</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stA/s1001/b/2/B/ii" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">by striking the period and inserting “<quotedText style="-uslm-dtd:quote">; and</quotedText>”; and</content>
                                </clause>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stA/s1001/b/2/C" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">by inserting after subparagraph (B) the following new subparagraph:<quotedContent style="-uslm-dtd:quoted-block">
                                <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="C">“(C) </num><content style="-uslm-dtd:text">in the case of an eligible insured whose household income is more than 200 percent but not more than 250 percent of the poverty line for a family of the size involved, increase the plan’s share of the total allowed costs of benefits provided under the plan to 73 percent of such costs.”</content>
                                </subparagraph></quotedContent>.</content>
                            </subparagraph>
                        </paragraph>
                    </subsection>
                </section>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tI/stA/s1002" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1002">SEC. 1002. </num><heading style="-uslm-dtd:header">INDIVIDUAL RESPONSIBILITY. </heading>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stA/s1002/a" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Amounts.—</heading><chapeau style="-uslm-dtd:text">Section 5000A(c) of the Internal Revenue Code of 1986, as added by section 1501(b) of the Patient Protection and Affordable Care Act and amended by section 10106 of such Act, is amended—</chapeau>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stA/s1002/a/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">in paragraph (2)(B)—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stA/s1002/a/1/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><chapeau style="-uslm-dtd:text">in the matter preceding clause (i), by—</chapeau>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stA/s1002/a/1/A/i" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">inserting “<quotedText style="-uslm-dtd:quote">the excess of</quotedText>” before “<quotedText style="-uslm-dtd:quote">the taxpayer’s household income</quotedText>”; and</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stA/s1002/a/1/A/ii" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">inserting “<quotedText style="-uslm-dtd:quote">for the taxable year over the amount of gross income specified in section 6012(a)(1) with respect to the taxpayer</quotedText>” before “<quotedText style="-uslm-dtd:quote">for the taxable year</quotedText>”;</content>
                                </clause>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stA/s1002/a/1/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">in clause (i), by striking “<quotedText style="-uslm-dtd:quote">0.5</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">1.0</quotedText>”;</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stA/s1002/a/1/C" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">in clause (ii), by striking “<quotedText style="-uslm-dtd:quote">1.0</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">2.0</quotedText>”; and</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stA/s1002/a/1/D" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">in clause (iii), by striking “<quotedText style="-uslm-dtd:quote">2.0</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">2.5</quotedText>”; and</content>
                            </subparagraph>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stA/s1002/a/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">in paragraph (3)—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stA/s1002/a/2/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in subparagraph (A), by striking “<quotedText style="-uslm-dtd:quote">$750</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">$695</quotedText>”;</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stA/s1002/a/2/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">in subparagraph (B), by striking “<quotedText style="-uslm-dtd:quote">$495</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">$325</quotedText>”; and</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stA/s1002/a/2/C" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="C">(C) </num><chapeau style="-uslm-dtd:text">in subparagraph (D)—</chapeau>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stA/s1002/a/2/C/i" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">in the matter preceding clause (i), by striking “<quotedText style="-uslm-dtd:quote">$750</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">$695</quotedText>”; and</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stA/s1002/a/2/C/ii" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">in clause (i), by striking “<quotedText style="-uslm-dtd:quote">$750</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">$695</quotedText>”.</content>
                                </clause>
                            </subparagraph>
                        </paragraph>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stA/s1002/b" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Threshold.—</heading><chapeau style="-uslm-dtd:text">Section 5000A of such Code, as so added and amended, is amended—</chapeau>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stA/s1002/b/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">by striking subsection (c)(4)(D); and</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stA/s1002/b/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">in subsection (e)(2)—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stA/s1002/b/2/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote"><headingText style="-uslm-dtd:header-in-text">under 100 percent of poverty line</headingText></quotedText>” and inserting “<quotedText style="-uslm-dtd:quote"><headingText style="-uslm-dtd:header-in-text">below filing threshold</headingText></quotedText>”; and</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stA/s1002/b/2/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by striking all that follows “<quotedText style="-uslm-dtd:quote">less than</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">the amount of gross income specified in section 6012(a)(1) with respect to the taxpayer.</quotedText>”.</content>
                            </subparagraph>
                        </paragraph>
                    </subsection>
                </section>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tI/stA/s1003" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1003">SEC. 1003. </num><heading style="-uslm-dtd:header">EMPLOYER RESPONSIBILITY. </heading>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stA/s1003/a" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Payment Calculation.—</heading><content style="-uslm-dtd:text">Subparagraph (D) of subsection (d)(2) of section 4980H of the Internal Revenue Code of 1986, as added by section 1513 of the Patient Protection and Affordable Care Act and amended by section 10106 of such Act, is amended to read as follows:<quotedContent style="-uslm-dtd:quoted-block">
                        <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="D">“(D) </num><heading style="-uslm-dtd:header">Application of employer size to assessable penalties.—</heading>
                            <clause style="-uslm-dtd:clause" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="i">“(i) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">The number of individuals employed by an applicable large employer as full-time employees during any month shall be reduced by 30 solely for purposes of calculating—</chapeau>
                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">the assessable payment under subsection (a), or</content>
                                </subclause>
                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">the overall limitation under subsection (b)(2).</content>
                                </subclause>
                            </clause>
                            <clause style="-uslm-dtd:clause" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="ii">“(ii) </num><heading style="-uslm-dtd:header">Aggregation.—</heading><content style="-uslm-dtd:text">In the case of persons treated as 1 employer under subparagraph (C)(i), only 1 reduction under subclause (I) or (II) shall be allowed with respect to such persons and such reduction shall be allocated among such persons ratably on the basis of the number of full-time employees employed by each such person.”</content>
                            </clause>
                        </subparagraph></quotedContent>.</content>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stA/s1003/b" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Applicable Payment Amount.—</heading><chapeau style="-uslm-dtd:text">Section 4980H of such Code, as so added and amended, is amended—</chapeau>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stA/s1003/b/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">in the flush text following subsection (c)(1)(B), by striking “<quotedText style="-uslm-dtd:quote">400 percent of the applicable payment amount</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">an amount equal to 1⁄12 of $3,000</quotedText>”;</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stA/s1003/b/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">in subsection (d)(1), by striking “<quotedText style="-uslm-dtd:quote">$750</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">$2,000</quotedText>”; and</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stA/s1003/b/3" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">in subsection (d)(5)(A), in the matter preceding clause (i), by striking “<quotedText style="-uslm-dtd:quote">subsection (b)(2) and (d)(1)</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">subsection (b) and paragraph (1)</quotedText>”.</content>
                        </paragraph>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stA/s1003/c" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Counting Part-time Workers in Setting the Threshold for Employer Responsibility.—</heading><content style="-uslm-dtd:text">Section 4980H(d)(2) of such Code, as so added and amended and as amended by subsection (a), is amended by adding at the end the following new subparagraph:<quotedContent style="-uslm-dtd:quoted-block">
                        <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="E">“(E) </num><heading style="-uslm-dtd:header">Full-time equivalents treated as full-time employees.—</heading><content style="-uslm-dtd:text">Solely for purposes of determining whether an employer is an applicable large employer under this paragraph, an employer shall, in addition to the number of full-time employees for any month otherwise determined, include for such month a number of full-time employees determined by dividing the aggregate number of hours of service of employees who are not full-time employees for the month by 120.”</content>
                        </subparagraph></quotedContent>.</content>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stA/s1003/d" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Eliminating Waiting Period Assessment.—</heading><content style="-uslm-dtd:text">Section 4980H of such Code, as so added and amended and as amended by the preceding subsections, is amended by striking subsection (b) and redesignating subsections (c), (d), and (e) as subsections (b), (c), and (d), respectively.</content>
                    </subsection>
                </section>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tI/stA/s1004" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1004">SEC. 1004. </num><heading style="-uslm-dtd:header">INCOME DEFINITIONS. </heading>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stA/s1004/a" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Modified Adjusted Gross Income.—</heading>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stA/s1004/a/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">The following provisions of the Internal Revenue Code of 1986 are each amended by striking “<quotedText style="-uslm-dtd:quote">modified gross</quotedText>” each place it appears and inserting “<quotedText style="-uslm-dtd:quote">modified adjusted gross</quotedText>”:</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stA/s1004/a/1/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">Clauses (i) and (ii) of section 36B(d)(2)(A), as added by section 1401 of the Patient Protection and Affordable Care Act.</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stA/s1004/a/1/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">Section 6103(l)(21)(A)(iv), as added by section 1414 of such Act.</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stA/s1004/a/1/C" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">Clauses (i) and (ii) of section 5000A(c)(4), as added by section 1501(b) of such Act.</content>
                            </subparagraph>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stA/s1004/a/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Definition.—</heading>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stA/s1004/a/2/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">Section 36B(d)(2)(B) of such Code, as so added, is amended to read as follows:<quotedContent style="-uslm-dtd:quoted-block">
                                <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="B">“(B) </num><heading style="-uslm-dtd:header">Modified adjusted gross income.—</heading><chapeau style="-uslm-dtd:text">The term ‘<quotedText style="-uslm-dtd:quote">modified adjusted gross income</quotedText>’ means adjusted gross income increased by—</chapeau>
                                    <clause style="-uslm-dtd:clause" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">any amount excluded from gross income under section 911, and</content>
                                    </clause>
                                    <clause style="-uslm-dtd:clause" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">any amount of interest received or accrued by the taxpayer during the taxable year which is exempt from tax.”</content>
                                    </clause>
                                </subparagraph></quotedContent>.</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stA/s1004/a/2/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">Section 5000A(c)(4)(C) of such Code, as so added, is amended to read as follows:<quotedContent style="-uslm-dtd:quoted-block">
                                <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="C">“(C) </num><heading style="-uslm-dtd:header">Modified adjusted gross income.—</heading><chapeau style="-uslm-dtd:text">The term ‘<quotedText style="-uslm-dtd:quote">modified adjusted gross income</quotedText>’ means adjusted gross income increased by—</chapeau>
                                    <clause style="-uslm-dtd:clause" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">any amount excluded from gross income under section 911, and</content>
                                    </clause>
                                    <clause style="-uslm-dtd:clause" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">any amount of interest received or accrued by the taxpayer during the taxable year which is exempt from tax.”</content>
                                    </clause>
                                </subparagraph></quotedContent>.</content>
                            </subparagraph>
                        </paragraph>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stA/s1004/b" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Modified Adjusted Gross Income Definition.—</heading>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stA/s1004/b/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Medicaid.—</heading><chapeau style="-uslm-dtd:text">Section 1902 of the Social Security Act (42 U.S.C. 1396a) is amended by striking “<quotedText style="-uslm-dtd:quote">modified gross income</quotedText>” each place it appears in the text and headings of the following provisions and inserting “<quotedText style="-uslm-dtd:quote">modified adjusted gross income</quotedText>”:</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stA/s1004/b/1/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">Paragraph (14) of subsection (e), as added by section 2002(a) of the Patient Protection and Affordable Care Act.</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stA/s1004/b/1/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">Subsection (gg)(4)(A), as added by section 2001(b) of such Act.</content>
                            </subparagraph>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stA/s1004/b/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Chip.—</heading>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stA/s1004/b/2/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">State plan requirements.—</heading><content style="-uslm-dtd:text">Section 2102(b)(1)(B)(v) of the Social Security Act (42 U.S.C. 1397bb(b)(1)(B)(v)), as added by section 2101(d)(1) of the Patient Protection and Affordable Care Act, is amended by striking “<quotedText style="-uslm-dtd:quote">modified gross income</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">modified adjusted gross income</quotedText>”.</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stA/s1004/b/2/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">Plan administration.—</heading><content style="-uslm-dtd:text">Section 2107(e)(1)(E) of the Social Security Act (42 U.S.C. 1397gg(e)(1)(E)), as added by section 2101(d)(2) of the Patient Protection and Affordable Care Act, is amended by striking “<quotedText style="-uslm-dtd:quote">modified gross income</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">modified adjusted gross income</quotedText>”.</content>
                            </subparagraph>
                        </paragraph>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stA/s1004/c" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">No Excess Payments.—</heading><content style="-uslm-dtd:text">Section 36B(f) of the Internal Revenue Code of 1986, as added by section 1401(a) of the Patient Protection and Affordable Care Act, is amended by adding at the end the following new paragraph:<quotedContent style="-uslm-dtd:quoted-block">
                        <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="3">“(3) </num><heading style="-uslm-dtd:header">Information requirement.—</heading><chapeau style="-uslm-dtd:text">Each Exchange (or any person carrying out 1 or more responsibilities of an Exchange under section 1311(f)(3) or 1321(c) of the Patient Protection and Affordable Care Act) shall provide the following information to the Secretary and to the taxpayer with respect to any health plan provided through the Exchange:</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">The level of coverage described in section 1302(d) of the Patient Protection and Affordable Care Act and the period such coverage was in effect.</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">The total premium for the coverage without regard to the credit under this section or cost-sharing reductions under section 1402 of such Act.</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="C">“(C) </num><content style="-uslm-dtd:text">The aggregate amount of any advance payment of such credit or reductions under section 1412 of such Act.</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="D">“(D) </num><content style="-uslm-dtd:text">The name, address, and TIN of the primary insured and the name and TIN of each other individual obtaining coverage under the policy.</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="E">“(E) </num><content style="-uslm-dtd:text">Any information provided to the Exchange, including any change of circumstances, necessary to determine eligibility for, and the amount of, such credit.</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="F">“(F) </num><content style="-uslm-dtd:text">Information necessary to determine whether a taxpayer has received excess advance payments.”</content>
                            </subparagraph>
                        </paragraph></quotedContent>.</content>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stA/s1004/d" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Adult Dependents.—</heading>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stA/s1004/d/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t26/s105">26 U.S.C. 105</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">Exclusion of amounts expended for medical care.—</heading><chapeau style="-uslm-dtd:text">The first sentence of section 105(b) of the Internal Revenue Code of 1986 (relating to amounts expended for medical care) is amended—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stA/s1004/d/1/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">and his dependents</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">his dependents</quotedText>”; and</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stA/s1004/d/1/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by inserting before the period the following: “<quotedText style="-uslm-dtd:quote">, and any child (as defined in section 152(f)(1)) of the taxpayer who as of the end of the taxable year has not attained age 27</quotedText>”.</content>
                            </subparagraph>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stA/s1004/d/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t26/s162">26 U.S.C. 162</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">Self-employed health insurance deduction.—</heading><content style="-uslm-dtd:text">Section 162(l)(1) of such Code is amended to read as follows:<quotedContent style="-uslm-dtd:quoted-block">
                            <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">Allowance of deduction.—</heading><chapeau style="-uslm-dtd:text">In the case of a taxpayer who is an employee within the meaning of section 401(c)(1), there shall be allowed as a deduction under this section an amount equal to the amount paid during the taxable year for insurance which constitutes medical care for—</chapeau>
                                <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">the taxpayer,</content>
                                </subparagraph>
                                <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">the taxpayer’s spouse,</content>
                                </subparagraph>
                                <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="C">“(C) </num><content style="-uslm-dtd:text">the taxpayer’s dependents, and</content>
                                </subparagraph>
                                <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="D">“(D) </num><content style="-uslm-dtd:text">any child (as defined in section 152(f)(1)) of the taxpayer who as of the end of the taxable year has not attained age 27.”</content>
                                </subparagraph>
                            </paragraph></quotedContent>.</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stA/s1004/d/3" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Coverage under self-employed deduction.—</heading><content style="-uslm-dtd:text">Section 162(l)(2)(B) of such Code is amended by inserting “<quotedText style="-uslm-dtd:quote">, or any dependent, or individual described in subparagraph (D) of paragraph (1) with respect to,</quotedText>” after “<quotedText style="-uslm-dtd:quote">spouse of</quotedText>”.</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stA/s1004/d/4" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="4">(4) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t26/s501">26 U.S.C. 501</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">Sick and accident benefits provided to members of a voluntary employees’ beneficiary association and  their dependents.—</heading><content style="-uslm-dtd:text">Section 501(c)(9) of such Code is amended by adding at the end the following new sentence: “<quotedText style="-uslm-dtd:quote">For purposes of providing for the payment of sick and accident benefits to members of such an association and their dependents, the term ‘<quotedText style="-uslm-dtd:quote">dependent</quotedText>’ shall include any individual who is a child (as defined in section 152(f)(1)) of a member who as of the end of the calendar year has not attained age 27.</quotedText>”.</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stA/s1004/d/5" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="5">(5) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t26/s401">26 U.S.C. 401</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">Medical and other benefits for retired employees.—</heading><content style="-uslm-dtd:text">Section 401(h) of such Code is amended by adding at the end the following: “<quotedText style="-uslm-dtd:quote">For purposes of this subsection, the term ‘<quotedText style="-uslm-dtd:quote">dependent</quotedText>’ shall include any individual who is a child (as defined in section 152(f)(1)) of a retired employee who as of the end of the calendar year has not attained age 27.</quotedText>”.</content>
                        </paragraph>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stA/s1004/e" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="e">(e) </num><heading style="-uslm-dtd:header">Five Percent Income Disregard for Certain Individuals.—</heading><chapeau style="-uslm-dtd:text">Section 1902(e)(14) of the Social Security Act (42 U.S.C. 1396a(e)(14)), as amended by subsection (b)(1), is further amended—</chapeau>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stA/s1004/e/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">in subparagraph (B), by striking “<quotedText style="-uslm-dtd:quote">No type</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">Subject to subparagraph (I), no type</quotedText>”; and</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stA/s1004/e/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">by adding at the end the following new subparagraph:<quotedContent style="-uslm-dtd:quoted-block">
                            <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="I">“(I) </num><heading style="-uslm-dtd:header">Treatment of portion of modified adjusted gross income.—</heading><chapeau style="-uslm-dtd:text">For purposes of determining the income eligibility of an individual for medical assistance whose eligibility is determined based on the application of modified adjusted gross income under subparagraph (A), the State shall—</chapeau>
                                <clause style="-uslm-dtd:clause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">determine the dollar equivalent of the difference between the upper income limit on eligibility for such an individual (expressed as a percentage of the poverty line) and such upper income limit increased by 5 percentage points; and</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">notwithstanding the requirement in subparagraph (A) with respect to use of modified adjusted gross income, utilize as the applicable income of such individual, in determining such income eligibility, an amount equal to the modified adjusted gross income applicable to such individual reduced by such dollar equivalent amount.”</content>
                                </clause>
                            </subparagraph></quotedContent>.</content>
                        </paragraph>
                    </subsection>
                </section>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tI/stA/s1005" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1005">SEC. 1005. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t42/s18121">42 U.S.C. 18121</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">IMPLEMENTATION FUNDING. </heading>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stA/s1005/a" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">There is hereby established a Health Insurance Reform Implementation Fund (referred to in this section as the “<quotedText style="-uslm-dtd:quote">Fund</quotedText>”) within the Department of Health and Human Services to carry out the Patient Protection and Affordable Care Act and this Act (and the amendments made by such Acts).</content>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stA/s1005/b" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Funding.—</heading><content style="-uslm-dtd:text">There is appropriated to the Fund, out of any funds in the Treasury not otherwise appropriated, $1,000,000,000 for Federal administrative expenses to carry out such Act<ref style="-uslm-dtd:footnote-ref" idref="IDEB8EA1871C0D410CA6BD36527F86776C" class="footnoteRef">1</ref> (and the amendments made by such Acts).</content><footnote id="IDEB8EA1871C0D410CA6BD36527F86776C" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">1</sup><p style="-uslm-dtd:para; margin-left:1em">So in original. Probably should be “<quotedText style="-uslm-dtd:quote">Acts</quotedText>”. </p></footnote>
                    </subsection>
                </section>
            </subtitle>
            <subtitle style="-uslm-dtd:subtitle" identifier="/us/sComp/111/152/tI/stB" styleType="OLC">
                <num style="-uslm-dtd:enum" value="B">Subtitle B—</num><heading style="-uslm-dtd:header">Medicare </heading>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tI/stB/s1101" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1101">SEC. 1101. </num><heading style="-uslm-dtd:header">CLOSING THE MEDICARE PRESCRIPTION DRUG “<quotedText style="-uslm-dtd:quote">DONUT HOLE</quotedText>”. </heading>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stB/s1101/a" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Coverage Gap Rebate for 2010.—</heading>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1101/a/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">Section 1860D-42 of the Social Security Act (42 U.S.C. 1395w-152) is amended by adding at the end the following new subsection:<quotedContent style="-uslm-dtd:quoted-block">
                            <subsection style="-uslm-dtd:subsection" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="c">“(c) </num><heading style="-uslm-dtd:header">Coverage Gap Rebate for 2010.—</heading>
                                <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">In the case of an individual described in subparagraphs (A) through (D) of section 1860D-14A(g)(1) who as of the last day of a calendar quarter in 2010 has incurred costs for covered part D drugs so that the individual has exceeded the initial coverage limit under section 1860D-2(b)(3) for 2010, the Secretary shall provide for payment from the Medicare Prescription Drug Account of $250 to the individual by not later than the 15th day of the third month following the end of such quarter.</content>
                                </paragraph>
                                <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Limitation.—</heading><content style="-uslm-dtd:text">The Secretary shall provide only 1 payment under this subsection with respect to any individual.”</content>
                                </paragraph>
                            </subsection></quotedContent>.</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1101/a/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Repeal of provision.—</heading><content style="-uslm-dtd:text">Section 3315 of the Patient Protection and Affordable Care Act (including the amendments made by such section) is repealed, and any provision of law amended or repealed by such sections is hereby restored or revived as if such section had not been enacted into law.</content>
                        </paragraph>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stB/s1101/b" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Closing the Donut Hole.—</heading><chapeau style="-uslm-dtd:text">Part D of title XVIII of the Social Security Act (42 U.S.C. 1395w-101 et seq.), as amended by section 3301 of the Patient Protection and Affordable Care Act, is further amended—</chapeau>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1101/b/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">in section 1860D-43—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1101/b/1/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in subsection (b), by striking “<quotedText style="-uslm-dtd:quote">July 1, 2010</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">January 1, 2011</quotedText>”; and</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1101/b/1/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">in subsection (c)(2), by striking “<quotedText style="-uslm-dtd:quote">July 1, 2010, and ending on December 31, 2010,</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">January 1, 2011, and December 31, 2011,</quotedText>”;</content>
                            </subparagraph>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1101/b/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">in section 1860D-14A—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1101/b/2/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><chapeau style="-uslm-dtd:text">in subsection (a)—</chapeau>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stB/s1101/b/2/A/i" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">July 1, 2010</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">January 1, 2011</quotedText>”; and</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stB/s1101/b/2/A/ii" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">April 1, 2010</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">180 days after the date of the enactment of this section</quotedText>”;</content>
                                </clause>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1101/b/2/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><chapeau style="-uslm-dtd:text">in subsection (b)(1)(C)—</chapeau>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stB/s1101/b/2/B/i" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">in the heading, by striking “<quotedText style="-uslm-dtd:quote"><headingText style="-uslm-dtd:header-in-text">2010 and</headingText></quotedText>”;</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stB/s1101/b/2/B/ii" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">July 1, 2010</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">January 1, 2011</quotedText>”; and</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stB/s1101/b/2/B/iii" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">May 1, 2010</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">not later than 30 days after the date of the establishment of a model agreement under subsection (a)</quotedText>”;</content>
                                </clause>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1101/b/2/C" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="C">(C) </num><chapeau style="-uslm-dtd:text">in subsection (c)—</chapeau>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stB/s1101/b/2/C/i" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">in paragraph (1)(A)(iii), by striking “<quotedText style="-uslm-dtd:quote">July 1, 2010, and ending on December 31, 2011</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">January 1, 2011, and ending on December 31, 2011</quotedText>”; and</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stB/s1101/b/2/C/ii" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">in paragraph (2), by striking “<quotedText style="-uslm-dtd:quote">2010</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">2011</quotedText>”;</content>
                                </clause>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1101/b/2/D" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">in subsection (d)(2)(B), by striking “<quotedText style="-uslm-dtd:quote">July 1, 2010, and ending on December 31, 2010</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">January 1, 2011, and ending on December 31, 2011</quotedText>”; and</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1101/b/2/E" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="E">(E) </num><chapeau style="-uslm-dtd:text">in subsection (g)(1)—</chapeau>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stB/s1101/b/2/E/i" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">in the matter before subparagraph (A), by striking “<quotedText style="-uslm-dtd:quote">an applicable drug</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">a covered part D drug</quotedText>”;</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stB/s1101/b/2/E/ii" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">by adding “<quotedText style="-uslm-dtd:quote">and</quotedText>” at the end of subparagraph (C);</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stB/s1101/b/2/E/iii" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">by striking subparagraph (D); and</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stB/s1101/b/2/E/iv" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="iv">(iv) </num><content style="-uslm-dtd:text">by redesignating subparagraph (E) as subparagraph (D); and</content>
                                </clause>
                            </subparagraph>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1101/b/3" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="3">(3) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t42/s1395w-102">42 U.S.C. 1395w-102</ref><b>]</b> </editorialNote><chapeau style="-uslm-dtd:text">in section 1860D-2(b)—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1101/b/3/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in paragraph (2)(A), by striking “<quotedText style="-uslm-dtd:quote">The coverage</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">Subject to subparagraphs (C) and (D), the coverage</quotedText>”;</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1101/b/3/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">in paragraph (2)(B), by striking “<quotedText style="-uslm-dtd:quote">subparagraph (A)(ii)</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">subparagraphs (A)(ii), (C), and (D)</quotedText>”;</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1101/b/3/C" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">by adding at the end of paragraph (2) the following new subparagraphs:<quotedContent style="-uslm-dtd:quoted-block">
                                <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="C">“(C) </num><heading style="-uslm-dtd:header">Coverage for generic drugs in coverage gap.—</heading>
                                    <clause style="-uslm-dtd:clause" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="i">“(i) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">Except as provided in paragraph (4), the coverage for an applicable beneficiary (as defined in section 1860D-14A(g)(1)) has coinsurance (for costs above the initial coverage limit under paragraph (3) and below the out-of-pocket threshold) for covered part D drugs that are not applicable drugs under section 1860D-14A(g)(2) that is—</chapeau>
                                        <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">equal to the generic-gap coinsurance percentage (specified in clause (ii)) for the year; or</content>
                                        </subclause>
                                        <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">actuarially equivalent (using processes and methods established under section 1860D-11(c)) to an average expected payment of such percentage of such costs for covered part D drugs that are not applicable drugs under section 1860D-14A(g)(2).</content>
                                        </subclause>
                                    </clause>
                                    <clause style="-uslm-dtd:clause" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="ii">“(ii) </num><heading style="-uslm-dtd:header">Generic-gap coinsurance percentage.—</heading><chapeau style="-uslm-dtd:text">The generic-gap coinsurance percentage specified in this clause for—</chapeau>
                                        <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">2011 is 93 percent;</content>
                                        </subclause>
                                        <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">2012 and each succeeding year before 2020 is the generic-gap coinsurance percentage under this clause for the previous year decreased by 7 percentage points; and</content>
                                        </subclause>
                                        <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="III">“(III) </num><content style="-uslm-dtd:text">2020 and each subsequent year is 25 percent.</content>
                                        </subclause>
                                    </clause>
                                </subparagraph>
                                <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="D">“(D) </num><heading style="-uslm-dtd:header">Coverage for applicable drugs in coverage gap.—</heading>
                                    <clause style="-uslm-dtd:clause" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="i">“(i) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">Except as provided in paragraph (4), the coverage for an applicable beneficiary (as defined in section 1860D-14A(g)(1)) has coinsurance (for costs above the initial coverage limit under paragraph (3) and below the out-of-pocket threshold) for the negotiated price (as defined in section 1860D-14A(g)(6)) of covered part D drugs that are applicable drugs under section 1860D-14A(g)(2) that is—</chapeau>
                                        <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">equal to the difference between the applicable gap percentage (specified in clause (ii) for the year) and the discount percentage specified in section 1860D-14A(g)(4)(A) for such applicable drugs; or</content>
                                        </subclause>
                                        <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">actuarially equivalent (using processes and methods established under section 1860D-11(c)) to an average expected payment of such percentage of such costs, for covered part D drugs that are applicable drugs under section 1860D-14A(g)(2).</content>
                                        </subclause>
                                    </clause>
                                    <clause style="-uslm-dtd:clause" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="ii">“(ii) </num><heading style="-uslm-dtd:header">Applicable gap percentage.—</heading><chapeau style="-uslm-dtd:text">The applicable gap percentage specified in this clause for—</chapeau>
                                        <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">2013 and 2014 is 97.5 percent;</content>
                                        </subclause>
                                        <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">2015 and 2016 is 95 percent;</content>
                                        </subclause>
                                        <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="III">“(III) </num><content style="-uslm-dtd:text">2017 is 90 percent;</content>
                                        </subclause>
                                        <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="IV">“(IV) </num><content style="-uslm-dtd:text">2018 is 85 percent;</content>
                                        </subclause>
                                        <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="V">“(V) </num><content style="-uslm-dtd:text">2019 is 80 percent; and</content>
                                        </subclause>
                                        <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="VI">“(VI) </num><content style="-uslm-dtd:text">2020 and each subsequent year is 75 percent.”</content>
                                        </subclause>
                                    </clause>
                                </subparagraph></quotedContent>;</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1101/b/3/D" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">in paragraph (3)(A), as restored under subsection (a)(2), by striking “<quotedText style="-uslm-dtd:quote">paragraph (4)</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">paragraphs (2)(C), (2)(D), and (4)</quotedText>”; and</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1101/b/3/E" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">in paragraph (4)(E), by inserting before the period at the end the following: “<quotedText style="-uslm-dtd:quote">, except that incurred costs shall not include the portion of the negotiated price that represents the reduction in coinsurance resulting from the application of paragraph (2)(D)</quotedText>”; and</content>
                            </subparagraph>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1101/b/4" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="4">(4) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t42/s1395w-132">42 U.S.C. 1395w-132</ref><b>]</b> </editorialNote><content style="-uslm-dtd:text">in section 1860D-22(a)(2)(A), by inserting before the period at the end the following: “<quotedText style="-uslm-dtd:quote">, not taking into account the value of any discount or coverage provided during the gap in prescription drug coverage that occurs between the initial coverage limit under section 1860D-2(b)(3) during the year and the out-of-pocket threshold specified in section 1860D-2(b)(4)(B)</quotedText>”.</content>
                        </paragraph>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stB/s1101/c" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Conforming Amendment to AMP Under Medicaid.—</heading><chapeau style="-uslm-dtd:text">Section 1927(k)(1)(B)(i) of the Social Security Act (42 U.S.C. 1396r-8(k)(1)(B)(i)), as amended by section 2503(a)(2)(B) of the Patient Protection and Affordable Care Act, is amended—</chapeau>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1101/c/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">and</quotedText>” at the end of subclause (III);</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1101/c/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">by striking the period at the end of subclause (IV); and</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1101/c/3" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">by adding at the end the following new subclause:<quotedContent style="-uslm-dtd:quoted-block">
                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="V">“(V) </num><content style="-uslm-dtd:text">discounts provided by manufacturers under section 1860D-14A.”</content>
                            </subclause></quotedContent>.</content>
                        </paragraph>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stB/s1101/d" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Reducing Growth Rate of Out-of-pocket Cost Threshold.—</heading><chapeau style="-uslm-dtd:text">Section 1860D-2(b) of the Social Security Act (42 U.S.C. 1395w-102(b)) is amended—</chapeau>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1101/d/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">in paragraph (4)(B)(i)—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1101/d/1/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in subclause (I), by striking “<quotedText style="-uslm-dtd:quote">or</quotedText>” at the end;</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1101/d/1/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by redesignating subclause (II) as subclause (VI); and</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1101/d/1/C" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">by inserting after subclause (I) the following new subclauses:<quotedContent style="-uslm-dtd:quoted-block">
                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">for each of years 2007 through 2013, is equal to the amount specified in this subparagraph for the previous year, increased by the annual percentage increase described in paragraph (6) for the year involved;</content>
                                </subclause>
                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="III">“(III) </num><content style="-uslm-dtd:text">for 2014 and 2015, is equal to the amount specified in this subparagraph for the previous year, increased by the annual percentage increase  described in paragraph (6) for the year involved, minus 0.25 percentage point;</content>
                                </subclause>
                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="IV">“(IV) </num><chapeau style="-uslm-dtd:text">for each of years 2016 through 2019, is equal to the amount specified in this subparagraph for the previous year, increased by the lesser of—</chapeau>
                                    <item style="-uslm-dtd:item" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="aa">“(aa) </num><content style="-uslm-dtd:text">the annual percentage increase described in paragraph (7) for the year involved, plus 2 percentage points; or</content>
                                    </item>
                                    <item style="-uslm-dtd:item" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="bb">“(bb) </num><content style="-uslm-dtd:text">the annual percentage increase described in paragraph (6) for the year;</content>
                                    </item>
                                </subclause>
                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="V">“(V) </num><content style="-uslm-dtd:text">for 2020, is equal to the amount that would have been applied under this subparagraph for 2020 if the amendments made by section 1101(d)(1) of the Health Care and Education Reconciliation Act of 2010 had not been enacted; or”</content>
                                </subclause></quotedContent>; and</content>
                            </subparagraph>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1101/d/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">by adding at the end the following new paragraph:<quotedContent style="-uslm-dtd:quoted-block">
                            <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="7">“(7) </num><heading style="-uslm-dtd:header">Additional annual percentage increase.—</heading><content style="-uslm-dtd:text">The annual percentage increase specified in this paragraph for a year is equal to the annual percentage increase in the consumer price index for all urban consumers (United States city average) for the 12-month period ending in July of the previous year.”</content>
                            </paragraph></quotedContent>.</content>
                        </paragraph>
                    </subsection>
                </section>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tI/stB/s1102" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1102">SEC. 1102. </num><heading style="-uslm-dtd:header">MEDICARE ADVANTAGE PAYMENTS. </heading>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stB/s1102/a" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="a">(a) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t42/s1395w-21">42 U.S.C. 1395w-21</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">Repeal.—</heading><content style="-uslm-dtd:text">Effective as if included in the enactment of the Patient Protection and Affordable Care Act, sections 3201 and 3203 of such Act (and the amendments made by such sections) are repealed.</content>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stB/s1102/b" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Phase-in of Modified Benchmarks.—</heading><chapeau style="-uslm-dtd:text">Section 1853 of the Social Security Act (42 U.S.C. 1395w-23) is amended—</chapeau>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1102/b/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">in subsection (j)(1)(A), by striking “<quotedText style="-uslm-dtd:quote">(or, beginning with 2007, 1⁄12 of the applicable amount determined under subsection (k)(1)) for the area for the year</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">for the area for the year (or, for 2007, 2008, 2009, and 2010, 1⁄12 of the applicable amount determined under subsection (k)(1) for the area for the year; for 2011, 1⁄12 of the applicable amount determined under subsection (k)(1) for the area for 2010; and, beginning with 2012, 1⁄12 of the blended benchmark amount determined under subsection (n)(1) for the area for the year)</quotedText>”; and</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1102/b/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">by adding at the end the following new subsection:<quotedContent style="-uslm-dtd:quoted-block">
                            <subsection style="-uslm-dtd:subsection" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="n">“(n) </num><heading style="-uslm-dtd:header">Determination of Blended Benchmark Amount.—</heading>
                                <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">For purposes of subsection (j), subject to paragraphs (3), (4), and (5), the term ‘<quotedText style="-uslm-dtd:quote">blended benchmark amount</quotedText>’ means for an area—</chapeau>
                                    <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="A">“(A) </num><chapeau style="-uslm-dtd:text">for 2012 the sum of—</chapeau>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">
½ of the applicable amount for the area and year; and</content>
                                        </clause>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">
½ of the amount specified in paragraph (2)(A) for the area and year; and</content>
                                        </clause>
                                    </subparagraph>
                                    <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">for a subsequent year the amount specified in paragraph (2)(A) for the area and year.</content>
                                    </subparagraph>
                                </paragraph>
                                <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Specified amount.—</heading>
                                    <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="A">“(A) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">The amount specified in this subparagraph for an area and year is the product of—</chapeau>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">the base payment amount specified in subparagraph (E) for the area and year adjusted to take into  account the phase-out in the indirect costs of medical education from capitation rates described in subsection (k)(4); and</content>
                                        </clause>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">the applicable percentage for the area for the year specified under subparagraph (B).</content>
                                        </clause>
                                    </subparagraph>
                                    <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="B">“(B) </num><heading style="-uslm-dtd:header">Applicable percentage.—</heading><chapeau style="-uslm-dtd:text">Subject to subparagraph (D), the applicable percentage specified in this subparagraph for an area for a year in the case of an area that is ranked—</chapeau>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">in the highest quartile under subparagraph (C) for the previous year is 95 percent;</content>
                                        </clause>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">in the second highest quartile under such subparagraph for the previous year is 100 percent;</content>
                                        </clause>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="iii">“(iii) </num><content style="-uslm-dtd:text">in the third highest quartile under such subparagraph for the previous year is 107.5 percent; or</content>
                                        </clause>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="iv">“(iv) </num><content style="-uslm-dtd:text">in the lowest quartile under such subparagraph for the previous year is 115 percent.</content>
                                        </clause>
                                    </subparagraph>
                                    <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="C">“(C) </num><heading style="-uslm-dtd:header">Periodic ranking.—</heading><chapeau style="-uslm-dtd:text">For purposes of this paragraph in the case of an area located—</chapeau>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">in 1 of the 50 States or the District of Columbia, the Secretary shall rank such area in each year specified under subsection (c)(1)(D)(ii) based upon the level of the amount specified in subparagraph (A)(i) for such areas; or</content>
                                        </clause>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">in a territory, the Secretary shall rank such areas in each such year based upon the level of the amount specified in subparagraph (A)(i) for such area relative to quartile rankings computed under clause (i).</content>
                                        </clause>
                                    </subparagraph>
                                    <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="D">“(D) </num><heading style="-uslm-dtd:header">
<inline style="-uslm-dtd:enum-in-header">1-year</inline> transition for changes in applicable percentage.—</heading><chapeau style="-uslm-dtd:text">If, for a year after 2012, there is a change in the quartile in which an area is ranked compared to the previous year, the applicable percentage for the area in the year shall be the average of—</chapeau>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">the applicable percentage for the area for the previous year; and</content>
                                        </clause>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">the applicable percentage that would otherwise apply for the area for the year.</content>
                                        </clause>
                                    </subparagraph>
                                    <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="E">“(E) </num><heading style="-uslm-dtd:header">Base payment amount.—</heading><chapeau style="-uslm-dtd:text">Subject to subparagraph (F), the base payment amount specified in this subparagraph—</chapeau>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">for 2012 is the amount specified in subsection (c)(1)(D) for the area for the year; or</content>
                                        </clause>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="ii">“(ii) </num><chapeau style="-uslm-dtd:text">for a subsequent year that—</chapeau>
                                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">is not specified under subsection (c)(1)(D)(ii), is the base amount specified in this subparagraph for the area for the previous year, increased by the national per capita MA growth percentage, described in subsection (c)(6) for that succeeding year, but not taking into account any adjustment under subparagraph (C) of such subsection for a year before 2004; and</content>
                                            </subclause>
                                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">is specified under subsection (c)(1)(D)(ii), is the amount specified in subsection (c)(1)(D) for the area for the year.</content>
                                            </subclause>
                                        </clause>
                                    </subparagraph>
                                    <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="F">“(F) </num><heading style="-uslm-dtd:header">Application of indirect medical education phase-out.—</heading><content style="-uslm-dtd:text">The base payment amount specified in subparagraph (E) for a year shall be adjusted in the same manner under paragraph (4) of subsection (k) as the applicable amount is adjusted under such subsection.</content>
                                    </subparagraph>
                                </paragraph>
                                <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="3">“(3) </num><heading style="-uslm-dtd:header">Alternative phase-ins.—</heading>
                                    <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="A">“(A) </num><heading style="-uslm-dtd:header">
<inline style="-uslm-dtd:enum-in-header">4-year</inline> phase-in for certain areas.—</heading><chapeau style="-uslm-dtd:text">If the difference between the applicable amount (as defined in subsection (k)) for an area for 2010 and the projected 2010 benchmark amount (as defined in subparagraph (C)) for the area is at least $30 but less than $50, the blended benchmark amount for the area is—</chapeau>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="i">“(i) </num><chapeau style="-uslm-dtd:text">for 2012 the sum of—</chapeau>
                                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">
¾ of the applicable amount for the area and year; and</content>
                                            </subclause>
                                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">
¼ of the amount specified in paragraph (2)(A) for the area and year;</content>
                                            </subclause>
                                        </clause>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="ii">“(ii) </num><chapeau style="-uslm-dtd:text">for 2013 the sum of—</chapeau>
                                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">
½ of the applicable amount for the area and year; and</content>
                                            </subclause>
                                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">
½ of the amount specified in paragraph (2)(A) for the area and year;</content>
                                            </subclause>
                                        </clause>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="iii">“(iii) </num><chapeau style="-uslm-dtd:text">for 2014 the sum of—</chapeau>
                                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">
¼ of the applicable amount for the area and year; and</content>
                                            </subclause>
                                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">
¾ of the amount specified in paragraph (2)(A) for the area and year; and</content>
                                            </subclause>
                                        </clause>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="iv">“(iv) </num><content style="-uslm-dtd:text">for a subsequent year the amount specified in paragraph (2)(A) for the area and year.</content>
                                        </clause>
                                    </subparagraph>
                                    <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="B">“(B) </num><heading style="-uslm-dtd:header">
<inline style="-uslm-dtd:enum-in-header">6-year</inline> phase-in for certain areas.—</heading><chapeau style="-uslm-dtd:text">If the difference between the applicable amount (as defined in subsection (k)) for an area for 2010 and the projected 2010 benchmark amount (as defined in subparagraph (C)) for the area is at least $50, the blended benchmark amount for the area is—</chapeau>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="i">“(i) </num><chapeau style="-uslm-dtd:text">for 2012 the sum of—</chapeau>
                                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">
⅚ of the applicable amount for the area and year; and</content>
                                            </subclause>
                                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">
⅙ of the amount specified in paragraph (2)(A) for the area and year;</content>
                                            </subclause>
                                        </clause>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="ii">“(ii) </num><chapeau style="-uslm-dtd:text">for 2013 the sum of—</chapeau>
                                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">
⅔ of the applicable amount for the area and year; and</content>
                                            </subclause>
                                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">
⅓ of the amount specified in paragraph (2)(A) for the area and year;</content>
                                            </subclause>
                                        </clause>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="iii">“(iii) </num><chapeau style="-uslm-dtd:text">for 2014 the sum of—</chapeau>
                                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">
½ of the applicable amount for the area and year; and</content>
                                            </subclause>
                                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">
½ of the amount specified in paragraph (2)(A) for the area and year;</content>
                                            </subclause>
                                        </clause>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="iv">“(iv) </num><chapeau style="-uslm-dtd:text">for 2015 the sum of—</chapeau>
                                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">
⅓ of the applicable amount for the area and year; and</content>
                                            </subclause>
                                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">
⅔ of the amount specified in paragraph (2)(A) for the area and year; and</content>
                                            </subclause>
                                        </clause>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="v">“(v) </num><chapeau style="-uslm-dtd:text">for 2016 the sum of—</chapeau>
                                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">
⅙ of the applicable amount for the area and year; and</content>
                                            </subclause>
                                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">
⅚ of the amount specified in paragraph (2)(A) for the area and year; and</content>
                                            </subclause>
                                        </clause>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="vi">“(vi) </num><content style="-uslm-dtd:text">for a subsequent year the amount specified in paragraph (2)(A) for the area and year.</content>
                                        </clause>
                                    </subparagraph>
                                    <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="C">“(C) </num><heading style="-uslm-dtd:header">Projected 2010 benchmark amount.—</heading><chapeau style="-uslm-dtd:text">The projected 2010 benchmark amount described in this subparagraph for an area is equal to the sum of—</chapeau>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">
½ of the applicable amount (as defined in subsection (k)) for the area for 2010; and</content>
                                        </clause>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="ii">“(ii) </num><chapeau style="-uslm-dtd:text">
½ of the amount specified in paragraph (2)(A) for the area for 2010 but determined as if there were substituted for the applicable percentage specified in clause (ii) of such paragraph the sum of—</chapeau>
                                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">the applicable percent that would be specified under subparagraph (B) of paragraph (2) (determined without regard to subparagraph (D) of such paragraph) for the area for 2010 if any reference in such paragraph to ‘<quotedText style="-uslm-dtd:quote">the previous year</quotedText>’ were deemed a reference to 2010; and</content>
                                            </subclause>
                                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">the applicable percentage increase that would apply to a qualifying plan in the area under subsection (o) as if any reference in such subsection to 2012 were deemed a reference to 2010 and as if the determination of a qualifying county under paragraph (3)(B) of such subsection were made for 2010.</content>
                                            </subclause>
                                        </clause>
                                    </subparagraph>
                                </paragraph>
                                <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="4">“(4) </num><heading style="-uslm-dtd:header">Cap on benchmark amount.—</heading><content style="-uslm-dtd:text">In no case shall the blended benchmark amount for an area for a year (determined taking into account subsection (o)) be greater than the applicable amount that would (but for the application of this subsection) be determined under subsection (k)(1) for the area for the year.</content>
                                </paragraph>
                                <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="5">“(5) </num><heading style="-uslm-dtd:header">Non-application to pace plans.—</heading><content style="-uslm-dtd:text">This subsection shall not apply to payments to a PACE program under section 1894.”</content>
                                </paragraph>
                            </subsection></quotedContent>.</content>
                        </paragraph>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stB/s1102/c" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Applicable Percentage Quality Increases.—</heading><chapeau style="-uslm-dtd:text">Section 1853 of such Act (42 U.S.C. 1395w-23), as amended by subsection (b), is amended—</chapeau>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1102/c/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">in subsection (j), by inserting “<quotedText style="-uslm-dtd:quote">subject to subsection (o),</quotedText>” after “<quotedText style="-uslm-dtd:quote">For purposes of this part,</quotedText>”;</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1102/c/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">in subsection (n)(2)(B), as added by subsection (b), by inserting “<quotedText style="-uslm-dtd:quote">, subject to subsection (o)</quotedText>” after “<quotedText style="-uslm-dtd:quote">as follows</quotedText>”; and</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1102/c/3" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">by adding at the end the following new subsection:<quotedContent style="-uslm-dtd:quoted-block">
                            <subsection style="-uslm-dtd:subsection" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="o">“(o) </num><heading style="-uslm-dtd:header">Applicable Percentage Quality Increases.—</heading>
                                <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">Subject to the succeeding paragraphs, in the case of a qualifying plan with respect to a year beginning with 2012, the applicable percentage under subsection (n)(2)(B) shall be increased on a plan or contract level, as determined by the Secretary—</chapeau>
                                    <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">for 2012, by 1.5 percentage points;</content>
                                    </subparagraph>
                                    <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">for 2013, by 3.0 percentage points; and</content>
                                    </subparagraph>
                                    <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="C">“(C) </num><content style="-uslm-dtd:text">for 2014 or a subsequent year, by 5.0 percentage points.</content>
                                    </subparagraph>
                                </paragraph>
                                <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Increase for qualifying plans in qualifying counties.—</heading><content style="-uslm-dtd:text">The increase applied under paragraph (1) for a qualifying plan located in a qualifying county for a year shall be doubled.</content>
                                </paragraph>
                                <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="3">“(3) </num><heading style="-uslm-dtd:header">Qualifying plans and qualifying county defined; application of increases to low enrollment and new plans.—</heading><chapeau style="-uslm-dtd:text">For purposes of this subsection:</chapeau>
                                    <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="A">“(A) </num><heading style="-uslm-dtd:header">Qualifying plan.—</heading>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="i">“(i) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">The term ‘<quotedText style="-uslm-dtd:quote">qualifying plan</quotedText>’ means, for a year and subject to paragraph (4), a plan that had a quality rating under paragraph (4) of 4 stars or higher based on the most recent data available for such year.</content>
                                        </clause>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="ii">“(ii) </num><heading style="-uslm-dtd:header">Application of increases to low enrollment plans.—</heading>
                                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="I">“(I) </num><heading style="-uslm-dtd:header">
<inline style="-uslm-dtd:enum-in-header">2012</inline>.—</heading><content style="-uslm-dtd:text">For 2012, the term ‘<quotedText style="-uslm-dtd:quote">qualifying plan</quotedText>’ includes an MA plan that the Secretary determines is not able to have a quality rating under paragraph (4) because of low enrollment.</content>
                                            </subclause>
                                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="II">“(II) </num><heading style="-uslm-dtd:header">
<inline style="-uslm-dtd:enum-in-header">2013</inline> and subsequent years.—</heading><content style="-uslm-dtd:text">For 2013 and subsequent years, for purposes of determining whether an MA plan with low enrollment (as defined by the Secretary) is included as a qualifying plan, the Secretary shall establish a method to apply to MA plans with low enrollment (as defined by the Secretary) the computation of quality rating and the rating system under paragraph (4).</content>
                                            </subclause>
                                        </clause>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="iii">“(iii) </num><heading style="-uslm-dtd:header">Application of increases to new plans.—</heading>
                                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="I">“(I) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">A new MA plan that meets criteria specified by the Secretary shall be treated as a qualifying plan, except that in applying paragraph (1), the applicable percentage under subsection (n)(2)(B) shall be increased—</chapeau>
                                                <item style="-uslm-dtd:item" styleType="OLC">
                                                    <num style="-uslm-dtd:enum" value="aa">“(aa) </num><content style="-uslm-dtd:text">for 2012, by 1.5 percentage points;</content>
                                                </item>
                                                <item style="-uslm-dtd:item" styleType="OLC">
                                                    <num style="-uslm-dtd:enum" value="bb">“(bb) </num><content style="-uslm-dtd:text">for 2013, by 2.5 percentage points; and</content>
                                                </item>
                                                <item style="-uslm-dtd:item" styleType="OLC">
                                                    <num style="-uslm-dtd:enum" value="cc">“(cc) </num><content style="-uslm-dtd:text">for 2014 or a subsequent year, by 3.5 percentage points.</content>
                                                </item>
                                            </subclause>
                                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="II">“(II) </num><heading style="-uslm-dtd:header">New ma plan defined.—</heading><content style="-uslm-dtd:text">The term ‘<quotedText style="-uslm-dtd:quote">new MA plan</quotedText>’ means, with respect to a year, a plan offered by an organization or sponsor that has not had a contract as a Medicare Advantage organization in the preceding 3-year period.</content>
                                            </subclause>
                                        </clause>
                                    </subparagraph>
                                    <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="B">“(B) </num><heading style="-uslm-dtd:header">Qualifying county.—</heading><chapeau style="-uslm-dtd:text">The term ‘<quotedText style="-uslm-dtd:quote">qualifying county</quotedText>’ means, for a year, a county—</chapeau>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">that has an MA capitation rate that, in 2004, was based on the amount specified in subsection (c)(1)(B) for a Metropolitan Statistical Area with a population of more than 250,000;</content>
                                        </clause>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">for which, as of December 2009, of the Medicare Advantage eligible individuals residing in the county at least 25 percent of such individuals were enrolled in Medicare Advantage plans; and</content>
                                        </clause>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="iii">“(iii) </num><content style="-uslm-dtd:text">that has per capita fee-for-service spending that is lower than the national monthly per capita cost for expenditures for individuals enrolled under  the original medicare fee-for-service program for the year.</content>
                                        </clause>
                                    </subparagraph>
                                </paragraph>
                                <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="4">“(4) </num><heading style="-uslm-dtd:header">Quality determinations for application of increase.—</heading>
                                    <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="A">“(A) </num><heading style="-uslm-dtd:header">Quality determination.—</heading><content style="-uslm-dtd:text">The quality rating for a plan shall be determined according to a 5-star rating system (based on the data collected under section 1852(e)).</content>
                                    </subparagraph>
                                    <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="B">“(B) </num><heading style="-uslm-dtd:header">Plans that failed to report.—</heading><content style="-uslm-dtd:text">An MA plan which does not report data that enables the Secretary to rate the plan for purposes of this paragraph shall be counted as having a rating of fewer than 3.5 stars.</content>
                                    </subparagraph>
                                </paragraph>
                                <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="5">“(5) </num><heading style="-uslm-dtd:header">Exception for pace plans.—</heading><content style="-uslm-dtd:text">This subsection shall not apply to payments to a PACE program under section 1894.”</content>
                                </paragraph>
                            </subsection></quotedContent>.</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1102/c/4" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="4">(4) </num><heading style="-uslm-dtd:header">Determination of medicare part d low-income benchmark premium.—</heading><content style="-uslm-dtd:text">Section 1860D-14(b)(2)(B)(iii) of the Social Security Act (42 U.S.C. 1395w-114(b)(2)(B)(iii)) as amended by section 3302 of the Patient Protection and Affordable Care Act, is amended by striking “<quotedText style="-uslm-dtd:quote">, determined without regard to any reduction in such premium as a result of any beneficiary rebate under section 1854(b)(1)(C) or bonus payment under section 1853(n)</quotedText>” and inserting the following: “<quotedText style="-uslm-dtd:quote">and determined before the application of the monthly rebate computed under section 1854(b)(1)(C)(i) for that plan and year involved and, in the case of a qualifying plan, before the application of the increase under section 1853(o) for that plan and year involved</quotedText>”.</content>
                        </paragraph>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stB/s1102/d" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Beneficiary Rebates.—</heading><chapeau style="-uslm-dtd:text">Section 1854(b)(1)(C) of such Act (42 U.S.C. 1395w-24(b)(1)(C)), as amended by section 3202(b) of the Patient Protection and Affordable Care Act, is further amended—</chapeau>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1102/d/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">in clause (i), by inserting “<quotedText style="-uslm-dtd:quote">(or the applicable rebate percentage specified in clause (iii) in the case of plan years beginning on or after January 1, 2012)</quotedText>” after “<quotedText style="-uslm-dtd:quote">75 percent</quotedText>”; and</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1102/d/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">by striking clause (iii), by redesignating clauses (iv) and (v) as clauses (vii) and (viii), respectively, and by inserting after clause (ii) the following new clauses:<quotedContent style="-uslm-dtd:quoted-block">
                            <clause style="-uslm-dtd:clause" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="iii">“(iii) </num><heading style="-uslm-dtd:header">Applicable rebate percentage.—</heading><chapeau style="-uslm-dtd:text">The applicable rebate percentage specified in this clause for a plan for a year, based on the system under section 1853(o)(4)(A), is the sum of—</chapeau>
                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">the product of the old phase-in proportion for the year under clause (iv) and 75 percent; and</content>
                                </subclause>
                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">the product of the new phase-in proportion for the year under clause (iv) and the final applicable rebate percentage under clause (v).</content>
                                </subclause>
                            </clause>
                            <clause style="-uslm-dtd:clause" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="iv">“(iv) </num><heading style="-uslm-dtd:header">Old and new phase-in proportions.—</heading><chapeau style="-uslm-dtd:text">For purposes of clause (iv)—</chapeau>
                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">for 2012, the old phase-in proportion is ⅔ and the new phase-in proportion is ⅓;</content>
                                </subclause>
                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">for 2013, the old phase-in proportion is ⅓ and the new phase-in proportion is ⅔; and</content>
                                </subclause>
                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="III">“(III) </num><content style="-uslm-dtd:text">for 2014 and any subsequent year, the old phase-in proportion is 0 and the new phase-in proportion is 1.</content>
                                </subclause>
                            </clause>
                            <clause style="-uslm-dtd:clause" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="v">“(v) </num><heading style="-uslm-dtd:header">Final applicable rebate percentage.—</heading><chapeau style="-uslm-dtd:text">Subject to clause (vi), the final applicable rebate percentage under this clause is—</chapeau>
                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">in the case of a plan with a quality rating under such system of at least 4.5 stars, 70 percent;</content>
                                </subclause>
                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">in the case of a plan with a quality rating under such system of at least 3.5 stars and less than 4.5 stars, 65 percent; and</content>
                                </subclause>
                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="III">“(III) </num><content style="-uslm-dtd:text">in the case of a plan with a quality rating under such system of less than 3.5 stars, 50 percent.</content>
                                </subclause>
                            </clause>
                            <clause style="-uslm-dtd:clause" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="vi">“(vi) </num><heading style="-uslm-dtd:header">Treatment of low enrollment and new plans.—</heading><chapeau style="-uslm-dtd:text">For purposes of clause (v)—</chapeau>
                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">for 2012, in the case of a plan described in subclause (I) of subsection (o)(3)(A)(ii), the plan shall be treated as having a rating of 4.5 stars; and</content>
                                </subclause>
                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">for 2012 or a subsequent year, in the case of a new MA plan (as defined under subclause (III) of subsection (o)(3)(A)(iii)) that is treated as a qualifying plan pursuant to subclause (I) of such subsection, the plan shall be treated as having a rating of 3.5 stars.”</content>
                                </subclause>
                            </clause></quotedContent>.</content>
                        </paragraph>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stB/s1102/e" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="e">(e) </num><heading style="-uslm-dtd:header">Coding Intensity Adjustment.—</heading><chapeau style="-uslm-dtd:text">Section 1853(a)(1)(C)(ii) of such Act (42 U.S.C. 1395w-23(a)(1)(C)(ii)) is amended—</chapeau>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1102/e/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">in the heading, by striking “<quotedText style="-uslm-dtd:quote"><headingText style="-uslm-dtd:header-in-text">during phaseout of budget neutrality factor</headingText></quotedText>” and inserting “<quotedText style="-uslm-dtd:quote"><headingText style="-uslm-dtd:header-in-text">of coding adjustment</headingText></quotedText>”;</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1102/e/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">in the matter before subclause (I), by striking “<quotedText style="-uslm-dtd:quote">through 2010</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">and each subsequent year</quotedText>”; and</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1102/e/3" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="3">(3) </num><chapeau style="-uslm-dtd:text">in subclause (II)—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1102/e/3/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in the first sentence, by inserting “<quotedText style="-uslm-dtd:quote">annually</quotedText>” before “<quotedText style="-uslm-dtd:quote">conduct an analysis</quotedText>”;</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1102/e/3/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><chapeau style="-uslm-dtd:text">in the second sentence—</chapeau>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stB/s1102/e/3/B/i" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">by inserting “<quotedText style="-uslm-dtd:quote">on a timely basis</quotedText>” after “<quotedText style="-uslm-dtd:quote">are incorporated</quotedText>”; and</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stB/s1102/e/3/B/ii" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">only for 2008, 2009, and 2010</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">for 2008 and subsequent years</quotedText>”;</content>
                                </clause>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1102/e/3/C" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">in the third sentence, by inserting “<quotedText style="-uslm-dtd:quote">and updated as appropriate</quotedText>” before the period at the end; and</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1102/e/3/D" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">by adding at the end the following new subclauses:<quotedContent style="-uslm-dtd:quoted-block">
                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="III">“(III) </num><content style="-uslm-dtd:text">In calculating each year’s adjustment, the adjustment factor shall be for 2014, not less than the adjustment factor applied for 2010, plus 1.3 percentage points; for each of years 2015 through 2018, not less than the adjustment factor applied for the previous year, plus 0.25 percentage point; and for 2019 and each subsequent year, not less than 5.7 percent.</content>
                                </subclause>
                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="IV">“(IV) </num><content style="-uslm-dtd:text">Such adjustment shall be applied to risk scores until the Secretary implements risk adjustment using Medicare Advantage diagnostic, cost, and use data.”</content>
                                </subclause></quotedContent>.</content>
                            </subparagraph>
                        </paragraph>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stB/s1102/f" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="f">(f) </num><heading style="-uslm-dtd:header">Repeal of Comparative Cost Adjustment Program.—</heading><content style="-uslm-dtd:text">Section 1860C-1 of the Social Security Act (42 U.S.C. 1395w-29), as added by section 241(a) of the Medicare Prescription Drug,  Improvement, and Modernization Act of 2003 (Public Law 108-173), is repealed.</content>
                    </subsection>
                </section>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tI/stB/s1103" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1103">SEC. 1103. </num><heading style="-uslm-dtd:header">SAVINGS FROM LIMITS ON MA PLAN ADMINISTRATIVE COSTS. </heading>
                    <content style="-uslm-dtd:text" class="block">Section 1857(e) of the Social Security Act (42 U.S.C. 1395w-27(e)) is amended by adding at the end the following new paragraph:<quotedContent style="-uslm-dtd:quoted-block">
                    <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="4">“(4) </num><heading style="-uslm-dtd:header">Requirement for minimum medical loss ratio.—</heading><chapeau style="-uslm-dtd:text">If the Secretary determines for a contract year (beginning with 2014) that an MA plan has failed to have a medical loss ratio of at least .85—</chapeau>
                        <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="A">“(A) </num><chapeau style="-uslm-dtd:text">the MA plan shall remit to the Secretary an amount equal to the product of—</chapeau>
                            <clause style="-uslm-dtd:clause" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">the total revenue of the MA plan under this part for the contract year; and</content>
                            </clause>
                            <clause style="-uslm-dtd:clause" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">the difference between .85 and the medical loss ratio;</content>
                            </clause>
                        </subparagraph>
                        <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">for 3 consecutive contract years, the Secretary shall not permit the enrollment of new enrollees under the plan for coverage during the second succeeding contract year; and</content>
                        </subparagraph>
                        <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="C">“(C) </num><content style="-uslm-dtd:text">the Secretary shall terminate the plan contract if the plan fails to have such a medical loss ratio for 5 consecutive contract years.”</content>
                        </subparagraph>
                    </paragraph></quotedContent>.</content>
                </section>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tI/stB/s1104" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1104">SEC. 1104. </num><heading style="-uslm-dtd:header">DISPROPORTIONATE SHARE HOSPITAL (DSH) PAYMENTS. </heading>
                    <chapeau style="-uslm-dtd:text" class="block">Section 1886(r) of the Social Security Act (42 U.S.C. 1395ww(r)), as added by section 3133 of the Patient Protection and Affordable Care Act and as amended by section 10316 of such Act, is amended—</chapeau>
                    <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1104/1" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">in paragraph (1), by striking “<quotedText style="-uslm-dtd:quote">2015</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">2014</quotedText>”; and</content>
                    </paragraph>
                    <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1104/2" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">in paragraph (2)—</chapeau>
                        <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1104/2/A" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in the matter preceding subparagraph (A), by striking “<quotedText style="-uslm-dtd:quote">2015</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">2014</quotedText>”;</content>
                        </subparagraph>
                        <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1104/2/B" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="B">(B) </num><chapeau style="-uslm-dtd:text">in subparagraph (B)(i)—</chapeau>
                            <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stB/s1104/2/B/i" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">in the heading, by inserting “<quotedText style="-uslm-dtd:quote">2014,</quotedText>” after “<quotedText style="-uslm-dtd:quote"><headingText style="-uslm-dtd:header-in-text">years</headingText></quotedText>”;</content>
                            </clause>
                            <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stB/s1104/2/B/ii" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">in the matter preceding subclause (I), by inserting “<quotedText style="-uslm-dtd:quote">2014,</quotedText>” after “<quotedText style="-uslm-dtd:quote">each of fiscal years</quotedText>”;</content>
                            </clause>
                            <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stB/s1104/2/B/iii" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">in subclause (I), by striking “<quotedText style="-uslm-dtd:quote">on such Act</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">on the Health Care and Education Reconciliation Act of 2010</quotedText>”; and</content>
                            </clause>
                            <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stB/s1104/2/B/iv" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="iv">(iv) </num><content style="-uslm-dtd:text">in the matter following subclause (II), by striking “<quotedText style="-uslm-dtd:quote">minus 1.5 percentage points</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">minus 0.1 percentage points for fiscal year 2014 and minus 0.2 percentage points for each of fiscal years 2015, 2016, and 2017</quotedText>”; and</content>
                            </clause>
                        </subparagraph>
                        <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1104/2/C" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">in subparagraph (B)(ii), in the matter following subclause (II), by striking “<quotedText style="-uslm-dtd:quote">and, for each of 2018 and 2019, minus 1.5 percentage points</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">minus 0.2 percentage points for each of fiscal years 2018 and 2019</quotedText>”.</content>
                        </subparagraph>
                    </paragraph>
                </section>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tI/stB/s1105" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1105">SEC. 1105. </num><heading style="-uslm-dtd:header">MARKET BASKET UPDATES. </heading>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stB/s1105/a" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">IPPS.—</heading><chapeau style="-uslm-dtd:text">Section 1886(b)(3)(B) of the Social Security Act (42 U.S.C. 1395ww(b)(3)(B)), as amended by sections 3401(a)(4) and 10319(a) of the Patient Protection and Affordable Care Act, is amended—</chapeau>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1105/a/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">in clause (xii)—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1105/a/1/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by placing the subclause (II) (inserted by section 10319(a)(3) of the Patient Protection and Affordable Care Act) immediately after subclause (I) and, in such subclause (II), by striking “<quotedText style="-uslm-dtd:quote">and</quotedText>” at the end; and</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1105/a/1/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by striking subclause (III) and inserting the following:<quotedContent style="-uslm-dtd:quoted-block">
                                <subclause style="-uslm-dtd:subclause" styleType="OLC" class="leftIndentDecrease3">
                                    <num style="-uslm-dtd:enum" value="III">“(III) </num><content style="-uslm-dtd:text">for fiscal year 2014, by 0.3 percentage point;</content>
                                </subclause>
                                <subclause style="-uslm-dtd:subclause" styleType="OLC" class="leftIndentDecrease3">
                                    <num style="-uslm-dtd:enum" value="IV">“(IV) </num><content style="-uslm-dtd:text">for each of fiscal years 2015 and 2016, by 0.2 percentage point; and</content>
                                </subclause>
                                <subclause style="-uslm-dtd:subclause" styleType="OLC" class="leftIndentDecrease3">
                                    <num style="-uslm-dtd:enum" value="V">“(V) </num><content style="-uslm-dtd:text">for each of fiscal years 2017, 2018, and 2019, by 0.75 percentage point.”</content>
                                </subclause></quotedContent>; and</content>
                            </subparagraph>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1105/a/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">by striking clause (xiii).</content>
                        </paragraph>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stB/s1105/b" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Long-term Care Hospitals.—</heading><chapeau style="-uslm-dtd:text">Section 1886(m)(4) of the Social Security Act (42 U.S.C. 1395ww(m)(4)), as added by section 3401(c) of the Patient Protection and Affordable Care Act and amended by section 10319(b) of such Act, is amended—</chapeau>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1105/b/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">in subparagraph (A)—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1105/b/1/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in clause (iii), by striking “<quotedText style="-uslm-dtd:quote">and</quotedText>” at the end; and</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1105/b/1/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by striking clause (iv) and inserting the following:<quotedContent style="-uslm-dtd:quoted-block">
                                <clause style="-uslm-dtd:clause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="iv">“(iv) </num><content style="-uslm-dtd:text">for rate year 2014, 0.3 percentage point;</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="v">“(v) </num><content style="-uslm-dtd:text">for each of rate years 2015 and 2016, 0.2 percentage point; and</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="vi">“(vi) </num><content style="-uslm-dtd:text">for each of rate years 2017, 2018, and 2019, 0.75 percentage point.”</content>
                                </clause></quotedContent>;</content>
                            </subparagraph>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1105/b/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">by striking subparagraph (B); and</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1105/b/3" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">(4) Other adjustment.—</quotedText>” and all that follows through “<quotedText style="-uslm-dtd:quote">For purposes</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">(4) Other adjustment.—For purposes</quotedText>” (and redesignating clauses (i) through (vi) as subparagraphs (A) through (F), respectively, with appropriate indentation).</content>
                        </paragraph>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stB/s1105/c" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Inpatient Rehabilitation Facilities.—</heading><chapeau style="-uslm-dtd:text">Section 1886(j)(3)(D) of the Social Security Act (42 U.S.C. 1395ww(j)(3)(D)), as added by section 3401(d)(2) of the Patient Protection and Affordable Care Act and amended by section 10319(c) of such Act, is amended—</chapeau>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1105/c/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">in clause (i)—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1105/c/1/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by placing the subclause (II) (inserted by section 10319(c)(3) of the Patient Protection and Affordable Care Act) immediately after subclause (I) and, in such subclause (II), by striking “<quotedText style="-uslm-dtd:quote">and</quotedText>” at the end; and</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1105/c/1/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by striking subclause (III) and inserting the following:<quotedContent style="-uslm-dtd:quoted-block">
                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="III">“(III) </num><content style="-uslm-dtd:text">for fiscal year 2014, 0.3 percentage point;</content>
                                </subclause>
                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="IV">“(IV) </num><content style="-uslm-dtd:text">for each of fiscal years 2015 and 2016, 0.2 percentage point; and</content>
                                </subclause>
                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="V">“(V) </num><content style="-uslm-dtd:text">for each of fiscal years 2017, 2018, and 2019, 0.75 percentage point.”</content>
                                </subclause></quotedContent>;</content>
                            </subparagraph>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1105/c/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">by striking clause (ii); and</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1105/c/3" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">(D) Other adjustment.—</quotedText>” and all that follows through “<quotedText style="-uslm-dtd:quote">For purposes</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">(D) Other adjustment.—For purposes</quotedText>” (and redesignating subclauses (I) through (V) as clauses (i) through (v), respectively, with appropriate indentation).</content>
                        </paragraph>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stB/s1105/d" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Psychiatric Hospitals.—</heading><chapeau style="-uslm-dtd:text">Section 1886(s)(3) of the Social Security Act, as added by section 3401(f) of the Patient Protection    and Affordable Care Act and amended by section 10319(e) of such Act, is amended—</chapeau>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1105/d/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">in subparagraph (A)—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1105/d/1/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by placing the clause (ii) (inserted by section 10319(e)(3) of the Patient Protection and Affordable Care Act) immediately after clause (i) and, in such clause (ii), by striking “<quotedText style="-uslm-dtd:quote">and</quotedText>” at the end; and</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1105/d/1/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by striking clause (iii) and inserting the following:<quotedContent style="-uslm-dtd:quoted-block">
                                <clause style="-uslm-dtd:clause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="iii">“(iii) </num><content style="-uslm-dtd:text">for the rate year beginning in 2014, 0.3 percentage point;</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="iv">“(iv) </num><content style="-uslm-dtd:text">for each of the rate years beginning in 2015 and 2016, 0.2 percentage point; and</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="v">“(v) </num><content style="-uslm-dtd:text">for each of the rate years beginning in 2017, 2018, and 2019, 0.75 percentage point.”</content>
                                </clause></quotedContent>;</content>
                            </subparagraph>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1105/d/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">by striking subparagraph (B); and</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1105/d/3" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">(3) Other adjustment.—</quotedText>” and all that follows through “<quotedText style="-uslm-dtd:quote">For purposes</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">(3) Other adjustment.—For purposes</quotedText>” (and redesignating clauses (i) through (v) as subparagraphs (A) through (E), respectively, with appropriate indentation).</content>
                        </paragraph>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stB/s1105/e" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="e">(e) </num><heading style="-uslm-dtd:header">Outpatient Hospitals.—</heading><chapeau style="-uslm-dtd:text">Section 1833(t)(3)(G) of the Social Security Act (42 U.S.C. 1395l(t)(3)(G)), as added by section 3401(i)(2) of the Patient Protection and Affordable Care Act and amended by section 10319(g) of such Act, is amended—</chapeau>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1105/e/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">in clause (i)—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1105/e/1/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by placing the subclause (II) (inserted by section 10319(g)(3) of the Patient Protection and Affordable Care Act) immediately after subclause (I) and, in such subclause (II), by striking “<quotedText style="-uslm-dtd:quote">and</quotedText>” at the end; and</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1105/e/1/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by striking subclause (III) and inserting the following:<quotedContent style="-uslm-dtd:quoted-block">
                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="III">“(III) </num><content style="-uslm-dtd:text">for 2014, 0.3 percentage point;</content>
                                </subclause>
                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="IV">“(IV) </num><content style="-uslm-dtd:text">for each of 2015 and 2016, 0.2 percentage point; and</content>
                                </subclause>
                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="V">“(V) </num><content style="-uslm-dtd:text">for each of 2017, 2018, and 2019, 0.75 percentage point.”</content>
                                </subclause></quotedContent>;</content>
                            </subparagraph>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1105/e/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">by striking clause (ii); and</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1105/e/3" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">(G) Other adjustment.—</quotedText>” and all that follows through “<quotedText style="-uslm-dtd:quote">For purposes</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">(G) Other adjustment.—For purposes</quotedText>” (and redesignating subclauses (I) through (V) as clauses (i) through (v), respectively, with appropriate indentation).</content>
                        </paragraph>
                    </subsection>
                </section>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tI/stB/s1106" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1106">SEC. 1106. </num><heading style="-uslm-dtd:header">PHYSICIAN OWNERSHIP-REFERRAL. </heading>
                    <chapeau style="-uslm-dtd:text" class="block">Section 1877(i) of the Social Security Act (42 U.S.C. 1395nn(i)), as added by section 6001(a)(3) of the Patient Protection and Affordable Care Act and as amended by section 10601(a) of such Act, is amended—</chapeau>
                    <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1106/1" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">in paragraph (1)(A)(i), by striking “<quotedText style="-uslm-dtd:quote">August 1, 2010</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">December 31, 2010</quotedText>”; and</content>
                    </paragraph>
                    <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1106/2" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">in paragraph (3)—</chapeau>
                        <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1106/2/A" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in subparagraph (A)(i), by striking “<quotedText style="-uslm-dtd:quote">an applicable hospital (as defined in subparagraph (E))</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">a hospital that is an applicable hospital (as defined in subparagraph (E)) or is a high Medicaid facility described in subparagraph (F)</quotedText>”;</content>
                        </subparagraph>
                        <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1106/2/B" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">in subparagraph (C)(iii), by inserting after “<quotedText style="-uslm-dtd:quote">date of enactment of this subsection</quotedText>” the following: “<quotedText style="-uslm-dtd:quote">(or, in the case of a hospital that did not have a provider agreement in effect as of such date but does have such an agreement in effect on December 31, 2010, the effective date of such provider agreement)</quotedText>”;</content>
                        </subparagraph>
                        <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1106/2/C" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">by redesignating subparagraphs (F) through (H) as subparagraphs (G) through (I), respectively; and</content>
                        </subparagraph>
                        <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1106/2/D" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">by inserting after subparagraph (E) the following new subparagraph:<quotedContent style="-uslm-dtd:quoted-block">
                            <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="F">“(F) </num><heading style="-uslm-dtd:header">High medicaid facility described.—</heading><chapeau style="-uslm-dtd:text">A high Medicaid facility described in this subparagraph is a hospital that—</chapeau>
                                <clause style="-uslm-dtd:clause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">is not the sole hospital in a county;</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">with respect to each of the 3 most recent years for which data are available, has an annual percent of total inpatient admissions that represent inpatient admissions under title XIX that is estimated to be greater than such percent with respect to such admissions for any other hospital located in the county in which the hospital is located; and</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="iii">“(iii) </num><content style="-uslm-dtd:text">meets the conditions described in subparagraph (E)(iii).”</content>
                                </clause>
                            </subparagraph></quotedContent>.</content>
                        </subparagraph>
                    </paragraph>
                </section>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tI/stB/s1107" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1107">SEC. 1107. </num><heading style="-uslm-dtd:header">PAYMENT FOR IMAGING SERVICES. </heading>
                    <chapeau style="-uslm-dtd:text" class="block">Section 1848 of the Social Security Act (42 U.S.C. 1395w-4), as amended by section 3135(a) of the Patient Protection and Affordable Care Act, is amended—</chapeau>
                    <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1107/1" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">in subsection (b)(4)—</chapeau>
                        <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1107/1/A" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in subparagraph (B), by striking “<quotedText style="-uslm-dtd:quote">this paragraph</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">subparagraph (A)</quotedText>”; and</content>
                        </subparagraph>
                        <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stB/s1107/1/B" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by amending subparagraph (C) to read as follows:<quotedContent style="-uslm-dtd:quoted-block">
                            <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="C">“(C) </num><heading style="-uslm-dtd:header">Adjustment in imaging utilization rate.—</heading><content style="-uslm-dtd:text">With respect to fee schedules established for 2011 and subsequent years, in the methodology for determining practice expense relative value units for expensive diagnostic imaging equipment under the final rule published by the Secretary in the Federal Register on November 25, 2009 (42 CFR 410 et al.), the Secretary shall use a 75 percent assumption instead of the utilization rates otherwise established in such final rule.”</content>
                            </subparagraph></quotedContent>; and</content>
                        </subparagraph>
                    </paragraph>
                    <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stB/s1107/2" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">in subsection (c)(2)(B)(v), by striking subclauses (III), (IV), and (V) and inserting the following new subclause:<quotedContent style="-uslm-dtd:quoted-block">
                        <subclause style="-uslm-dtd:subclause" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="III">“(III) </num><heading style="-uslm-dtd:header">Change in utilization rate for certain imaging services.—</heading><content style="-uslm-dtd:text">Effective for fee schedules established beginning with 2011, reduced expenditures attributable to the change in the utilization rate applicable to 2011, as described in subsection (b)(4)(C).”</content>
                        </subclause></quotedContent>.</content>
                    </paragraph>
                </section>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tI/stB/s1108" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1108">SEC. 1108. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t42/s1395w-4">42 U.S.C. 1395w-4 note</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">PE GPCI ADJUSTMENT FOR 2010. </heading>
                    <content style="-uslm-dtd:text" class="block">Effective as if included in the enactment of the Patient Protection and Affordable Care Act, section 1848(e)(1)(H)(i) of the Social Security Act (42 U.S.C. 1395w-4(e)(1)(H)(i)), as added by section 3102(b)(2) of the Patient Protection and Affordable Care Act, is amended by striking “<quotedText style="-uslm-dtd:quote">¾</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">½</quotedText>”.</content>
                </section>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tI/stB/s1109" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1109">SEC. 1109. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t42/s1395ww">42 U.S.C. 1395ww note</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">PAYMENT FOR QUALIFYING HOSPITALS. </heading>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stB/s1109/a" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">From the amount available under subsection (b), the Secretary of Health and Human Services shall provide for a payment to qualifying hospitals (as defined in subsection (d)) for fiscal years 2011 and 2012 of the amount determined under subsection (c).</content>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stB/s1109/b" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Amounts Available.—</heading><content style="-uslm-dtd:text">There shall be available from the Federal Hospital Insurance Trust Fund $400,000,000 for payments under this section for fiscal years 2011 and 2012.</content>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stB/s1109/c" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Payment Amount.—</heading><content style="-uslm-dtd:text">The amount of payment under this section for a qualifying hospital shall be determined, in a manner consistent with the amount available under subsection (b), in proportion to the portion of the amount of the aggregate payments under section 1886(d) of the Social Security Act to the hospital for fiscal year 2009 bears to the sum of all such payments to all qualifying hospitals for such fiscal year.</content>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stB/s1109/d" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Qualifying Hospital Defined.—</heading><content style="-uslm-dtd:text">In this section, the term “<quotedText style="-uslm-dtd:quote">qualifying hospital</quotedText>” means a subsection (d) hospital (as defined for purposes of section 1886(d) of the Social Security Act) that is located in a county that ranks, based upon its ranking in age, sex, and race adjusted spending for benefits under parts A and B under title XVIII of such Act per enrollee, within the lowest quartile of such counties in the United States.</content>
                    </subsection>
                </section>
            </subtitle>
            <subtitle style="-uslm-dtd:subtitle" identifier="/us/sComp/111/152/tI/stC" styleType="OLC">
                <num style="-uslm-dtd:enum" value="C">Subtitle C—</num><heading style="-uslm-dtd:header">Medicaid </heading>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tI/stC/s1201" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1201">SEC. 1201. </num><heading style="-uslm-dtd:header">FEDERAL FUNDING FOR STATES. </heading>
                    <chapeau style="-uslm-dtd:text" class="block">Section 1905 of the Social Security Act (42 U.S.C. 1396d), as amended by sections 2001(a)(3) and 10201(c) of the Patient Protection and Affordable Care Act, is amended—</chapeau>
                    <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stC/s1201/1" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">in subsection (y)—</chapeau>
                        <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stC/s1201/1/A" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by redesignating subclause (II) of paragraph (1)(B)(ii) as paragraph (5) of subsection (z) and realigning the left margins accordingly; and</content>
                        </subparagraph>
                        <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stC/s1201/1/B" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by striking paragraph (1) and inserting the following:<quotedContent style="-uslm-dtd:quoted-block">
                            <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">Amount of increase.—</heading><chapeau style="-uslm-dtd:text">Notwithstanding subsection (b), the Federal medical assistance percentage for a State that is one of the 50 States or the District of Columbia, with respect to amounts expended by such State for medical assistance for newly eligible individuals described in subclause (VIII) of section 1902(a)(10)(A)(i), shall be equal to—</chapeau>
                                <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">100 percent for calendar quarters in 2014, 2015, and 2016;</content>
                                </subparagraph>
                                <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">95 percent for calendar quarters in 2017;</content>
                                </subparagraph>
                                <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="C">“(C) </num><content style="-uslm-dtd:text">94 percent for calendar quarters in 2018;</content>
                                </subparagraph>
                                <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="D">“(D) </num><content style="-uslm-dtd:text">93 percent for calendar quarters in 2019; and</content>
                                </subparagraph>
                                <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="E">“(E) </num><content style="-uslm-dtd:text">90 percent for calendar quarters in 2020 and each year thereafter.”</content>
                                </subparagraph>
                            </paragraph></quotedContent>; and</content>
                        </subparagraph>
                    </paragraph>
                    <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stC/s1201/2" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">in subsection (z)—</chapeau>
                        <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stC/s1201/2/A" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in paragraph (1), by striking “<quotedText style="-uslm-dtd:quote">September 30, 2019</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">December 31, 2015</quotedText>” and by striking “<quotedText style="-uslm-dtd:quote">subsection (y)(1)(B)(ii)(II)</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">paragraph (3)</quotedText>”;</content>
                        </subparagraph>
                        <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stC/s1201/2/B" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by striking paragraphs (2) through (4) and inserting the following:<quotedContent style="-uslm-dtd:quoted-block">
                            <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="2">“(2)</num><subparagraph style="-uslm-dtd:subparagraph" styleType="OLC" class="inline"><num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">For calendar quarters in 2014 and each year thereafter, the Federal medical assistance percentage otherwise determined under subsection (b) for an expansion State described in paragraph (3) with respect to medical assistance for individuals described in section 1902(a)(10)(A)(i)(VIII) who are nonpregnant childless adults with respect to whom the State may require enrollment in benchmark coverage under section 1937 shall be equal to the percent specified in subparagraph (B)(i) for such year.</content></subparagraph>
                                <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC" class="leftIndentDecrease1">
                                    <num style="-uslm-dtd:enum" value="B">“(B)</num><clause style="-uslm-dtd:clause" styleType="OLC" class="inline"><num style="-uslm-dtd:enum" value="i">(i) </num><chapeau style="-uslm-dtd:text">The percent specified in this subparagraph for a State for a year is equal to the Federal medical assistance percentage (as defined in the first sentence of subsection (b)) for the State increased by a number of percentage points equal to the transition percentage (specified in clause (ii) for the year) of the number of percentage points by which—</chapeau>
                                    <subclause style="-uslm-dtd:subclause" styleType="OLC" class="leftIndentDecrease1">
                                        <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">such Federal medical assistance percentage for the State, is less than</content>
                                    </subclause>
                                    <subclause style="-uslm-dtd:subclause" styleType="OLC" class="leftIndentDecrease1">
                                        <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">the percent specified in subsection (y)(1) for the year.</content>
                                    </subclause></clause>
                                    <clause style="-uslm-dtd:clause" styleType="OLC" class="leftIndentDecrease1">
                                        <num style="-uslm-dtd:enum" value="ii">“(ii) </num><chapeau style="-uslm-dtd:text">The transition percentage specified in this clause for—</chapeau>
                                        <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">2014 is 50 percent;</content>
                                        </subclause>
                                        <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">2015 is 60 percent;</content>
                                        </subclause>
                                        <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="III">“(III) </num><content style="-uslm-dtd:text">2016 is 70 percent;</content>
                                        </subclause>
                                        <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="IV">“(IV) </num><content style="-uslm-dtd:text">2017 is 80 percent;</content>
                                        </subclause>
                                        <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="V">“(V) </num><content style="-uslm-dtd:text">2018 is 90 percent; and</content>
                                        </subclause>
                                        <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="VI">“(VI) </num><content style="-uslm-dtd:text">2019 and each subsequent year is 100 percent.”</content>
                                        </subclause>
                                    </clause>
                                </subparagraph>
                            </paragraph></quotedContent>; and</content>
                        </subparagraph>
                        <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stC/s1201/2/C" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">by redesignating paragraph (5) (as added by paragraph (1)(A) of this section) as paragraph (3), realigning the left margins to align with paragraph (2), and striking the heading and all that follows through “<quotedText style="-uslm-dtd:quote">a State is</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">A State is</quotedText>”.</content>
                        </subparagraph>
                    </paragraph>
                </section>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tI/stC/s1202" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1202">SEC. 1202. </num><heading style="-uslm-dtd:header">PAYMENTS TO PRIMARY CARE PHYSICIANS. </heading>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stC/s1202/a" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In general.—</heading>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stC/s1202/a/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Fee-for-service payments.—</heading><chapeau style="-uslm-dtd:text">Section 1902 of the Social Security Act (42 U.S.C. 1396a), as amended by section 2303(a)(2) of the Patient Protection and Affordable Care Act, is amended—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stC/s1202/a/1/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><chapeau style="-uslm-dtd:text">in subsection (a)(13)—</chapeau>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stC/s1202/a/1/A/i" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">and</quotedText>” at the end of subparagraph (A);</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stC/s1202/a/1/A/ii" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">by adding “<quotedText style="-uslm-dtd:quote">and</quotedText>” at the end of subparagraph (B); and</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stC/s1202/a/1/A/iii" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">by adding at the end the following new subparagraph:<quotedContent style="-uslm-dtd:quoted-block">
                                    <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="C">“(C) </num><content style="-uslm-dtd:text">payment for primary care services (as defined in subsection (jj)) furnished in 2013 and 2014 by a physician with a primary specialty designation of family medicine, general internal medicine, or pediatric medicine at a rate not less than 100 percent of the payment rate that applies to such services and physician under part B of title XVIII (or, if greater, the payment rate that would be applicable under such part if the conversion factor under section 1848(d) for the year involved were the conversion factor under such section for 2009);”</content>
                                    </subparagraph></quotedContent>; and</content>
                                </clause>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stC/s1202/a/1/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by adding at the end the following new subsection:<quotedContent style="-uslm-dtd:quoted-block">
                                <item style="-uslm-dtd:item" styleType="OLC" class="leftIndentDecrease5">
                                    <num style="-uslm-dtd:enum" value="jj">“(jj) </num><heading style="-uslm-dtd:header">Primary Care Services Defined.—</heading><content style="-uslm-dtd:text">For purposes of subsection (a)(13)(C), the term ‘<quotedText style="-uslm-dtd:quote">primary care services</quotedText>’ means—</content>
                                </item>
                                <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="1">“(1) </num><content style="-uslm-dtd:text">evaluation and management services that are procedure codes (for services covered under title XVIII) for services in the category designated Evaluation and Management in the Healthcare Common Procedure Coding System (established by the Secretary under section 1848(c)(5) as of December 31, 2009, and as subsequently modified); and</content>
                                </paragraph>
                                <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="2">“(2) </num><content style="-uslm-dtd:text">services related to immunization administration for vaccines and toxoids for which CPT codes 90465, 90466, 90467, 90468, 90471, 90472, 90473, or 90474 (as subsequently modified) apply under such System.”</content>
                                </paragraph></quotedContent>.</content>
                            </subparagraph>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stC/s1202/a/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Under medicaid managed care plans.—</heading><chapeau style="-uslm-dtd:text">Section 1932(f) of such Act (42 U.S.C. 1396u-2(f)) is amended—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stC/s1202/a/2/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in the heading, by adding at the end the following: “<quotedText style="-uslm-dtd:quote"><headingText style="-uslm-dtd:header-in-text">; Adequacy of Payment for Primary Care Services</headingText></quotedText>”; and</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stC/s1202/a/2/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by inserting before the period at the end the following: “<quotedText style="-uslm-dtd:quote">and, in the case of primary care services described in section 1902(a)(13)(C), consistent with the minimum payment rates specified in such section (regardless of the manner in which such payments are made, including in the form of capitation or partial capitation)</quotedText>”.</content>
                            </subparagraph>
                        </paragraph>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stC/s1202/b" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Increase in Payment Using Increased FMAP.—</heading><content style="-uslm-dtd:text">Section 1905 of the Social Security Act, as amended by section 1004(b) of this Act and section 10201(c)(6) of the Patient Protection and Affordable Care Act, is amended by adding at the end the following new subsection:<quotedContent style="-uslm-dtd:quoted-block">
                        <subsection style="-uslm-dtd:subsection" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="dd">“(dd) </num><heading style="-uslm-dtd:header">Increased FMAP for Additional Expenditures for Primary Care Services.—</heading><content style="-uslm-dtd:text">Notwithstanding subsection (b), with respect to the portion of the amounts expended for medical assistance for services described in section 1902(a)(13)(C) furnished on or after January 1, 2013, and before January 1, 2015, that is attributable to the amount by which the minimum payment rate required under such section (or, by application, section 1932(f)) exceeds the payment rate applicable to such services under the State plan as of July 1, 2009, the Federal medical assistance percentage for a State that is one of the 50 States or the District of Columbia shall be equal to 100 percent. The preceding sentence does not prohibit the payment of Federal financial participation based on the Federal medical assistance percentage for amounts in excess of those specified in such sentence.”</content>
                        </subsection></quotedContent>.</content>
                    </subsection>
                </section>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tI/stC/s1203" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1203">SEC. 1203. </num><heading style="-uslm-dtd:header">DISPROPORTIONATE SHARE HOSPITAL PAYMENTS. </heading>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stC/s1203/a" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">Section 1923(f) of the Social Security Act (42 U.S.C. 1396r-4(f)), as amended by sections 2551(a)(4) and 10201(e)(1) of the Patient Protection and Affordable Care Act, is amended—</chapeau>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stC/s1203/a/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">in paragraph (6)(B)(iii), in the matter preceding subclause (I), by striking “<quotedText style="-uslm-dtd:quote">or paragraph (7)</quotedText>”; and</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stC/s1203/a/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">by striking paragraph (7) and inserting the following:<quotedContent style="-uslm-dtd:quoted-block">
                            <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="7">“(7) </num><heading style="-uslm-dtd:header">Medicaid dsh reductions.—</heading>
                                <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="A">“(A) </num><heading style="-uslm-dtd:header">Reductions.—</heading>
                                    <clause style="-uslm-dtd:clause" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="i">“(i) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">For each of fiscal years 2014 through 2020 the Secretary shall effect the following reductions:</chapeau>
                                        <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="I">“(I) </num><heading style="-uslm-dtd:header">Reduction in dsh allotments.—</heading><content style="-uslm-dtd:text">The Secretary shall reduce DSH allotments to States in the amount specified under the DSH health reform methodology under subparagraph (B) for the State for the fiscal year.</content>
                                        </subclause>
                                        <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="II">“(II) </num><heading style="-uslm-dtd:header">Reductions in payments.—</heading><content style="-uslm-dtd:text">The Secretary shall reduce payments to States under section 1903(a) for each calendar quarter in the fiscal year, in the manner specified in clause (iii), in an amount equal to ¼ of the DSH allotment reduction under subclause (I) for the State for the fiscal year.</content>
                                        </subclause>
                                    </clause>
                                    <clause style="-uslm-dtd:clause" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="ii">“(ii) </num><heading style="-uslm-dtd:header">Aggregate reductions.—</heading><chapeau style="-uslm-dtd:text">The aggregate reductions in DSH allotments for all States under clause (i)(I) shall be equal to—</chapeau>
                                        <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">$500,000,000 for fiscal year 2014;</content>
                                        </subclause>
                                        <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">$600,000,000 for fiscal year 2015;</content>
                                        </subclause>
                                        <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="III">“(III) </num><content style="-uslm-dtd:text">$600,000,000 for fiscal year 2016;</content>
                                        </subclause>
                                        <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="IV">“(IV) </num><content style="-uslm-dtd:text">$1,800,000,000 for fiscal year 2017;</content>
                                        </subclause>
                                        <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="V">“(V) </num><content style="-uslm-dtd:text">$5,000,000,000 for fiscal year 2018;</content>
                                        </subclause>
                                        <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="VI">“(VI) </num><content style="-uslm-dtd:text">$5,600,000,000 for fiscal year 2019; and</content>
                                        </subclause>
                                        <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="VII">“(VII) </num><content style="-uslm-dtd:text">$4,000,000,000 for fiscal year 2020.</content>
                                        </subclause><continuation style="-uslm-dtd:continuation-text" role="clause">The Secretary shall distribute such aggregate reductions among States in accordance with subparagraph (B).</continuation>
                                    </clause>
                                    <clause style="-uslm-dtd:clause" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="iii">“(iii) </num><heading style="-uslm-dtd:header">Manner of payment reduction.—</heading><content style="-uslm-dtd:text">The amount of the payment reduction under clause (i)(II) for a State for a quarter shall be deemed an overpayment to the State under this title to be disallowed against the State’s regular quarterly draw for all spending under section 1903(d)(2). Such a disallowance is not subject to a reconsideration under subsections (d) and (e) of section 1116.</content>
                                    </clause>
                                    <clause style="-uslm-dtd:clause" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="iv">“(iv) </num><heading style="-uslm-dtd:header">Definition.—</heading><content style="-uslm-dtd:text">In this paragraph, the term ‘<quotedText style="-uslm-dtd:quote">State</quotedText>’ means the 50 States and the District of Columbia.</content>
                                    </clause>
                                </subparagraph>
                                <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="B">“(B) </num><heading style="-uslm-dtd:header">DSH health reform methodology.—</heading><chapeau style="-uslm-dtd:text">The Secretary shall carry out subparagraph (A) through use of a DSH Health Reform methodology that meets the following requirements:</chapeau>
                                    <clause style="-uslm-dtd:clause" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="i">“(i) </num><chapeau style="-uslm-dtd:text">The methodology imposes the largest percentage reductions on the States that—</chapeau>
                                        <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">have the lowest percentages of uninsured individuals (determined on the basis of data from the Bureau of the Census, audited hospital cost reports, and other information likely to yield accurate data) during the most recent year for which such data are available; or</content>
                                        </subclause>
                                        <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="II">“(II) </num><chapeau style="-uslm-dtd:text">do not target their DSH payments on—</chapeau>
                                            <item style="-uslm-dtd:item" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="aa">“(aa) </num><content style="-uslm-dtd:text">hospitals with high volumes of Medicaid inpatients (as defined in subsection (b)(1)(A)); and</content>
                                            </item>
                                            <item style="-uslm-dtd:item" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="bb">“(bb) </num><content style="-uslm-dtd:text">hospitals that have high levels of uncompensated care (excluding bad debt).</content>
                                            </item>
                                        </subclause>
                                    </clause>
                                    <clause style="-uslm-dtd:clause" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">The methodology imposes a smaller percentage reduction on low DSH States described in paragraph (5)(B).</content>
                                    </clause>
                                    <clause style="-uslm-dtd:clause" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="iii">“(iii) </num><content style="-uslm-dtd:text">The methodology takes into account the extent to which the DSH allotment for a State was included in the budget neutrality calculation for a coverage expansion approved under section 1115 as of July 31, 2009.”</content>
                                    </clause>
                                </subparagraph>
                            </paragraph></quotedContent>.</content>
                        </paragraph>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stC/s1203/b" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Extension of DSH Allotment.—</heading><content style="-uslm-dtd:text">Section 1923(f)(6)(A) of the Social Security Act (42 U.S.C. 1396r-4(f)(6)(A)) is amended by adding at the end the following:<quotedContent style="-uslm-dtd:quoted-block">
                        <clause style="-uslm-dtd:clause" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="v">“(v) </num><heading style="-uslm-dtd:header">Allotment for <inline style="-uslm-dtd:enum-in-header">2d,</inline> 3rd, and 4th quarters of fiscal year 2012 and for fiscal year 2013.—</heading><chapeau style="-uslm-dtd:text">Notwithstanding the table set forth in paragraph (2):</chapeau>
                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="I">“(I) </num><heading style="-uslm-dtd:header">2d, 3rd, and 4th quarters of fiscal year 2012.—</heading><content style="-uslm-dtd:text">In the case of a State that has a DSH allotment of $0 for the 2d, 3rd, and 4th quarters of fiscal year 2012, the DSH allotment shall be $47,200,000 for such quarters.</content>
                            </subclause>
                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="II">“(II) </num><heading style="-uslm-dtd:header">Fiscal year 2013.—</heading><content style="-uslm-dtd:text">In the case of a State that has a DSH allotment of $0 for fiscal year 2013, the DSH allotment shall be $53,100,000 for such fiscal year.”</content>
                            </subclause>
                        </clause></quotedContent>.</content>
                    </subsection>
                </section>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tI/stC/s1204" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1204">SEC. 1204. </num><heading style="-uslm-dtd:header">FUNDING FOR THE TERRITORIES. </heading>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stC/s1204/a" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">Part III of subtitle D of title I of the Patient Protection and Affordable Care Act, as amended by section 10104(m) of such Act, is amended by inserting after section 1322 the following section:<quotedContent style="-uslm-dtd:quoted-block">
                        <section style="-uslm-dtd:section" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1323">“SEC. 1323. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t42/s18043">42 U.S.C. 18043</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">FUNDING FOR THE TERRITORIES </heading>
                            <subsection style="-uslm-dtd:subsection" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="a">“(a) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">A territory that—</chapeau>
                                <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="1">“(1) </num><content style="-uslm-dtd:text">elects consistent with subsection (b) to establish an Exchange in accordance with part II of this subtitle and establishes such an Exchange in accordance with such part shall be treated as a State for purposes of such part and shall be entitled to payment from the amount allocated to the territory under subsection (c); or</content>
                                </paragraph>
                                <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="2">“(2) </num><content style="-uslm-dtd:text">does not make such election shall be entitled to an increase in the dollar limitation applicable to the territory under subsections (f) and (g) of section 1108 of the Social Security Act (42 U.S.C. 1308) for such period in such amount for such territory and such increase shall not be taken into account in computing any other amount under such subsections.</content>
                                </paragraph>
                            </subsection>
                            <subsection style="-uslm-dtd:subsection" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="b">“(b) </num><heading style="-uslm-dtd:header">Terms and Conditions.—</heading><chapeau style="-uslm-dtd:text">An election under subsection (a)(1) shall—</chapeau>
                                <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="1">“(1) </num><content style="-uslm-dtd:text">not be effective unless the election is consistent with section 1321 and is received not later than October 1, 2013; and</content>
                                </paragraph>
                                <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="2">“(2) </num><chapeau style="-uslm-dtd:text">be contingent upon entering into an agreement between the territory and the Secretary that requires that—</chapeau>
                                    <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">funds provided under the agreement shall be used only to provide premium and cost-sharing assistance to residents of the territory obtaining health insurance coverage through the Exchange; and</content>
                                    </subparagraph>
                                    <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">the premium and cost-sharing assistance provided under such agreement shall be structured in such a manner so as to prevent any gap in assistance for individuals between the income level at which medical assistance is available through the territory’s Medicaid plan under title XIX of the Social Security Act and the income level at    which premium and cost-sharing assistance is available under the agreement.</content>
                                    </subparagraph>
                                </paragraph>
                            </subsection>
                            <subsection style="-uslm-dtd:subsection" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="c">“(c) </num><heading style="-uslm-dtd:header">Appropriation and Allocation.—</heading>
                                <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">Appropriation.—</heading><content style="-uslm-dtd:text">Out of any funds in the Treasury not otherwise appropriated, there is appropriated for purposes of payment pursuant to subsection (a) $1,000,000,000, to be available during the period beginning with 2014 and ending with 2019.</content>
                                </paragraph>
                                <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Allocation.—</heading><chapeau style="-uslm-dtd:text">The Secretary shall allocate the amount appropriated under paragraph (1) among the territories for purposes of carrying out this section as follows:</chapeau>
                                    <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">For Puerto Rico, $925,000,000.</content>
                                    </subparagraph>
                                    <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">For another territory, the portion of $75,000,000 specified by the Secretary.”</content>
                                    </subparagraph>
                                </paragraph>
                            </subsection>
                        </section></quotedContent>.</content>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stC/s1204/b" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Medicaid Funding.—</heading>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stC/s1204/b/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Increase in funding caps.—</heading><chapeau style="-uslm-dtd:text">Section 1108(g) of the Social Security Act (42 U.S.C. 1308(g)), as amended by section 2005(a) of the Patient Protection and Affordable Care Act, is amended—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stC/s1204/b/1/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in paragraph (2), by inserting “<quotedText style="-uslm-dtd:quote">and section 1323(a)(2) of the Patient Protection and Affordable Care Act</quotedText>” after “<quotedText style="-uslm-dtd:quote">subject to</quotedText>”; and</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stC/s1204/b/1/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by striking paragraph (5) and inserting the following:<quotedContent style="-uslm-dtd:quoted-block">
                                <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="5">“(5) </num><heading style="-uslm-dtd:header">Additional increase.—</heading><content style="-uslm-dtd:text">The Secretary shall increase the amounts otherwise determined under this subsection for Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa (after the application of subsection (f) and the preceding paragraphs of this subsection) for the period beginning July 1, 2011, and ending on September 30, 2019, by such amounts that the total additional payments under title XIX to such territories equals $6,300,000,000 for such period. The Secretary shall increase such amounts in proportion to the amounts applicable to such territories under this subsection and subsection (f) on the date of enactment of this paragraph.”</content>
                                </paragraph></quotedContent>.</content>
                            </subparagraph>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stC/s1204/b/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Disregard of payments; increased fmap.—</heading><chapeau style="-uslm-dtd:text">Section 2005 of the Patient Protection and Affordable Care Act is amended—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stC/s1204/b/2/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by repealing subsection (b) (and the amendments made by that subsection) and section 1108(g)(4) of the Social Security Act shall be applied as if such amendments had never been enacted; and</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stC/s1204/b/2/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">in subsection (c)(2), by striking “<quotedText style="-uslm-dtd:quote">January</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">July</quotedText>”.</content>
                            </subparagraph>
                        </paragraph>
                    </subsection>
                </section>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tI/stC/s1205" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1205">SEC. 1205. </num><heading style="-uslm-dtd:header">DELAY IN COMMUNITY FIRST CHOICE OPTION. </heading>
                    <content style="-uslm-dtd:text" class="block">Section 1915(k)(1) of the Social Security Act (42 U.S.C. 1396n(k)), as added by section 2401 of the Patient Protection and Affordable Care Act, is amended by striking “<quotedText style="-uslm-dtd:quote">October 1, 2010</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">October 1, 2011</quotedText>”.</content>
                </section>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tI/stC/s1206" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1206">SEC. 1206. </num><heading style="-uslm-dtd:header">DRUG REBATES FOR NEW FORMULATIONS OF EXISTING DRUGS. </heading>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stC/s1206/a" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Treatment of new formulations.—</heading><content style="-uslm-dtd:text">Subparagraph (C) of section 1927(c)(2) of the Social Security Act (42 U.S.C. 1396r-8(c)(2)), as added by section 2501(d) of the Patient Protection and Affordable Care Act, is amended to read as follows:<quotedContent style="-uslm-dtd:quoted-block">
                        <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="C">“(C) </num><heading style="-uslm-dtd:header">Treatment of New Formulations.—</heading><chapeau style="-uslm-dtd:text">In the case of a drug that is a line extension of a single source drug or an innovator multiple source drug that is an oral solid dosage form, the rebate obligation with respect to such drug under this section shall be the amount computed under this section for such new drug or, if greater, the product of—</chapeau>
                            <clause style="-uslm-dtd:clause" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">the average manufacturer price of the line extension of a single source drug or an innovator multiple source drug that is an oral solid dosage form;</content>
                            </clause>
                            <clause style="-uslm-dtd:clause" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">the highest additional rebate (calculated as a percentage of average manufacturer price) under this section for any strength of the original single source drug or innovator multiple source drug; and</content>
                            </clause>
                            <clause style="-uslm-dtd:clause" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="iii">“(iii) </num><content style="-uslm-dtd:text">the total number of units of each dosage form and strength of the line extension product paid for under the State plan in the rebate period (as reported by the State).</content>
                            </clause><continuation style="-uslm-dtd:continuation-text" role="subparagraph">In this subparagraph, the term ‘<quotedText style="-uslm-dtd:quote">line extension</quotedText>’ means, with respect to a drug, a new formulation of the drug, such as an extended release formulation.”</continuation>
                        </subparagraph></quotedContent>.</content>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stC/s1206/b" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="b">(b) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t42/s1396r-8">42 U.S.C. 1396r-8 note</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">Effective Date.—</heading><content style="-uslm-dtd:text">The amendment made by subsection (a) shall take effect as if included in the enactment of the Patient Protection and Affordable Care Act.</content>
                    </subsection>
                </section>
            </subtitle>
            <subtitle style="-uslm-dtd:subtitle" identifier="/us/sComp/111/152/tI/stD" styleType="OLC">
                <num style="-uslm-dtd:enum" value="D">Subtitle D—</num><heading style="-uslm-dtd:header">Reducing Fraud, Waste, and Abuse </heading>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tI/stD/s1301" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1301">SEC. 1301. </num><heading style="-uslm-dtd:header">COMMUNITY MENTAL HEALTH CENTERS. </heading>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stD/s1301/a" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">Section 1861(ff)(3)(B) of the Social Security Act (42 U.S.C. 1395x(ff)(3)(B)) is amended—</chapeau>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stD/s1301/a/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">in clause (ii), by striking “<quotedText style="-uslm-dtd:quote">and</quotedText>” at the end;</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stD/s1301/a/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">by redesignating clause (iii) as clause (iv); and</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stD/s1301/a/3" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">by inserting after clause (ii) the following:<quotedContent style="-uslm-dtd:quoted-block">
                            <clause style="-uslm-dtd:clause" styleType="OLC" class="leftIndentDecrease2">
                                <num style="-uslm-dtd:enum" value="iii">“(iii) </num><content style="-uslm-dtd:text">provides at least 40 percent of its services to individuals who are not eligible for benefits under this title; and”</content>
                            </clause></quotedContent>.</content>
                        </paragraph>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stD/s1301/b" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Restriction.—</heading><content style="-uslm-dtd:text">Section 1861(ff)(3)(A) of such Act (42 U.S.C. 1395x(ff)(3)(A)) is amended by inserting “<quotedText style="-uslm-dtd:quote">other than in an individual’s home or in an inpatient or residential setting</quotedText>” before the period.</content>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stD/s1301/c" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="c">(c) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t42/s1395x">42 U.S.C. 1395x note</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">Effective Date.—</heading><content style="-uslm-dtd:text">The amendments made by this section shall apply to items and services furnished on or after the first day of the first calendar quarter that begins at least 12 months after the date of the enactment of this Act.</content>
                    </subsection>
                </section>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tI/stD/s1302" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1302">SEC. 1302. </num><heading style="-uslm-dtd:header">MEDICARE PREPAYMENT MEDICAL REVIEW LIMITATIONS. </heading>
                    <content style="-uslm-dtd:text" class="block">Section 1874A(h) of the Social Security Act (42 U.S.C. 1395w-3a(h)) is repealed.</content>
                </section>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tI/stD/s1303" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1303">SEC. 1303. </num><heading style="-uslm-dtd:header">FUNDING TO FIGHT FRAUD, WASTE, AND ABUSE. </heading>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stD/s1303/a" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Funding to Fight Fraud, Waste, and Abuse.—</heading>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stD/s1303/a/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">Section 1817(k) of the Social Security Act42 U.S.C. 1395i(k)), as amended by section 6402(i) of the Patient Protection and Affordable Care Act, is further amended—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stD/s1303/a/1/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by adding at the end the following new paragraph:<quotedContent style="-uslm-dtd:quoted-block">
                                <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="8">“(8) </num><heading style="-uslm-dtd:header">Additional funding.—</heading>
                                    <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="A">“(A) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">In addition to the funds otherwise appropriated to the Account from the Trust Fund under paragraphs (3)(C) and (4)(A) and for purposes described in paragraphs (3)(C) and (4)(A), there are hereby appropriated to such Account from such Trust Fund the following additional amounts:</chapeau>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">For fiscal year 2011, $95,000,000.</content>
                                        </clause>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">For fiscal year 2012, $55,000,000.</content>
                                        </clause>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="iii">“(iii) </num><content style="-uslm-dtd:text">For each of fiscal years 2013 and 2014, $30,000,000.</content>
                                        </clause>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="iv">“(iv) </num><content style="-uslm-dtd:text">For each of fiscal years 2015 and 2016, $20,000,000.</content>
                                        </clause>
                                    </subparagraph>
                                    <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="B">“(B) </num><heading style="-uslm-dtd:header">Allocation.—</heading><content style="-uslm-dtd:text">The funds appropriated under this paragraph shall be allocated in the same proportion as the total funding appropriated with respect to paragraphs (3)(A) and (4)(A) was allocated with respect to fiscal year 2010, and shall be available without further appropriation until expended.”</content>
                                    </subparagraph>
                                </paragraph></quotedContent>; and</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stD/s1303/a/1/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">in paragraph (4)(A), by inserting “<quotedText style="-uslm-dtd:quote">for activities described in paragraph (3)(C) and</quotedText>” after “<quotedText style="-uslm-dtd:quote">necessary</quotedText>”.</content>
                            </subparagraph>
                        </paragraph>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stD/s1303/b" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="b">(b) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t42/s1396u-6">42 U.S.C. 1396u-6</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">Medicaid Integrity Program.—</heading><chapeau style="-uslm-dtd:text">Section 1936(e)(1) of such Act (42 U.S.C. 1396-u6(e)(1)) is amended—</chapeau>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stD/s1303/b/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">in subparagraph (B), by striking at the end “<quotedText style="-uslm-dtd:quote">and</quotedText>”;</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stD/s1303/b/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">in subparagraph (C)—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stD/s1303/b/2/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">for each fiscal year thereafter</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">for each of fiscal years 2009 and 2010</quotedText>”; and</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stD/s1303/b/2/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by striking the period and inserting “<quotedText style="-uslm-dtd:quote">; and</quotedText>”; and</content>
                            </subparagraph>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stD/s1303/b/3" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">by adding at the end the following new subparagraph:<quotedContent style="-uslm-dtd:quoted-block">
                            <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="D">“(D) </num><content style="-uslm-dtd:text">for each fiscal year after fiscal year 2010, the amount appropriated under this paragraph for the previous fiscal year, increased by the percentage increase in the consumer price index for all urban consumers (all items; United States city average) over the previous year.”</content>
                            </subparagraph></quotedContent>.</content>
                        </paragraph>
                    </subsection>
                </section>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tI/stD/s1304" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1304">SEC. 1304. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t42/s1395cc">42 U.S.C. 1395cc</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">90-DAY PERIOD OF ENHANCED OVERSIGHT FOR INITIAL CLAIMS OF DME SUPPLIERS. </heading>
                    <chapeau style="-uslm-dtd:text" class="block">Section 1866(j), as amended by section 6401 of the Patient Protection and Affordable Care Act, is further amended—</chapeau>
                    <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stD/s1304/1" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">by redesignating paragraphs (4) through (7) as paragraphs (5) through (8), respectively; and</content>
                    </paragraph>
                    <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stD/s1304/2" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">by inserting after paragraph (3) the following new paragraph:<quotedContent style="-uslm-dtd:quoted-block">
                        <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="4">“(4) </num><heading style="-uslm-dtd:header">90-DAY PERIOD OF ENHANCED OVERSIGHT FOR INITIAL CLAIMS OF DME SUPPLIERS.—</heading><content style="-uslm-dtd:text">For periods beginning after January 1, 2011, if the Secretary determines that there is a significant risk of fraudulent activity among suppliers of durable medical equipment, in the case of a supplier of durable medical equipment who is within a category or geographic area under title XVIII identified pursuant to such determination and who is initially enrolling under such title, the Secretary shall, notwithstanding sections 1816(c), 1842(c), and 1869(a)(2), withhold payment under such title with respect to durable medical equipment furnished by such supplier during the 90-day period beginning on the date of the first submission of a claim under such title for durable medical equipment furnished by such supplier.”</content>
                        </paragraph></quotedContent>.</content>
                    </paragraph>
                </section>
            </subtitle>
            <subtitle style="-uslm-dtd:subtitle" identifier="/us/sComp/111/152/tI/stE" styleType="OLC">
                <num style="-uslm-dtd:enum" value="E">Subtitle E—</num><heading style="-uslm-dtd:header">Provisions Relating to Revenue </heading>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tI/stE/s1401" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1401">SEC. 1401. </num><heading style="-uslm-dtd:header">HIGH-COST PLAN EXCISE TAX. </heading>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stE/s1401/a" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">Section 4980I of the Internal Revenue Code of 1986, as added by section 9001 of the Patient Protection and Affordable Care Act and amended by section 10901 of such Act, is amended—</chapeau>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1401/a/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">in subsection (b)(3)(B)—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stE/s1401/a/1/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">The annual</quotedText>” and inserting the following:<quotedContent style="-uslm-dtd:quoted-block">
                                <clause style="-uslm-dtd:clause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="i">“(i) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">Except as provided in clause (ii), the annual”</content>
                                </clause></quotedContent>; and</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stE/s1401/a/1/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by adding at the end the following new clause:<quotedContent style="-uslm-dtd:quoted-block">
                                <clause style="-uslm-dtd:clause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="ii">“(ii) </num><heading style="-uslm-dtd:header">Multiemployer plan coverage.—</heading><content style="-uslm-dtd:text">Any coverage provided under a multiemployer plan (as defined in section 414(f)) shall be treated as coverage other than self-only coverage.”</content>
                                </clause></quotedContent>;</content>
                            </subparagraph>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1401/a/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">in subsection (b)(3)(C)—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stE/s1401/a/2/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">Except as provided in subparagraph (D)—</quotedText>”;</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stE/s1401/a/2/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><chapeau style="-uslm-dtd:text">in clause (i)—</chapeau>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stE/s1401/a/2/B/i" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">2013</quotedText>” each place it appears in the heading and the text and inserting “<quotedText style="-uslm-dtd:quote">2018</quotedText>”;</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stE/s1401/a/2/B/ii" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">$8,500</quotedText>” in subclause (I) and inserting “<quotedText style="-uslm-dtd:quote">$10,200 multiplied by the health cost adjustment percentage (determined by only taking into account self-only coverage)</quotedText>”; and</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stE/s1401/a/2/B/iii" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">$23,000</quotedText>” in subclause (II) and inserting “<quotedText style="-uslm-dtd:quote">$27,500 multiplied by the health cost adjustment percentage (determined by only taking into account coverage other than self-only coverage)</quotedText>”;</content>
                                </clause>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stE/s1401/a/2/C" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">by redesignating clauses (ii) and (iii) as clauses (iv) and (v), respectively, and by inserting after clause (i) the following new clauses:<quotedContent style="-uslm-dtd:quoted-block">
                                <clause style="-uslm-dtd:clause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="ii">“(ii) </num><heading style="-uslm-dtd:header">Health cost adjustment percentage.—</heading><chapeau style="-uslm-dtd:text">For purposes of clause (i), the health cost adjustment percentage is equal to 100 percent plus the excess (if any) of—</chapeau>
                                    <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">the percentage by which the per employee cost for providing coverage under the Blue Cross/Blue Shield standard benefit option under the Federal Employees Health Benefits Plan for plan year 2018 (determined by using the benefit package for such coverage in 2010) exceeds such cost for plan year 2010, over</content>
                                    </subclause>
                                    <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">55 percent.</content>
                                    </subclause>
                                </clause>
                                <clause style="-uslm-dtd:clause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="iii">“(iii) </num><heading style="-uslm-dtd:header">Age and gender adjustment.—</heading>
                                    <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="I">“(I) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">The amount determined under subclause (I) or (II) of clause (i), whichever is applicable, for any taxable period shall be increased by the amount determined under subclause (II).</content>
                                    </subclause>
                                    <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="II">“(II) </num><heading style="-uslm-dtd:header">Amount determined.—</heading><chapeau style="-uslm-dtd:text">The amount determined under this subclause is an amount equal to the excess (if any) of—</chapeau>
                                        <item style="-uslm-dtd:item" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="aa">“(aa) </num><content style="-uslm-dtd:text">the premium cost of the Blue Cross/Blue Shield standard benefit option under the Federal Employees Health Benefits Plan for the type of coverage provided such individual in such taxable period if priced for the age and gender characteristics of all employees of the individual’s employer, over</content>
                                        </item>
                                        <item style="-uslm-dtd:item" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="bb">“(bb) </num><content style="-uslm-dtd:text">that premium cost for the provision of such coverage under such option in such taxable period if priced for the age and gender characteristics of the national workforce.”</content>
                                        </item>
                                    </subclause>
                                </clause></quotedContent>.</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stE/s1401/a/2/D" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="D">(D) </num><chapeau style="-uslm-dtd:text">in clause (iv), as redesignated by subparagraph (C)—</chapeau>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stE/s1401/a/2/D/i" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">by inserting “<quotedText style="-uslm-dtd:quote">covered by the plan</quotedText>” after “<quotedText style="-uslm-dtd:quote">whose employees</quotedText>”; and</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stE/s1401/a/2/D/ii" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">by striking subclauses (I) and (II) and inserting the following:<quotedContent style="-uslm-dtd:quoted-block">
                                    <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">the dollar amount in clause (i)(I) shall be increased by $1,650, and</content>
                                    </subclause>
                                    <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">the dollar amount in clause (i)(II) shall be increased by $3,450,”</content>
                                    </subclause></quotedContent>, and</content>
                                </clause>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stE/s1401/a/2/E" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="E">(E) </num><chapeau style="-uslm-dtd:text">in clause (v), as redesignated by subparagraph (C)—</chapeau>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stE/s1401/a/2/E/i" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">2013</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">2018</quotedText>”;</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stE/s1401/a/2/E/ii" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">clauses (i) and (ii)</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">clauses (i) (after the application of clause (ii)) and (iv)</quotedText>”; and</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stE/s1401/a/2/E/iii" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">by inserting “<quotedText style="-uslm-dtd:quote">in the case of determinations for calendar years beginning before 2020</quotedText>” after “<quotedText style="-uslm-dtd:quote">1 percentage point</quotedText>” in subclause (II) thereof;</content>
                                </clause>
                            </subparagraph>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1401/a/3" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">by striking subparagraph (D) of subsection (b)(3);</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1401/a/4" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">in subsection (d)(1)(B), by redesignating clause (ii) as clause (iii) and by inserting after clause (i) the following new clause:<quotedContent style="-uslm-dtd:quoted-block">
                            <clause style="-uslm-dtd:clause" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">any coverage under a separate policy, certificate, or contract of insurance which provides benefits substantially all of which are for treatment of the mouth (including any organ or structure within the mouth) or for treatment of the eye, or”</content>
                            </clause></quotedContent>; and</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1401/a/5" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="5">(5) </num><content style="-uslm-dtd:text">in subsection (d), by adding at the end the following new paragraph:<quotedContent style="-uslm-dtd:quoted-block">
                            <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="3">“(3) </num><heading style="-uslm-dtd:header">Employee.—</heading><content style="-uslm-dtd:text">The term ‘<quotedText style="-uslm-dtd:quote">employee</quotedText>’ includes any former employee, surviving spouse, or other primary insured individual.”</content>
                            </paragraph></quotedContent>.</content>
                        </paragraph>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stE/s1401/b" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Effective dates.—</heading>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1401/b/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">Section 9001(c) of the Patient Protection and Affordable Care Act is amended by striking “<quotedText style="-uslm-dtd:quote">2012</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">2017</quotedText>”.</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1401/b/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">Section 10901(c) of the Patient Protection and Affordable Care Act is amended by striking “<quotedText style="-uslm-dtd:quote">2012</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">2017</quotedText>”.</content>
                        </paragraph>
                    </subsection>
                </section>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tI/stE/s1402" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1402">SEC. 1402. </num><heading style="-uslm-dtd:header">UNEARNED INCOME MEDICARE CONTRIBUTION. </heading>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stE/s1402/a" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Investment Income.—</heading>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1402/a/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">Subtitle A of the Internal Revenue Code of 1986 is amended by inserting after chapter 2 the following new chapter:<quotedContent style="-uslm-dtd:quoted-block">
                            <chapter style="-uslm-dtd:chapter">
                                <num style="-uslm-dtd:enum" value="2A">“CHAPTER 2A—</num><heading style="-uslm-dtd:header">UNEARNED INCOME MEDICARE CONTRIBUTION </heading>
                                <section style="-uslm-dtd:section" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="1411">“SEC. 1411. </num><content style="-uslm-dtd:text">Imposition of tax.</content>
                                </section>
                                <section style="-uslm-dtd:section" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="1411">“SEC. 1411. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t26/s1411">26 U.S.C. 1411</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">IMPOSITION OF TAX </heading>
                                    <subsection style="-uslm-dtd:subsection" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="a">“(a) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">Except as provided in subsection (e)—</chapeau>
                                        <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">Application to individuals.—</heading><chapeau style="-uslm-dtd:text">In the case of an individual, there is hereby imposed (in addition to any other tax imposed by this subtitle) for each taxable year a tax equal to 3.8 percent of the lesser of—</chapeau>
                                            <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">net investment income for such taxable year, or</content>
                                            </subparagraph>
                                            <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="B">“(B) </num><chapeau style="-uslm-dtd:text">the excess (if any) of—</chapeau>
                                                <clause style="-uslm-dtd:clause" styleType="OLC">
                                                    <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">the modified adjusted gross income for such taxable year, over</content>
                                                </clause>
                                                <clause style="-uslm-dtd:clause" styleType="OLC">
                                                    <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">the threshold amount.</content>
                                                </clause>
                                            </subparagraph>
                                        </paragraph>
                                        <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Application to estates and trusts.—</heading><chapeau style="-uslm-dtd:text">In the case of an estate or trust, there is hereby imposed (in addition to any other tax imposed by this subtitle) for each taxable year a tax of 3.8 percent of the lesser of—</chapeau>
                                            <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">the undistributed net investment income for such taxable year, or</content>
                                            </subparagraph>
                                            <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="B">“(B) </num><chapeau style="-uslm-dtd:text">the excess (if any) of—</chapeau>
                                                <clause style="-uslm-dtd:clause" styleType="OLC">
                                                    <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">the adjusted gross income (as defined in section 67(e)) for such taxable year, over</content>
                                                </clause>
                                                <clause style="-uslm-dtd:clause" styleType="OLC">
                                                    <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">the dollar amount at which the highest tax bracket in section 1(e) begins for such taxable year.</content>
                                                </clause>
                                            </subparagraph>
                                        </paragraph>
                                    </subsection>
                                    <subsection style="-uslm-dtd:subsection" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="b">“(b) </num><heading style="-uslm-dtd:header">Threshold Amount.—</heading><chapeau style="-uslm-dtd:text">For purposes of this chapter, the term ‘<quotedText style="-uslm-dtd:quote">threshold amount</quotedText>’ means—</chapeau>
                                        <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="1">“(1) </num><content style="-uslm-dtd:text">in the case of a taxpayer making a joint return under section 6013 or a surviving spouse (as defined in section 2(a)), $250,000,</content>
                                        </paragraph>
                                        <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="2">“(2) </num><content style="-uslm-dtd:text">in the case of a married taxpayer (as defined in section 7703) filing a separate return, ½ of the dollar amount determined under paragraph (1), and</content>
                                        </paragraph>
                                        <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="3">“(3) </num><content style="-uslm-dtd:text">in any other case, $200,000.</content>
                                        </paragraph>
                                    </subsection>
                                    <subsection style="-uslm-dtd:subsection" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="c">“(c) </num><heading style="-uslm-dtd:header">Net Investment Income.—</heading><chapeau style="-uslm-dtd:text">For purposes of this chapter—</chapeau>
                                        <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">The term ‘<quotedText style="-uslm-dtd:quote">net investment income</quotedText>’ means the excess (if any) of—</chapeau>
                                            <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="A">“(A) </num><chapeau style="-uslm-dtd:text">the sum of—</chapeau>
                                                <clause style="-uslm-dtd:clause" styleType="OLC">
                                                    <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">gross income from interest, dividends, annuities, royalties, and rents, other than such income which is derived in the ordinary course of a trade or business not described in paragraph (2),</content>
                                                </clause>
                                                <clause style="-uslm-dtd:clause" styleType="OLC">
                                                    <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">other gross income derived from a trade or business described in paragraph (2), and</content>
                                                </clause>
                                                <clause style="-uslm-dtd:clause" styleType="OLC">
                                                    <num style="-uslm-dtd:enum" value="iii">“(iii) </num><content style="-uslm-dtd:text">net gain (to the extent taken into account in computing taxable income) attributable to the disposition of property other than property held in a trade or business not described in paragraph (2), over</content>
                                                </clause>
                                            </subparagraph>
                                            <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">the deductions allowed by this subtitle which are properly allocable to such gross income or net gain.</content>
                                            </subparagraph>
                                        </paragraph>
                                        <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Trades and businesses to which tax applies.—</heading><chapeau style="-uslm-dtd:text">A trade or business is described in this paragraph if such trade or business is—</chapeau>
                                            <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">a passive activity (within the meaning of section 469) with respect to the taxpayer, or</content>
                                            </subparagraph>
                                            <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">a trade or business of trading in financial instruments or commodities (as defined in section 475(e)(2)).</content>
                                            </subparagraph>
                                        </paragraph>
                                        <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="3">“(3) </num><heading style="-uslm-dtd:header">Income on investment of working capital subject to tax.—</heading><content style="-uslm-dtd:text">A rule similar to the rule of section 469(e)(1)(B) shall apply for purposes of this subsection.</content>
                                        </paragraph>
                                        <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="4">“(4) </num><heading style="-uslm-dtd:header">Exception for certain active interests in partnerships and s corporations.—</heading><chapeau style="-uslm-dtd:text">In the case of a disposition of an interest in a partnership or S corporation—</chapeau>
                                            <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">gain from such disposition shall be taken into account under clause (iii) of paragraph (1)(A) only to the extent of the net gain which would be so taken into account by the transferor if all property of the partnership or S corporation were sold for fair market value immediately before the disposition of such interest, and</content>
                                            </subparagraph>
                                            <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">a rule similar to the rule of subparagraph (A) shall apply to a loss from such disposition.</content>
                                            </subparagraph>
                                        </paragraph>
                                        <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="5">“(5) </num><heading style="-uslm-dtd:header">Exception for distributions from qualified plans.—</heading><content style="-uslm-dtd:text">The term ‘<quotedText style="-uslm-dtd:quote">net investment income</quotedText>’ shall not include any distribution from a plan or arrangement described in section 401(a), 403(a), 403(b), 408, 408A, or 457(b).</content>
                                        </paragraph>
                                        <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="6">“(6) </num><heading style="-uslm-dtd:header">Special rule.—</heading><content style="-uslm-dtd:text">Net investment income shall not include any item taken into account in determining self-employment income for such taxable year on which a tax is imposed by section 1401(b).</content>
                                        </paragraph>
                                    </subsection>
                                    <subsection style="-uslm-dtd:subsection" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="d">“(d) </num><heading style="-uslm-dtd:header">Modified Adjusted Gross Income.—</heading><chapeau style="-uslm-dtd:text">For purposes of this chapter, the term ‘<quotedText style="-uslm-dtd:quote">modified adjusted gross income</quotedText>’ means adjusted gross income increased by the excess of—</chapeau>
                                        <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="1">“(1) </num><content style="-uslm-dtd:text">the amount excluded from gross income under section 911(a)(1), over</content>
                                        </paragraph>
                                        <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="2">“(2) </num><content style="-uslm-dtd:text">the amount of any deductions (taken into account in computing adjusted gross income) or exclusions disallowed under section 911(d)(6) with respect to the amounts described in paragraph (1).</content>
                                        </paragraph>
                                    </subsection>
                                    <subsection style="-uslm-dtd:subsection" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="e">“(e) </num><heading style="-uslm-dtd:header">Nonapplication of Section.—</heading><chapeau style="-uslm-dtd:text">This section shall not apply to—</chapeau>
                                        <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="1">“(1) </num><content style="-uslm-dtd:text">a nonresident alien, or</content>
                                        </paragraph>
                                        <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="2">“(2) </num><content style="-uslm-dtd:text">a trust all of the unexpired interests in which are devoted to one or more of the purposes described in section 170(c)(2)(B).”</content>
                                        </paragraph>
                                    </subsection>
                                </section>
                            </chapter></quotedContent>.</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1402/a/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t26/s6654">26 U.S.C. 6654</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">Estimated taxes.—</heading><chapeau style="-uslm-dtd:text">Section 6654 of the Internal Revenue Code of 1986 is amended—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stE/s1402/a/2/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in subsection (a), by striking “<quotedText style="-uslm-dtd:quote">and the tax under chapter 2</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">the tax under chapter 2, and the tax under chapter 2A</quotedText>”; and</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stE/s1402/a/2/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><chapeau style="-uslm-dtd:text">in subsection (f)—</chapeau>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stE/s1402/a/2/B/i" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">minus</quotedText>” at the end of paragraph (2) and inserting “<quotedText style="-uslm-dtd:quote">plus</quotedText>”; and</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stE/s1402/a/2/B/ii" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">by redesignating paragraph (3) as paragraph (4) and inserting after paragraph (2) the following new paragraph:<quotedContent style="-uslm-dtd:quoted-block">
                                    <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="3">“(3) </num><content style="-uslm-dtd:text">the taxes imposed by chapter 2A, minus”</content>
                                    </paragraph></quotedContent>.</content>
                                </clause>
                            </subparagraph>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1402/a/3" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Clerical amendment.—</heading><content style="-uslm-dtd:text">The table of chapters for subtitle A of chapter 1 of the Internal Revenue Code of 1986 is amended by inserting after the item relating to chapter 2 the following new item:<quotedContent style="-uslm-dtd:quoted-block">
                            <toc style="-uslm-dtd:toc">
                                <referenceItem style="-uslm-dtd:toc-entry" role="chapter" class="centered"><designator>“Chapter 2A—</designator><label>Unearned Income Medicare Contribution”</label></referenceItem>
                            </toc></quotedContent>.</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1402/a/4" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="4">(4) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t26/s1411">26 U.S.C. 1411 note</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">Effective Dates.—</heading><content style="-uslm-dtd:text">The amendments made by this subsection shall apply to taxable years beginning after December 31, 2012.</content>
                        </paragraph>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stE/s1402/b" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Earned Income.—</heading>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1402/b/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Threshold.—</heading>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stE/s1402/b/1/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t26/s3101">26 U.S.C. 3101</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">FICA.—</heading><content style="-uslm-dtd:text">Paragraph (2) of section 3101(b) of the Internal Revenue Code of 1986, as added by section 9015 of the Patient Protection and Affordable Care Act and amended by section 10906 of such Act, is amended by striking “<quotedText style="-uslm-dtd:quote">and</quotedText>” at the end of subparagraph (A), by redesignating subparagraph (B) as subparagraph (C), and by inserting after subparagraph (A) the following new subparagraph:<quotedContent style="-uslm-dtd:quoted-block">
                                <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">in the case of a married taxpayer (as defined in section 7703) filing a separate return, ½ of the dollar amount determined under subparagraph (A), and”</content>
                                </subparagraph></quotedContent>.</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stE/s1402/b/1/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t26/s1401">26 U.S.C. 1401</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">SECA.—</heading><chapeau style="-uslm-dtd:text">Section 1401(b)(2) of the Internal Revenue Code of 1986, as added by section 9015 of the Patient Protection and Affordable Care Act and amended by section 10906 of such Act, is amended—</chapeau>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stE/s1402/b/1/B/i" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">in subparagraph (A), by striking “<quotedText style="-uslm-dtd:quote">and</quotedText>” at the end of clause (i), by redesignating clause (ii) as clause (iii), and by inserting after clause (i) the following new clause:<quotedContent style="-uslm-dtd:quoted-block">
                                    <clause style="-uslm-dtd:clause" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">in the case of a married taxpayer (as defined in section 7703) filing a separate return, ½ of the dollar amount determined under clause (i), and”</content>
                                    </clause></quotedContent>; and</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tI/stE/s1402/b/1/B/ii" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">in subparagraph (B), by striking “<quotedText style="-uslm-dtd:quote">under clauses (i) and (ii)</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">under clause (i), (ii), or (iii) (whichever is applicable)</quotedText>”.</content>
                                </clause>
                            </subparagraph>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1402/b/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t26/s6654">26 U.S.C. 6654</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">Estimated taxes.—</heading><content style="-uslm-dtd:text">Section 6654 of the Internal Revenue Code of 1986 is amended by redesignating subsection (m) as subsection (n) and by inserting after subsection (l) the following new subsection:<quotedContent style="-uslm-dtd:quoted-block">
                            <subsection style="-uslm-dtd:subsection" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="m">“(m) </num><heading style="-uslm-dtd:header">Special Rule for Medicare Tax.—</heading><content style="-uslm-dtd:text">For purposes of this section, the tax imposed under section 3101(b)(2) (to the extent not withheld) shall be treated as a tax imposed under chapter 2.”</content>
                            </subsection></quotedContent>.</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1402/b/3" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="3">(3) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t26/s1401">26 U.S.C. 1401 note</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">Effective Date.—</heading><content style="-uslm-dtd:text">The amendments made by this subsection shall apply with respect to remuneration received, and taxable years beginning after, December 31, 2012.</content>
                        </paragraph>
                    </subsection>
                </section>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tI/stE/s1403" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1403">SEC. 1403. </num><heading style="-uslm-dtd:header">DELAY OF LIMITATION ON HEALTH FLEXIBLE SPENDING ARRANGEMENTS UNDER CAFETERIA PLANS. </heading>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stE/s1403/a" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">Section 10902(b) of the Patient Protection and Affordable Care Act is amended by striking “<quotedText style="-uslm-dtd:quote">December 31, 2010</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">December 31, 2012</quotedText>”.</content>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stE/s1403/b" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Inflation Adjustment.—</heading><chapeau style="-uslm-dtd:text">Paragraph (2) of section 125(i) of the Internal Revenue Code of 1986, as added by section 9005 of the Patient Protection and Affordable Care Act and amended by section 10902 of such Act, is amended—</chapeau>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1403/b/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">in the matter preceding subparagraph (A), by striking “<quotedText style="-uslm-dtd:quote">December 31, 2011</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">December 31, 2013</quotedText>”; and</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1403/b/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">in subparagraph (B), by striking “<quotedText style="-uslm-dtd:quote">2010</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">2012</quotedText>”.</content>
                        </paragraph>
                    </subsection>
                </section>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tI/stE/s1404" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1404">SEC. 1404. </num><heading style="-uslm-dtd:header">BRAND NAME PHARMACEUTICALS. </heading>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stE/s1404/a" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">Section 9008 of the Patient Protection and Affordable Care Act is amended—</chapeau>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1404/a/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">in subsection (a)(1), by striking “<quotedText style="-uslm-dtd:quote">2009</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">2010</quotedText>”;</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1404/a/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">in subsection (b)—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stE/s1404/a/2/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">$2,300,000,000</quotedText>” in paragraph (1) and inserting “<quotedText style="-uslm-dtd:quote">the applicable amount</quotedText>”; and</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stE/s1404/a/2/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by adding at the end the following new paragraph:<quotedContent style="-uslm-dtd:quoted-block">
                                <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="4">“(4) </num><heading style="-uslm-dtd:header">Applicable Amount.—</heading><content style="-uslm-dtd:text">For purposes of paragraph (1), the applicable amount shall be determined in accordance with the following table:<foreign id="warning-d675084e3943" note="processing mode: unknown" role="passthroughContent"><compsdtd:table xmlns:compsdtd="http://schemas.gpo.gov/xml/comps-dtd" line-rules="no-gen" blank-lines-before="0" blank-lines-after="0"><compsdtd:ttitle>
</compsdtd:ttitle><compsdtd:tgroup cols="2" ttitle-size="0" thead-tbody-ldg-size="0.8.9"><compsdtd:colspec colname="col1" coldef="txt" colsep="0" min-data-value="190" /><compsdtd:colspec colname="col2" coldef="txt-no-ldr-no-spread" colsep="0" min-data-value="95" /><compsdtd:thead><compsdtd:row><compsdtd:entry align="center" colname="col1">
</compsdtd:entry><compsdtd:entry align="center" colname="col2">
</compsdtd:entry></compsdtd:row></compsdtd:thead><compsdtd:tbody><compsdtd:row><compsdtd:entry leader-modify="clr-ldr" stub-definition="txt-ldr" stub-hierarchy="1" colname="col1">
<compsdtd:bold>``Calendar year </compsdtd:bold>
</compsdtd:entry><compsdtd:entry colname="col2">
<compsdtd:bold>Applicable amount</compsdtd:bold>
</compsdtd:entry></compsdtd:row><compsdtd:row><compsdtd:entry stub-definition="txt-ldr" stub-hierarchy="2" colname="col1">2011</compsdtd:entry><compsdtd:entry colname="col2">$2,500,000,000</compsdtd:entry></compsdtd:row><compsdtd:row><compsdtd:entry stub-definition="txt-ldr" stub-hierarchy="2" colname="col1">2012</compsdtd:entry><compsdtd:entry colname="col2">$2,800,000,000</compsdtd:entry></compsdtd:row><compsdtd:row><compsdtd:entry stub-definition="txt-ldr" stub-hierarchy="2" colname="col1">2013</compsdtd:entry><compsdtd:entry colname="col2">$2,800,000,000</compsdtd:entry></compsdtd:row><compsdtd:row><compsdtd:entry stub-definition="txt-ldr" stub-hierarchy="2" colname="col1">2014</compsdtd:entry><compsdtd:entry colname="col2">$3,000,000,000</compsdtd:entry></compsdtd:row><compsdtd:row><compsdtd:entry stub-definition="txt-ldr" stub-hierarchy="2" colname="col1">2015</compsdtd:entry><compsdtd:entry colname="col2">$3,000,000,000</compsdtd:entry></compsdtd:row><compsdtd:row><compsdtd:entry stub-definition="txt-ldr" stub-hierarchy="2" colname="col1">2016</compsdtd:entry><compsdtd:entry colname="col2">$3,000,000,000</compsdtd:entry></compsdtd:row><compsdtd:row><compsdtd:entry stub-definition="txt-ldr" stub-hierarchy="2" colname="col1">2017</compsdtd:entry><compsdtd:entry colname="col2">$4,000,000,000</compsdtd:entry></compsdtd:row><compsdtd:row><compsdtd:entry stub-definition="txt-ldr" stub-hierarchy="2" colname="col1">2018</compsdtd:entry><compsdtd:entry colname="col2">$4,100,000,000</compsdtd:entry></compsdtd:row><compsdtd:row><compsdtd:entry stub-definition="txt-ldr" stub-hierarchy="2" colname="col1">2019 and thereafter</compsdtd:entry><compsdtd:entry colname="col2">$2,800,000,000.'';</compsdtd:entry></compsdtd:row></compsdtd:tbody></compsdtd:tgroup></compsdtd:table></foreign></content>
                                </paragraph></quotedContent>
</content>
                            </subparagraph>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1404/a/3" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">in subsection (d), by adding at the end the following new paragraph:<quotedContent style="-uslm-dtd:quoted-block">
                            <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="3">“(3) </num><heading style="-uslm-dtd:header">Joint and several liability.—</heading><content style="-uslm-dtd:text">If more than one person is liable for payment of the fee under subsection (a) with respect to a single covered entity by reason of the application of paragraph (2), all such persons shall be jointly and severally liable for payment of such fee.”</content>
                            </paragraph></quotedContent>; and</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1404/a/4" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">by striking subsection (j) and inserting the following new subsection:<quotedContent style="-uslm-dtd:quoted-block">
                            <subsection style="-uslm-dtd:subsection" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="j">“(j) </num><heading style="-uslm-dtd:header">Effective Date.—</heading><content style="-uslm-dtd:text">This section shall apply to calendar years beginning after December 31, 2010.”</content>
                            </subsection></quotedContent>.</content>
                        </paragraph>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stE/s1404/b" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="b">(b) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t26/s4001">26 U.S.C. 4001 note</ref> prec.<b>]</b> </editorialNote><heading style="-uslm-dtd:header">Effective Date.—</heading><content style="-uslm-dtd:text">The amendments made by this section shall take effect as if included in section 9008 of the Patient Protection and Affordable Care Act.</content>
                    </subsection>
                </section>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tI/stE/s1405" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1405">SEC. 1405. </num><heading style="-uslm-dtd:header">EXCISE TAX ON MEDICAL DEVICE MANUFACTURERS. </heading>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stE/s1405/a" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">Chapter 32 of the Internal Revenue Code of 1986 is amended—</chapeau>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1405/a/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">by inserting after subchapter D the following new subchapter:<quotedContent style="-uslm-dtd:quoted-block">
                            <subchapter style="-uslm-dtd:subchapter">
                                <num style="-uslm-dtd:enum" value="E">“Subchapter E—</num><heading style="-uslm-dtd:header">Medical Devices </heading>
                                <section style="-uslm-dtd:section" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="4191">“SEC. 4191. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t26/s4191">26 U.S.C. 4191</ref><b>]</b> </editorialNote><content style="-uslm-dtd:text">Medical devices.</content>
                                </section>
                                <section style="-uslm-dtd:section" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="4191">“SEC. 4191. </num><heading style="-uslm-dtd:header">MEDICAL DEVICES </heading>
                                    <subsection style="-uslm-dtd:subsection" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="a">“(a) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">There is hereby imposed on the sale of any taxable medical device by the manufacturer, producer, or importer a tax equal to 2.3 percent of the price for which so sold.</content>
                                    </subsection>
                                    <subsection style="-uslm-dtd:subsection" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="b">“(b) </num><heading style="-uslm-dtd:header">Taxable Medical Device.—</heading><chapeau style="-uslm-dtd:text">For purposes of this section—</chapeau>
                                        <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">The term ‘<quotedText style="-uslm-dtd:quote">taxable medical device</quotedText>’ means any device (as defined in section 201(h) of the Federal Food, Drug, and Cosmetic Act) intended for humans.</content>
                                        </paragraph>
                                        <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Exemptions.—</heading><chapeau style="-uslm-dtd:text">Such term shall not include—</chapeau>
                                            <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">eyeglasses,</content>
                                            </subparagraph>
                                            <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">contact lenses,</content>
                                            </subparagraph>
                                            <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="C">“(C) </num><content style="-uslm-dtd:text">hearing aids, and</content>
                                            </subparagraph>
                                            <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="D">“(D) </num><content style="-uslm-dtd:text">any other medical device determined by the Secretary to be of a type which is generally purchased by the general public at retail for individual use.”</content>
                                            </subparagraph>
                                        </paragraph>
                                    </subsection>
                                </section>
                            </subchapter></quotedContent>, and</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1405/a/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">by inserting after the item relating to subchapter D in the table of subchapters for such chapter the following new item:<quotedContent style="-uslm-dtd:quoted-block">
                            <toc style="-uslm-dtd:toc">
                                <referenceItem style="-uslm-dtd:toc-entry" role="subchapter" class="centered"><label>“subchapter e. medical devices”</label></referenceItem>
                            </toc></quotedContent>.</content>
                        </paragraph>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stE/s1405/b" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Certain Exemptions Not to Apply.—</heading>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1405/b/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t26/s4221">26 U.S.C. 4221</ref><b>]</b> </editorialNote><content style="-uslm-dtd:text">Section 4221(a) of the Internal Revenue Code of 1986 is amended by adding at the end the following new sentence: “<quotedText style="-uslm-dtd:quote">In the case of the tax imposed by section 4191, paragraphs (3), (4), (5), and (6) shall not apply.</quotedText>”.</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1405/b/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t26/s6416">26 U.S.C. 6416</ref><b>]</b> </editorialNote><content style="-uslm-dtd:text">Section 6416(b)(2) of such Code is amended by adding at the end the following: “<quotedText style="-uslm-dtd:quote">In the case of the tax imposed by section 4191, subparagraphs (B), (C), (D), and (E) shall not apply.</quotedText>”.</content>
                        </paragraph>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stE/s1405/c" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="c">(c) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t26/s4191">26 U.S.C. 4191 note</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">Effective Date.—</heading><content style="-uslm-dtd:text">The amendments made by this section shall apply to sales after December 31, 2012.</content>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stE/s1405/d" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Repeal of Section 9009 of the Patient Protection and Affordable Care Act.—</heading><content style="-uslm-dtd:text">Section 9009 of the Patient Protection and Affordable Care Act, as amended by section 10904 of such Act, is repealed effective as of the date of enactment of that Act.</content>
                    </subsection>
                </section>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tI/stE/s1406" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1406">SEC. 1406. </num><heading style="-uslm-dtd:header">HEALTH INSURANCE PROVIDERS. </heading>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stE/s1406/a" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><chapeau style="-uslm-dtd:text">Section 9010 of the Patient Protection and Affordable Care Act, as amended by section 10905 of such Act, is amended—</chapeau>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1406/a/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">in subsection (a)(1), by striking “<quotedText style="-uslm-dtd:quote">2010</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">2013</quotedText>”;</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1406/a/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">in subsection (b)(2)—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stE/s1406/a/2/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">For purposes of paragraph (1), the net premiums</quotedText>” and inserting<quotedContent style="-uslm-dtd:quoted-block" class="inline"><chapeau style="-uslm-dtd:text">“For purposes of paragraph (1)—</chapeau>
                                <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="A">“(A) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">The net premiums”</content>
                                </subparagraph></quotedContent>; and</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stE/s1406/a/2/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by adding at the end the following subparagraph:<quotedContent style="-uslm-dtd:quoted-block">
                                <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="B">“(B) </num><heading style="-uslm-dtd:header">Partial exclusion for certain exempt activities.—</heading><content style="-uslm-dtd:text">After the application of subparagraph (A), only 50 percent of the remaining net premiums written with respect to health insurance for any United States health risk that are attributable to the activities (other than activities of an unrelated trade or business as defined in section 513 of the Internal Revenue Code of 1986) of any covered entity qualifying under paragraph (3), (4), (26), or (29) of section 501(c) of such Code and exempt from tax under section 501(a) of such Code shall be taken into account.”</content>
                                </subparagraph></quotedContent>;</content>
                            </subparagraph>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1406/a/3" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="3">(3) </num><chapeau style="-uslm-dtd:text">in subsection (c)—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stE/s1406/a/3/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by inserting “<quotedText style="-uslm-dtd:quote">during the calendar year in which the fee under this section is due</quotedText>” in paragraph (1) after “<quotedText style="-uslm-dtd:quote">risk</quotedText>”;</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stE/s1406/a/3/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">in paragraph (2), by striking subparagraphs (C), (D), and (E) and inserting the following new subparagraphs:<quotedContent style="-uslm-dtd:quoted-block">
                                <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="C">“(C) </num><chapeau style="-uslm-dtd:text">any entity—</chapeau>
                                    <clause style="-uslm-dtd:clause" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">which is incorporated as a nonprofit corporation under a State law,</content>
                                    </clause>
                                    <clause style="-uslm-dtd:clause" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">no part of the net earnings of which inures to the benefit of any private shareholder or individual, no substantial part of the activities of which is carrying on propaganda, or otherwise attempting, to influence legislation (except as otherwise provided in section 501(h) of the Internal Revenue Code of 1986), and which does not participate in, or intervene in (including the publishing or distributing of statements), any political campaign on behalf of (or in opposition to) any candidate for public office, and</content>
                                    </clause>
                                    <clause style="-uslm-dtd:clause" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="iii">“(iii) </num><content style="-uslm-dtd:text">more than 80 percent of the gross revenues of which is received from government programs that target low-income, elderly, or disabled populations under titles XVIII, XIX, and XXI of the Social Security Act, and</content>
                                    </clause>
                                </subparagraph>
                                <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="D">“(D) </num><content style="-uslm-dtd:text">any entity which is described in section 501(c)(9) of such Code and which is established by an entity (other than by an employer or employers) for purposes of providing health care benefits.”</content>
                                </subparagraph></quotedContent>;</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stE/s1406/a/3/C" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">in paragraph (3)(A), by striking “<quotedText style="-uslm-dtd:quote">subparagraph (C)(i)(I), (D)(i)(I), or (E)(i)</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">subparagraph (C) or (D)</quotedText>”; and</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stE/s1406/a/3/D" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">by adding at the end the following new paragraph:<quotedContent style="-uslm-dtd:quoted-block">
                                <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="4">“(4) </num><heading style="-uslm-dtd:header">Joint and several liability.—</heading><content style="-uslm-dtd:text">If more than one person is liable for payment of the fee under subsection (a) with respect to a single covered entity by reason of the application of paragraph (3), all such persons shall be jointly and severally liable for payment of such fee.”</content>
                                </paragraph></quotedContent>;</content>
                            </subparagraph>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1406/a/4" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">by striking subsection (e) and inserting the following:<quotedContent style="-uslm-dtd:quoted-block">
                            <subsection style="-uslm-dtd:subsection" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="e">“(e) </num><heading style="-uslm-dtd:header">Applicable amount.—</heading><chapeau style="-uslm-dtd:text">For purposes of subsection (b)(1)—</chapeau>
                                <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">Years before 2019.—</heading><content style="-uslm-dtd:text">In the case of calendar years beginning before 2019, the applicable amount shall be determined in accordance with the following table:<foreign id="warning-d675084e4277" note="processing mode: unknown" role="passthroughContent"><compsdtd:table xmlns:compsdtd="http://schemas.gpo.gov/xml/comps-dtd" line-rules="no-gen" blank-lines-before="0" blank-lines-after="0"><compsdtd:ttitle>
</compsdtd:ttitle><compsdtd:tgroup cols="2" ttitle-size="0" thead-tbody-ldg-size="0.8.9"><compsdtd:colspec colname="col1" coldef="txt" colsep="0" min-data-value="190" /><compsdtd:colspec colname="col2" coldef="txt-no-ldr-no-spread" colsep="0" min-data-value="95" /><compsdtd:thead><compsdtd:row><compsdtd:entry align="center" colname="col1">
</compsdtd:entry><compsdtd:entry align="center" colname="col2">
</compsdtd:entry></compsdtd:row></compsdtd:thead><compsdtd:tbody><compsdtd:row><compsdtd:entry leader-modify="clr-ldr" stub-definition="txt-ldr" stub-hierarchy="1" colname="col1">
<compsdtd:bold>``Calendar year </compsdtd:bold>
</compsdtd:entry><compsdtd:entry colname="col2">
<compsdtd:bold>Applicable amount</compsdtd:bold>
</compsdtd:entry></compsdtd:row><compsdtd:row><compsdtd:entry stub-definition="txt-ldr" stub-hierarchy="2" colname="col1">2014</compsdtd:entry><compsdtd:entry colname="col2">$8,000,000,000</compsdtd:entry></compsdtd:row><compsdtd:row><compsdtd:entry stub-definition="txt-ldr" stub-hierarchy="2" colname="col1">2015</compsdtd:entry><compsdtd:entry colname="col2">$11,300,000,000</compsdtd:entry></compsdtd:row><compsdtd:row><compsdtd:entry stub-definition="txt-ldr" stub-hierarchy="2" colname="col1">2016</compsdtd:entry><compsdtd:entry colname="col2">$11,300,000,000</compsdtd:entry></compsdtd:row><compsdtd:row><compsdtd:entry stub-definition="txt-ldr" stub-hierarchy="2" colname="col1">2017</compsdtd:entry><compsdtd:entry colname="col2">$13,900,000,000</compsdtd:entry></compsdtd:row><compsdtd:row><compsdtd:entry stub-definition="txt-ldr" stub-hierarchy="2" colname="col1">2018</compsdtd:entry><compsdtd:entry colname="col2">$14,300,000,000.</compsdtd:entry></compsdtd:row></compsdtd:tbody></compsdtd:tgroup></compsdtd:table></foreign></content>
                                </paragraph>
                                <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Years after 2018.—</heading><content style="-uslm-dtd:text">In the case of any calendar year beginning after 2018, the applicable amount shall be the applicable amount for the preceding calendar year increased by the rate of premium growth (within the meaning of section 36B(b)(3)(A)(ii) of the Internal Revenue Code of 1986) for such preceding calendar year.”</content>
                                </paragraph>
                            </subsection></quotedContent>;</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1406/a/5" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="5">(5) </num><content style="-uslm-dtd:text">in subsection (g), by adding at the end the following new paragraphs:<quotedContent style="-uslm-dtd:quoted-block">
                            <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="3">“(3) </num><heading style="-uslm-dtd:header">Accuracy-related penalty.—</heading>
                                <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="A">“(A) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">In the case of any understatement of a covered entity’s net premiums written with respect to health insurance for any United States health risk for any calendar year, there shall be paid by the covered entity making such understatement, an amount equal to the excess of—</chapeau>
                                    <clause style="-uslm-dtd:clause" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">the amount of the covered entity’s fee under this section for the calendar year the Secretary determines should have been paid in the absence of any such understatement, over</content>
                                    </clause>
                                    <clause style="-uslm-dtd:clause" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">the amount of such fee the Secretary determined based on such understatement.</content>
                                    </clause>
                                </subparagraph>
                                <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="B">“(B) </num><heading style="-uslm-dtd:header">Understatement.—</heading><content style="-uslm-dtd:text">For purposes of this paragraph, an understatement of a covered entity’s net premiums written with respect to health insurance for any United States health risk for any calendar year is the difference between the amount of such net premiums written as reported on the return filed by the covered entity under paragraph (1) and the amount of such net premiums written that should have been reported on such return.</content>
                                </subparagraph>
                                <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="C">“(C) </num><heading style="-uslm-dtd:header">Treatment of penalty.—</heading><content style="-uslm-dtd:text">The penalty imposed under subparagraph (A) shall be subject to the provisions of subtitle F of the Internal Revenue Code of 1986 that apply to assessable penalties imposed under chapter 68 of such Code.</content>
                                </subparagraph>
                            </paragraph>
                            <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="4">“(4) </num><heading style="-uslm-dtd:header">Treatment of information.—</heading><content style="-uslm-dtd:text">Section 6103 of the Internal Revenue Code of 1986 shall not apply to any information reported under this subsection.”</content>
                            </paragraph></quotedContent>; and</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1406/a/6" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="6">(6) </num><content style="-uslm-dtd:text">by striking subsection (j) and inserting the following new subsection:<quotedContent style="-uslm-dtd:quoted-block">
                            <subsection style="-uslm-dtd:subsection" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="j">“(j) </num><heading style="-uslm-dtd:header">Effective Date.—</heading><content style="-uslm-dtd:text">This section shall apply to calendar years beginning after December 31, 2013.”</content>
                            </subsection></quotedContent>.</content>
                        </paragraph>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stE/s1406/b" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="b">(b) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t26/s4001">26 U.S.C. 4001 note</ref> prec.<b>]</b> </editorialNote><heading style="-uslm-dtd:header">Effective Date.—</heading><content style="-uslm-dtd:text">The amendments made by this section shall take effect as if included in section 9010 of the Patient Protection and Affordable Care Act.</content>
                    </subsection>
                </section>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tI/stE/s1407" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1407">SEC. 1407. </num><heading style="-uslm-dtd:header">DELAY OF ELIMINATION OF DEDUCTION FOR EXPENSES ALLOCABLE TO MEDICARE PART D SUBSIDY. </heading>
                    <content style="-uslm-dtd:text" class="block">Section 9012(b) of the Patient Protection and Affordable Care Act is amended by striking “<quotedText style="-uslm-dtd:quote">2010</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">2012</quotedText>”.</content>
                </section>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tI/stE/s1408" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1408">SEC. 1408. </num><heading style="-uslm-dtd:header">ELIMINATION OF UNINTENDED APPLICATION OF CELLULOSIC BIOFUEL PRODUCER CREDIT. </heading>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stE/s1408/a" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="a">(a) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t26/s40">26 U.S.C. 40</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">Section 40(b)(6)(E) of the Internal Revenue Code of 1986 is amended by adding at the end the following new clause:<quotedContent style="-uslm-dtd:quoted-block">
                        <clause style="-uslm-dtd:clause" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="iii">“(iii) </num><heading style="-uslm-dtd:header">Exclusion of unprocessed fuels.—</heading><chapeau style="-uslm-dtd:text">The term ‘<quotedText style="-uslm-dtd:quote">cellulosic biofuel</quotedText>’ shall not include any fuel if—</chapeau>
                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">more than 4 percent of such fuel (determined by weight) is any combination of water and sediment, or</content>
                            </subclause>
                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">the ash content of such fuel is more than 1 percent (determined by weight).”</content>
                            </subclause>
                        </clause></quotedContent>.</content>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stE/s1408/b" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="b">(b) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t26/s40">26 U.S.C. 40 note</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">Effective Date.—</heading><content style="-uslm-dtd:text">The amendment made by this section shall apply to fuels sold or used on or after January 1, 2010.</content>
                    </subsection>
                </section>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tI/stE/s1409" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1409">SEC. 1409. </num><heading style="-uslm-dtd:header">CODIFICATION OF ECONOMIC SUBSTANCE DOCTRINE AND PENALTIES. </heading>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stE/s1409/a" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="a">(a) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t26/s7701">26 U.S.C. 7701</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">Section 7701 of the Internal Revenue Code of 1986 is amended by redesignating subsection (o) as subsection (p) and by inserting after subsection (n) the following new subsection:<quotedContent style="-uslm-dtd:quoted-block">
                        <subsection style="-uslm-dtd:subsection" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="o">“(o) </num><heading style="-uslm-dtd:header">Clarification of Economic Substance Doctrine.—</heading>
                            <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">Application of doctrine.—</heading><chapeau style="-uslm-dtd:text">In the case of any transaction to which the economic substance doctrine is relevant, such transaction shall be treated as having economic substance only if—</chapeau>
                                <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">the transaction changes in a meaningful way (apart from Federal income tax effects) the taxpayer’s economic position, and</content>
                                </subparagraph>
                                <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">the taxpayer has a substantial purpose (apart from Federal income tax effects) for entering into such transaction.</content>
                                </subparagraph>
                            </paragraph>
                            <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Special rule where taxpayer relies on profit potential.—</heading>
                                <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="A">“(A) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">The potential for profit of a transaction shall be taken into account in determining whether the requirements of subparagraphs (A) and (B) of paragraph (1) are met with respect to the transaction only if the present value of the reasonably expected pre-tax profit from the transaction is substantial in relation to the present value of the expected net tax benefits that would be allowed if the transaction were respected.</content>
                                </subparagraph>
                                <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="B">“(B) </num><heading style="-uslm-dtd:header">Treatment of fees and foreign taxes.—</heading><content style="-uslm-dtd:text">Fees and other transaction expenses shall be taken into account as expenses in determining pre-tax profit under subparagraph (A). The Secretary shall issue regulations requiring foreign taxes to be treated as expenses in determining pre-tax profit in appropriate cases.</content>
                                </subparagraph>
                            </paragraph>
                            <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="3">“(3) </num><heading style="-uslm-dtd:header">State and local tax benefits.—</heading><content style="-uslm-dtd:text">For purposes of paragraph (1), any State or local income tax effect which is related to a Federal income tax effect shall be treated in the same manner as a Federal income tax effect.</content>
                            </paragraph>
                            <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="4">“(4) </num><heading style="-uslm-dtd:header">Financial accounting benefits.—</heading><content style="-uslm-dtd:text">For purposes of paragraph (1)(B), achieving a financial accounting benefit shall not be taken into account as a purpose for entering into a transaction if the origin of such financial accounting benefit is a reduction of Federal income tax.</content>
                            </paragraph>
                            <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="5">“(5) </num><heading style="-uslm-dtd:header">Definitions and special rules.—</heading><chapeau style="-uslm-dtd:text">For purposes of this subsection—</chapeau>
                                <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="A">“(A) </num><heading style="-uslm-dtd:header">Economic substance doctrine.—</heading><content style="-uslm-dtd:text">The term ‘<quotedText style="-uslm-dtd:quote">economic substance doctrine</quotedText>’ means the common law doctrine under which tax benefits under subtitle A with respect to a transaction are not allowable if the transaction does not have economic substance or lacks a business purpose.</content>
                                </subparagraph>
                                <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="B">“(B) </num><heading style="-uslm-dtd:header">Exception for personal transactions of individuals.—</heading><content style="-uslm-dtd:text">In the case of an individual, paragraph (1) shall apply only to transactions entered into in connection with a trade or business or an activity engaged in for the production of income.</content>
                                </subparagraph>
                                <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="C">“(C) </num><heading style="-uslm-dtd:header">Determination of application of doctrine not affected.—</heading><content style="-uslm-dtd:text">The determination of whether the economic substance doctrine is relevant to a transaction shall be made in the same manner as if this subsection had never been enacted.</content>
                                </subparagraph>
                                <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="D">“(D) </num><heading style="-uslm-dtd:header">Transaction.—</heading><content style="-uslm-dtd:text">The term ‘<quotedText style="-uslm-dtd:quote">transaction</quotedText>’ includes a series of transactions.”</content>
                                </subparagraph>
                            </paragraph>
                        </subsection></quotedContent>.</content>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stE/s1409/b" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Penalty for Underpayments Attributable to Transactions Lacking Economic Substance.—</heading>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1409/b/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t26/s6662">26 U.S.C. 6662</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">Subsection (b) of section 6662 is amended by inserting after paragraph (5) the following new paragraph:<quotedContent style="-uslm-dtd:quoted-block">
                            <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="6">“(6) </num><content style="-uslm-dtd:text">Any disallowance of claimed tax benefits by reason of a transaction lacking economic substance (within the meaning of section 7701(o)) or failing to meet the requirements of any similar rule of law.”</content>
                            </paragraph></quotedContent>.</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1409/b/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Increased penalty for nondisclosed transactions.—</heading><content style="-uslm-dtd:text">Section 6662 is amended by adding at the end the following new subsection:<quotedContent style="-uslm-dtd:quoted-block">
                            <subsection style="-uslm-dtd:subsection" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="i">“(i) </num><heading style="-uslm-dtd:header">Increase in Penalty in Case of Nondisclosed Noneconomic Substance Transactions.—</heading>
                                <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">In the case of any portion of an underpayment which is attributable to one or more nondisclosed noneconomic substance transactions, subsection (a) shall be applied with respect to such portion by substituting ‘<quotedText style="-uslm-dtd:quote">40 percent</quotedText>’ for ‘<quotedText style="-uslm-dtd:quote">20 percent</quotedText>’.</content>
                                </paragraph>
                                <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Nondisclosed noneconomic substance transactions.—</heading><content style="-uslm-dtd:text">For purposes of this subsection, the term ‘<quotedText style="-uslm-dtd:quote">nondisclosed noneconomic substance transaction</quotedText>’ means any portion of a transaction described in subsection (b)(6) with respect to which the relevant facts affecting the tax treatment are not adequately disclosed in the return nor in a statement attached to the return.</content>
                                </paragraph>
                                <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="3">“(3) </num><heading style="-uslm-dtd:header">Special rule for amended returns.—</heading><content style="-uslm-dtd:text">In no event shall any amendment or supplement to a return of tax be taken into account for purposes of this subsection if the amendment or supplement is filed after the earlier of the date the taxpayer is first contacted by the Secretary regarding the examination of the return or such other date as is specified by the Secretary.”</content>
                                </paragraph>
                            </subsection></quotedContent>.</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1409/b/3" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="3">(3) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t26/s6662A">26 U.S.C. 6662A</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">Conforming amendment.—</heading><chapeau style="-uslm-dtd:text">Subparagraph (B) of section 6662A(e)(2) is amended—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stE/s1409/b/3/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">section 6662(h)</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">subsections (h) or (i) of section 6662</quotedText>”; and</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stE/s1409/b/3/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote"><headingText style="-uslm-dtd:header-in-text">gross valuation misstatement penalty</headingText></quotedText>” in the heading and inserting “<quotedText style="-uslm-dtd:quote"><headingText style="-uslm-dtd:header-in-text">certain increased underpayment penalties</headingText></quotedText>”.</content>
                            </subparagraph>
                        </paragraph>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stE/s1409/c" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Reasonable Cause Exception Not Applicable to Noneconomic Substance Transactions.—</heading>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1409/c/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t26/s6664">26 U.S.C. 6664</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">Reasonable cause exception for underpayments.—</heading><chapeau style="-uslm-dtd:text">Subsection (c) of section 6664 is amended—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stE/s1409/c/1/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by redesignating paragraphs (2) and (3) as paragraphs (3) and (4), respectively;</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stE/s1409/c/1/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">paragraph (2)</quotedText>” in paragraph (4)(A), as so redesignated, and inserting “<quotedText style="-uslm-dtd:quote">paragraph (3)</quotedText>”; and</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stE/s1409/c/1/C" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">by inserting after paragraph (1) the following new paragraph:<quotedContent style="-uslm-dtd:quoted-block">
                                <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Exception.—</heading><content style="-uslm-dtd:text">Paragraph (1) shall not apply to any portion of an underpayment which is attributable to one or more transactions described in section 6662(b)(6).”</content>
                                </paragraph></quotedContent>.</content>
                            </subparagraph>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1409/c/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Reasonable cause exception for reportable transaction understatements.—</heading><chapeau style="-uslm-dtd:text">Subsection (d) of section 6664 is amended—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stE/s1409/c/2/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by redesignating paragraphs (2) and (3) as paragraphs (3) and (4), respectively;</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stE/s1409/c/2/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">paragraph (2)(C)</quotedText>” in paragraph (4), as so redesignated, and inserting “<quotedText style="-uslm-dtd:quote">paragraph (3)(C)</quotedText>”; and</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tI/stE/s1409/c/2/C" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">by inserting after paragraph (1) the following new paragraph:<quotedContent style="-uslm-dtd:quoted-block">
                                <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Exception.—</heading><content style="-uslm-dtd:text">Paragraph (1) shall not apply to any portion of a reportable transaction understatement which is attributable to one or more transactions described in section 6662(b)(6).”</content>
                                </paragraph></quotedContent>.</content>
                            </subparagraph>
                        </paragraph>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stE/s1409/d" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="d">(d) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t26/s6676">26 U.S.C. 6676</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">Application of Penalty for Erroneous Claim for Refund or Credit to Noneconomic Substance Transactions.—</heading><content style="-uslm-dtd:text">Section 6676 is amended by redesignating subsection (c) as subsection (d) and inserting after subsection (b) the following new subsection:<quotedContent style="-uslm-dtd:quoted-block">
                        <subsection style="-uslm-dtd:subsection" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="c">“(c) </num><heading style="-uslm-dtd:header">Noneconomic Substance Transactions Treated as Lacking Reasonable Basis.—</heading><content style="-uslm-dtd:text">For purposes of this section, any excessive amount which is attributable to any transaction described in section 6662(b)(6) shall not be treated as having a reasonable basis.”</content>
                        </subsection></quotedContent>.</content>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tI/stE/s1409/e" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="e">(e) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t26/s6662">26 U.S.C. 6662 note</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">Effective Date.—</heading>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1409/e/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">Except as otherwise provided in this subsection, the amendments made by this section shall apply to transactions entered into after the date of the enactment of this Act.</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1409/e/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Underpayments.—</heading><content style="-uslm-dtd:text">The amendments made by subsections (b) and (c)(1) shall apply to underpayments attributable to transactions entered into after the date of the enactment of this Act.</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1409/e/3" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Understatements.—</heading><content style="-uslm-dtd:text">The amendments made by subsection (c)(2) shall apply to understatements attributable to transactions entered into after the date of the enactment of this Act.</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tI/stE/s1409/e/4" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="4">(4) </num><heading style="-uslm-dtd:header">Refunds and credits.—</heading><content style="-uslm-dtd:text">The amendment made by subsection (d) shall apply to refunds and credits attributable to transactions entered into after the date of the enactment of this Act.</content>
                        </paragraph>
                    </subsection>
                </section>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tI/stE/s1410" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1410">SEC. 1410. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t26/s6655">26 U.S.C. 6655 note</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">TIME FOR PAYMENT OF CORPORATE ESTIMATED TAXES. </heading>
                    <content style="-uslm-dtd:text" class="block">The percentage under paragraph (1) of section 202(b) of the Corporate Estimated Tax Shift Act of 2009 in effect on the date of the enactment of this Act is increased by 15.75 percentage points.</content>
                </section>
            </subtitle>
            <subtitle style="-uslm-dtd:subtitle" identifier="/us/sComp/111/152/tI/stF" styleType="OLC">
                <num style="-uslm-dtd:enum" value="F">Subtitle F—</num><heading style="-uslm-dtd:header">Other Provisions </heading>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tI/stF/s1501" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1501">SEC. 1501. </num><heading style="-uslm-dtd:header">COMMUNITY COLLEGE AND CAREER TRAINING GRANT PROGRAM. </heading>
                    <content style="-uslm-dtd:text" class="block">Section 279(b) of the Trade Act of 1974 (19 U.S.C. 2372a(b)) is amended by striking “<quotedText style="-uslm-dtd:quote"><headingText style="-uslm-dtd:header-in-text">Supplement</headingText></quotedText>” and all that follows through “<quotedText style="-uslm-dtd:quote">Funds</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">There are</quotedText>” and by striking “<quotedText style="-uslm-dtd:quote">pursuant</quotedText>” and all that follows and inserting “<quotedText style="-uslm-dtd:quote">$500,000,000 for each of fiscal years 2011, 2012, 2013, and 2014 to carry out this subchapter, except that the limitations contained in section 278(a)(2) shall not apply to such funds and each State shall receive not less than 0.5 percent of the amount appropriated pursuant to this subsection for each such fiscal year.</quotedText>”.</content>
                </section>
            </subtitle>
        </title>
        <title style="-uslm-dtd:title" identifier="/us/sComp/111/152/tII" styleType="OLC">
            <num style="-uslm-dtd:enum" value="II">TITLE II—</num><heading style="-uslm-dtd:header">EDUCATION AND HEALTH </heading>
            <subtitle style="-uslm-dtd:subtitle" identifier="/us/sComp/111/152/tII/stA" styleType="OLC">
                <num style="-uslm-dtd:enum" value="A">Subtitle A—</num><heading style="-uslm-dtd:header">Education </heading>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tII/stA/s2001" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="2001">SEC. 2001. </num><heading style="-uslm-dtd:header">SHORT TITLE; REFERENCES. </heading>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tII/stA/s2001/a" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="a">(a) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t20/s1001">20 U.S.C. 1001 note</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">Short Title.—</heading><content style="-uslm-dtd:text">This subtitle may be cited as the “<shortTitle style="-uslm-dtd:quote">SAFRA Act</shortTitle>”.</content>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tII/stA/s2001/b" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">References.—</heading><content style="-uslm-dtd:text">Except as otherwise expressly provided, whenever in this subtitle an amendment or repeal is expressed in terms of an amendment to, or repeal of, a section or other provision, the reference shall be considered to be made to a section or other provision of the Higher Education Act of 1965 (20 U.S.C. 1001 et seq.).</content>
                    </subsection>
                </section>
                <part style="-uslm-dtd:part" identifier="/us/sComp/111/152/tII/stA/ptI" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="I">PART I—</num><heading style="-uslm-dtd:header">INVESTING IN STUDENTS AND FAMILIES </heading>
                    <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tII/stA/ptI/s2101" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="2101">SEC. 2101. </num><heading style="-uslm-dtd:header">FEDERAL PELL GRANTS. </heading>
                        <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tII/stA/ptI/s2101/a" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Amount of Grants.—</heading><chapeau style="-uslm-dtd:text">Section 401(b) (20 U.S.C. 1070a(b)) is amended—</chapeau>
                            <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptI/s2101/a/1" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">by amending paragraph (2)(A) to read as follows:<quotedContent style="-uslm-dtd:quoted-block">
                                <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="A">“(A) </num><chapeau style="-uslm-dtd:text">The amount of the Federal Pell Grant for a student eligible under this part shall be—</chapeau>
                                    <clause style="-uslm-dtd:clause" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">the maximum Federal Pell Grant, as specified in the last enacted appropriation Act applicable to that award year, plus</content>
                                    </clause>
                                    <clause style="-uslm-dtd:clause" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">the amount of the increase calculated under paragraph (8)(B) for that year, less</content>
                                    </clause>
                                    <clause style="-uslm-dtd:clause" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="iii">“(iii) </num><content style="-uslm-dtd:text">an amount equal to the amount determined to be the expected family contribution with respect to that student for that year.”</content>
                                    </clause>
                                </subparagraph></quotedContent>; and</content>
                            </paragraph>
                            <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptI/s2101/a/2" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">in paragraph (8)—</chapeau>
                                <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptI/s2101/a/2/A" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="A">(A) </num><chapeau style="-uslm-dtd:text">in subparagraph (A)—</chapeau>
                                    <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tII/stA/ptI/s2101/a/2/A/i" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">in the matter preceding clause (i), by striking “<quotedText style="-uslm-dtd:quote">, to carry out subparagraph (B) of this paragraph</quotedText>”; and</content>
                                    </clause>
                                    <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tII/stA/ptI/s2101/a/2/A/ii" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">by striking clauses (iii) through (x) and inserting the following:<quotedContent style="-uslm-dtd:quoted-block">
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="iii">“(iii) </num><content style="-uslm-dtd:text">to carry out subparagraph (B) of this paragraph, such sums as may be necessary for fiscal year 2010 and each subsequent fiscal year to provide the amount of increase of the maximum Federal Pell Grant required by clauses (ii) and (iii) of subparagraph (B); and</content>
                                        </clause>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="iv">“(iv) </num><content style="-uslm-dtd:text">to carry out this section, $13,500,000,000 for fiscal year 2011.”</content>
                                        </clause></quotedContent>;</content>
                                    </clause>
                                </subparagraph>
                                <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptI/s2101/a/2/B" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="B">(B) </num><chapeau style="-uslm-dtd:text">in subparagraph (B)—</chapeau>
                                    <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tII/stA/ptI/s2101/a/2/B/i" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">in the matter preceding clause (i), by striking “<quotedText style="-uslm-dtd:quote">subparagraph (A)</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">clauses (i) through (iii) of subparagraph (A)</quotedText>”;</content>
                                    </clause>
                                    <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tII/stA/ptI/s2101/a/2/B/ii" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">in clause (ii), by striking “<quotedText style="-uslm-dtd:quote">and 2011-2012</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">, 2011-2012, and 2012-2013</quotedText>”; and</content>
                                    </clause>
                                    <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tII/stA/ptI/s2101/a/2/B/iii" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">by striking clause (iii) and inserting the following:<quotedContent style="-uslm-dtd:quoted-block">
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="iii">“(iii) </num><content style="-uslm-dtd:text">the amount determined under subparagraph (C) for each succeeding award year.”</content>
                                        </clause></quotedContent>; and</content>
                                    </clause>
                                </subparagraph>
                                <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptI/s2101/a/2/C" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">by striking subparagraph (C) and inserting the following:<quotedContent style="-uslm-dtd:quoted-block">
                                    <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="C">“(C) </num><heading style="-uslm-dtd:header">Adjustment amounts.—</heading>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="i">“(i) </num><heading style="-uslm-dtd:header">Award year 2013-2014.—</heading><chapeau style="-uslm-dtd:text">For award year 2013-2014, the amount determined under this subparagraph for purposes of subparagraph (B)(iii) shall be equal to—</chapeau>
                                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">$5,550 or the total maximum Federal Pell Grant for the preceding award year (as determined under clause (v)(II)), whichever is greater, increased by a percentage equal to the annual adjustment percentage for award year 2013-2014, reduced by</content>
                                            </subclause>
                                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">$4,860 or the maximum Federal Pell Grant for which a student was eligible for the preceding award year, as specified in the last enacted appropriation Act applicable to that year, whichever is greater; and</content>
                                            </subclause>
                                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="III">“(III) </num><content style="-uslm-dtd:text">rounded to the nearest $5.</content>
                                            </subclause>
                                        </clause>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="ii">“(ii) </num><heading style="-uslm-dtd:header">Award years 2014-2015 through 2017-2018.—</heading><chapeau style="-uslm-dtd:text">For each of the award years 2014-2015 through 2017-2018, the amount determined under this subparagraph for purposes of subparagraph (B)(iii) shall be equal to—</chapeau>
                                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">the total maximum Federal Pell Grant for the preceding award year (as determined under clause (v)(II)), increased by a percentage equal to the annual adjustment percentage for the award year for which the amount under this subparagraph is being determined, reduced by</content>
                                            </subclause>
                                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">$4,860 or the maximum Federal Pell Grant for which a student was eligible for the preceding award year, as specified in the last enacted appropriation Act applicable to that year, whichever is greater; and</content>
                                            </subclause>
                                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="III">“(III) </num><content style="-uslm-dtd:text">rounded to the nearest $5.</content>
                                            </subclause>
                                        </clause>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="iii">“(iii) </num><heading style="-uslm-dtd:header">Subsequent award years.—</heading><content style="-uslm-dtd:text">For award year 2018-2019 and each subsequent award year, the amount determined under this subparagraph for purposes of subparagraph (B)(iii) shall be equal to the amount determined under clause (ii) for award year 2017-2018.</content>
                                        </clause>
                                        <clause style="-uslm-dtd:clause" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="iv">“(iv) </num><heading style="-uslm-dtd:header">Definitions.—</heading><chapeau style="-uslm-dtd:text">For purposes of this subparagraph—</chapeau>
                                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">the term ‘<quotedText style="-uslm-dtd:quote">annual adjustment percentage</quotedText>’ as applied to an award year, is equal to the estimated percentage change in the Consumer Price Index (as determined by the Secretary, using the definition in section 478(f)) for the most recent calendar year ending prior to the beginning of that award year; and</content>
                                            </subclause>
                                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="II">“(II) </num><chapeau style="-uslm-dtd:text">the term ‘<quotedText style="-uslm-dtd:quote">total maximum Federal Pell Grant</quotedText>’ as applied to a preceding award year, is equal to the sum of—</chapeau>
                                                <item style="-uslm-dtd:item" styleType="OLC">
                                                    <num style="-uslm-dtd:enum" value="aa">“(aa) </num><content style="-uslm-dtd:text">the maximum Federal Pell Grant for which a student is eligible during an award year, as specified in the last enacted appropriation Act applicable to that preceding award year; and</content>
                                                </item>
                                                <item style="-uslm-dtd:item" styleType="OLC">
                                                    <num style="-uslm-dtd:enum" value="bb">“(bb) </num><content style="-uslm-dtd:text">the amount of the increase in the maximum Federal Pell Grant required by this paragraph for that preceding award year.”</content>
                                                </item>
                                            </subclause>
                                        </clause>
                                    </subparagraph></quotedContent>.</content>
                                </subparagraph>
                            </paragraph>
                        </subsection>
                        <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tII/stA/ptI/s2101/b" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Conforming Amendments.—</heading><chapeau style="-uslm-dtd:text">Title IV (20 U.S.C. 1070 et seq.) is further amended—</chapeau>
                            <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptI/s2101/b/1" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">in section 401(b) (20 U.S.C. 1070a(b))—</chapeau>
                                <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptI/s2101/b/1/A" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="A">(A) </num><chapeau style="-uslm-dtd:text">in paragraph (4)—</chapeau>
                                    <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tII/stA/ptI/s2101/b/1/A/i" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">maximum basic grant level specified in the appropriate appropriation Act</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">maximum amount of a Federal Pell Grant award determined under paragraph (2)(A)</quotedText>”; and</content>
                                    </clause>
                                    <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tII/stA/ptI/s2101/b/1/A/ii" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">such level</quotedText>” each place it appears and inserting “<quotedText style="-uslm-dtd:quote">such Federal Pell Grant amount</quotedText>” in each such place; and</content>
                                    </clause>
                                </subparagraph>
                                <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptI/s2101/b/1/B" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">in paragraph (6), by striking “<quotedText style="-uslm-dtd:quote">the grant level specified in the appropriate Appropriation Act for this subpart for such year</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">the maximum amount of a Federal Pell Grant award determined under paragraph (2)(A), for which a student is eligible during such award year</quotedText>”;</content>
                                </subparagraph>
                            </paragraph>
                            <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptI/s2101/b/2" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">in section 402D(d)(1) (20 U.S.C. 1070a-14(d)(1)), by striking “<quotedText style="-uslm-dtd:quote">exceed the maximum</quotedText>” and all that follows through “<quotedText style="-uslm-dtd:quote">Grant, for</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">exceed the Federal Pell Grant amount, determined under section 401(b)(2)(A), for which a student is eligible, or be less than the minimum Federal Pell Grant amount described in section 401(b)(4), for</quotedText>”;</content>
                            </paragraph>
                            <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptI/s2101/b/3" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">in section 435(a)(5)(A)(i)(I) (20 U.S.C. 1085(a)(5)(A)(i)(I)), by striking “<quotedText style="-uslm-dtd:quote">one-half the maximum Federal Pell Grant award for which a student would be eligible</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">one-half the Federal Pell Grant amount, determined under section 401(b)(2)(A), for which a student would be eligible</quotedText>”;</content>
                            </paragraph>
                            <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptI/s2101/b/4" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">in section 483(e)(3)(A)(ii) (20 U.S.C. 1090(e)(3)(A)(ii)), by striking “<quotedText style="-uslm-dtd:quote">based on the maximum Federal Pell Grant award at the time of application</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">based on the Federal Pell Grant amount, determined under section 401(b)(2)(A), for which a student is eligible at the time of application</quotedText>”;</content>
                            </paragraph>
                            <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptI/s2101/b/5" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="5">(5) </num><content style="-uslm-dtd:text">in section 485E(b)(1)(A) (20 U.S.C. 1092f(b)(1)(A)), by striking “<quotedText style="-uslm-dtd:quote">of such students’ potential eligibility for a maximum Federal Pell Grant under subpart 1 of part A</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">of such students’ potential eligibility for the Federal Pell Grant amount, determined under section 401(b)(2)(A), for which the student would be eligible</quotedText>”; and</content>
                            </paragraph>
                            <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptI/s2101/b/6" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="6">(6) </num><content style="-uslm-dtd:text">in section 894(f)(2)(C)(ii)(I) (20 U.S.C. 1161y(f)(2)(C)(ii)(I)), by striking “<quotedText style="-uslm-dtd:quote">the maximum Federal Pell Grant for each award year</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">the Federal Pell Grant amount, determined under section 401(b)(2)(A), for which a student may be eligible for each award year</quotedText>”.</content>
                            </paragraph>
                        </subsection>
                        <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tII/stA/ptI/s2101/c" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="c">(c) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t20/s1070a">20 U.S.C. 1070a note</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">Effective Date.—</heading><content style="-uslm-dtd:text">The amendments made by subsections (a) and (b) shall take effect on July 1, 2010.</content>
                        </subsection>
                    </section>
                    <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tII/stA/ptI/s2102" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="2102">SEC. 2102. </num><heading style="-uslm-dtd:header">COLLEGE ACCESS CHALLENGE GRANT PROGRAM. </heading>
                        <chapeau style="-uslm-dtd:text" class="block">Section 781 (20 U.S.C. 1141) is amended—</chapeau>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptI/s2102/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">in the first sentence of subsection (a), by striking “<quotedText style="-uslm-dtd:quote">$66,000,000</quotedText>” and all that follows through the period and inserting “<quotedText style="-uslm-dtd:quote">$150,000,000 for each of the fiscal years 2010 through 2014. The authority to award grants under this section shall expire at the end of fiscal year 2014.</quotedText>”; and</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptI/s2102/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">in subsection (c)(2), by striking “<quotedText style="-uslm-dtd:quote">0.5 percent</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">1.0 percent</quotedText>”.</content>
                        </paragraph>
                    </section>
                    <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tII/stA/ptI/s2103" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="2103">SEC. 2103. </num><heading style="-uslm-dtd:header">INVESTMENT IN HISTORICALLY BLACK COLLEGES AND UNIVERSITIES AND MINORITY-SERVING INSTITUTIONS. </heading>
                        <content style="-uslm-dtd:text" class="block">Section 371(b)(1)(A) (20 U.S.C. 1067q(b)(1)(A)) is amended by striking “<quotedText style="-uslm-dtd:quote">and 2009.</quotedText>” and all that follows and inserting “<quotedText style="-uslm-dtd:quote">through 2019. The authority to award grants under this section shall expire at the end of fiscal year 2019.</quotedText>”.</content>
                    </section>
                </part>
                <part style="-uslm-dtd:part" identifier="/us/sComp/111/152/tII/stA/ptII" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="II">PART II—</num><heading style="-uslm-dtd:header">STUDENT LOAN REFORM </heading>
                    <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tII/stA/ptII/s2201" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="2201">SEC. 2201. </num><heading style="-uslm-dtd:header">TERMINATION OF FEDERAL FAMILY EDUCATION LOAN APPROPRIATIONS. </heading>
                        <chapeau style="-uslm-dtd:text" class="block">Section 421 (20 U.S.C. 1071) is amended—</chapeau>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2201/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">in subsection (b), in the first sentence of the matter following paragraph (6), by inserting “<quotedText style="-uslm-dtd:quote">, except that no sums may be expended after June 30, 2010, with respect to loans under this part for which the first disbursement is after such date</quotedText>” after “<quotedText style="-uslm-dtd:quote">expended</quotedText>”; and</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2201/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">by adding at the end the following new subsection:<quotedContent style="-uslm-dtd:quoted-block">
                            <subsection style="-uslm-dtd:subsection" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="d">“(d) </num><heading style="-uslm-dtd:header">Termination of Authority to Make or Insure New Loans.—</heading><chapeau style="-uslm-dtd:text">Notwithstanding paragraphs (1) through (6) of subsection (b) or any other provision of law—</chapeau>
                                <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="1">“(1) </num><content style="-uslm-dtd:text">no new loans (including consolidation loans) may be made or insured under this part after June 30, 2010; and</content>
                                </paragraph>
                                <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="2">“(2) </num><content style="-uslm-dtd:text">no funds are authorized to be appropriated, or may be expended, under this Act or any other Act to make or insure loans under this part (including consolidation loans) for which the first disbursement is after June 30, 2010,</content>
                                </paragraph><continuation style="-uslm-dtd:continuation-text" role="subsection">except as expressly authorized by an Act of Congress enacted after the date of enactment of the SAFRA Act.”</continuation>
                            </subsection></quotedContent>.</content>
                        </paragraph>
                    </section>
                    <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tII/stA/ptII/s2202" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="2202">SEC. 2202. </num><heading style="-uslm-dtd:header">TERMINATION OF FEDERAL LOAN INSURANCE PROGRAM. </heading>
                        <content style="-uslm-dtd:text" class="block">Section 424(a) (20 U.S.C. 1074(a)) is amended by striking “<quotedText style="-uslm-dtd:quote">September 30, 1976,</quotedText>” and all that follows and inserting “<quotedText style="-uslm-dtd:quote">September 30, 1976, for each of the succeeding fiscal years ending prior to October 1, 2009, and for the period from October 1, 2009, to June 30, 2010, for loans first disbursed on or before June 30, 2010.</quotedText>”.</content>
                    </section>
                    <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tII/stA/ptII/s2203" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="2203">SEC. 2203. </num><heading style="-uslm-dtd:header">TERMINATION OF APPLICABLE INTEREST RATES. </heading>
                        <chapeau style="-uslm-dtd:text" class="block">Section 427A(l) (20 U.S.C. 1077a(l)) is amended—</chapeau>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2203/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">in the subsection heading, by inserting “<quotedText style="-uslm-dtd:quote"><headingText style="-uslm-dtd:header-in-text">and Before July 1, 2010</headingText></quotedText>” after “<quotedText style="-uslm-dtd:quote"><headingText style="-uslm-dtd:header-in-text">2006</headingText></quotedText>”;</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2203/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">in paragraph (1), by inserting “<quotedText style="-uslm-dtd:quote">and before July 1, 2010,</quotedText>” after “<quotedText style="-uslm-dtd:quote">July 1, 2006,</quotedText>”;</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2203/3" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">in paragraph (2), by inserting “<quotedText style="-uslm-dtd:quote">and before July 1, 2010,</quotedText>” after “<quotedText style="-uslm-dtd:quote">July 1, 2006,</quotedText>”;</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2203/4" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">in paragraph (3), by inserting “<quotedText style="-uslm-dtd:quote">and that was disbursed before July 1, 2010,</quotedText>” after “<quotedText style="-uslm-dtd:quote">July 1, 2006,</quotedText>”; and</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2203/5" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="5">(5) </num><chapeau style="-uslm-dtd:text">in paragraph (4)—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2203/5/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in the matter preceding subparagraph (A), by striking “<quotedText style="-uslm-dtd:quote">July 1, 2012</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">July 1, 2010</quotedText>”; and</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2203/5/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by repealing subparagraphs (D) and (E).</content>
                            </subparagraph>
                        </paragraph>
                    </section>
                    <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tII/stA/ptII/s2204" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="2204">SEC. 2204. </num><heading style="-uslm-dtd:header">TERMINATION OF FEDERAL PAYMENTS TO REDUCE STUDENT INTEREST COSTS. </heading>
                        <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tII/stA/ptII/s2204/a" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Higher Education Act of 1965.—</heading><chapeau style="-uslm-dtd:text">Section 428 (20 U.S.C. 1078) is amended—</chapeau>
                            <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2204/a/1" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">in subsection (a)—</chapeau>
                                <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2204/a/1/A" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in paragraph (1), in the matter preceding subparagraph (A), by inserting “<quotedText style="-uslm-dtd:quote">for which the first disbursement is made before July 1, 2010, and</quotedText>” after “<quotedText style="-uslm-dtd:quote">eligible institution</quotedText>”; and</content>
                                </subparagraph>
                                <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2204/a/1/B" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">in paragraph (5), by striking “<quotedText style="-uslm-dtd:quote">September 30, 2014,</quotedText>” and all that follows through the period and inserting “<quotedText style="-uslm-dtd:quote">June 30, 2010.</quotedText>”;</content>
                                </subparagraph>
                            </paragraph>
                            <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2204/a/2" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">in subsection (b)(1)—</chapeau>
                                <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2204/a/2/A" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in subparagraph (G)(ii), by inserting “<quotedText style="-uslm-dtd:quote">and before July 1, 2010,</quotedText>” after “<quotedText style="-uslm-dtd:quote">July 1, 2006,</quotedText>”; and</content>
                                </subparagraph>
                                <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2204/a/2/B" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">in subparagraph (H)(ii), by inserting “<quotedText style="-uslm-dtd:quote">and that are first disbursed before July 1, 2010,</quotedText>” after “<quotedText style="-uslm-dtd:quote">July 1, 2006,</quotedText>”;</content>
                                </subparagraph>
                            </paragraph>
                            <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2204/a/3" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="3">(3) </num><chapeau style="-uslm-dtd:text">in subsection (f)(1)(A)(ii)—</chapeau>
                                <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2204/a/3/A" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">during fiscal years beginning</quotedText>”; and</content>
                                </subparagraph>
                                <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2204/a/3/B" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by inserting “<quotedText style="-uslm-dtd:quote">and first disbursed before July 1, 2010,</quotedText>” after “<quotedText style="-uslm-dtd:quote">October 1, 2003,</quotedText>”; and</content>
                                </subparagraph>
                            </paragraph>
                            <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2204/a/4" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">in subsection (j)(1), by inserting “<quotedText style="-uslm-dtd:quote">, before July 1, 2010,</quotedText>” after “<quotedText style="-uslm-dtd:quote">section 435(d)(1)(D) of this Act shall</quotedText>”.</content>
                            </paragraph>
                        </subsection>
                        <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tII/stA/ptII/s2204/b" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="b">(b) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t20/s1078">20 U.S.C. 1078</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">College Cost Reduction and Access Act.—</heading><content style="-uslm-dtd:text">Section 303 of the College Cost Reduction and Access Act (Public Law 110-84) is repealed.</content>
                        </subsection>
                    </section>
                    <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tII/stA/ptII/s2205" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="2205">SEC. 2205. </num><heading style="-uslm-dtd:header">TERMINATION OF FFEL PLUS LOANS. </heading>
                        <content style="-uslm-dtd:text" class="block">Section 428B(a)(1) (20 U.S.C. 1078-2(a)(1)) is amended by striking “<quotedText style="-uslm-dtd:quote">A graduate</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">Prior to July 1, 2010, a graduate</quotedText>”.</content>
                    </section>
                    <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tII/stA/ptII/s2206" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="2206">SEC. 2206. </num><heading style="-uslm-dtd:header">FEDERAL CONSOLIDATION LOANS. </heading>
                        <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tII/stA/ptII/s2206/a" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><chapeau style="-uslm-dtd:text">Section 428C (20 U.S.C. 1078-3) is amended—</chapeau>
                            <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2206/a/1" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">in subsection (a)(4)(A), by inserting “<quotedText style="-uslm-dtd:quote">, and first disbursed before July 1, 2010</quotedText>” after “<quotedText style="-uslm-dtd:quote">under this part</quotedText>”;</content>
                            </paragraph>
                            <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2206/a/2" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">in subsection (b)—</chapeau>
                                <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2206/a/2/A" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in paragraph (1)(E), by inserting before the semicolon “<quotedText style="-uslm-dtd:quote">, and before July 1, 2010</quotedText>”; and</content>
                                </subparagraph>
                                <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2206/a/2/B" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">in paragraph (5), by striking “<quotedText style="-uslm-dtd:quote">In the event that</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">If, before July 1, 2010,</quotedText>”;</content>
                                </subparagraph>
                            </paragraph>
                            <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2206/a/3" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="3">(3) </num><chapeau style="-uslm-dtd:text">in subsection (c)(1)—</chapeau>
                                <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2206/a/3/A" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in subparagraph (A)(ii), by inserting “<quotedText style="-uslm-dtd:quote">and that is disbursed before July 1, 2010,</quotedText>” after “<quotedText style="-uslm-dtd:quote">2006,</quotedText>”; and</content>
                                </subparagraph>
                                <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2206/a/3/B" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">in subparagraph (C), by inserting “<quotedText style="-uslm-dtd:quote">and disbursed before July 1, 2010,</quotedText>” after “<quotedText style="-uslm-dtd:quote">1994,</quotedText>”; and</content>
                                </subparagraph>
                            </paragraph>
                            <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2206/a/4" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">in subsection (e), by striking “<quotedText style="-uslm-dtd:quote">September 30, 2014.</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">June 30, 2010. No loan may be made under this section for which the disbursement is on or after July 1, 2010.</quotedText>”.</content>
                            </paragraph>
                        </subsection>
                        <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tII/stA/ptII/s2206/b" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Temporary Loan Consolidation Authority.—</heading><content style="-uslm-dtd:text">Part D of title IV (20 U.S.C. 1087a et seq.) is amended by inserting after section 459A (20 U.S.C. 1087i) the following:<quotedContent style="-uslm-dtd:quoted-block">
                            <section style="-uslm-dtd:section" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="459B">“SEC. 459B. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t20/s1087i-2">20 U.S.C. 1087i-2</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">TEMPORARY LOAN CONSOLIDATION AUTHORITY </heading>
                                <subsection style="-uslm-dtd:subsection" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="a">“(a) </num><heading style="-uslm-dtd:header">Temporary Loan Consolidation Authority.—</heading>
                                    <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">A borrower who has 1 or more loans in 2 or more of the categories described in paragraph (2), and who has not yet entered repayment on 1 or more of those loans in any of the categories, may consolidate all of the loans of the borrower that are described in paragraph (2) into a Federal Direct Consolidation Loan during the period described in paragraph (3).</content>
                                    </paragraph>
                                    <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Categories of loans that may be consolidated.—</heading><chapeau style="-uslm-dtd:text">The categories of loans that may be consolidated under paragraph (1) are—</chapeau>
                                        <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">loans made under this part;</content>
                                        </subparagraph>
                                        <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">loans purchased by the Secretary pursuant to section 459A; and</content>
                                        </subparagraph>
                                        <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="C">“(C) </num><content style="-uslm-dtd:text">loans made under part B that are held by an eligible lender, as such term is defined in section 435(d).</content>
                                        </subparagraph>
                                    </paragraph>
                                    <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="3">“(3) </num><heading style="-uslm-dtd:header">Time period in which loans may be consolidated.—</heading><content style="-uslm-dtd:text">The Secretary may make a Federal Direct Consolidation Loan under this section to a borrower whose application for such Federal Direct Consolidation Loan is received on or after July 1, 2010, and before July 1, 2011.</content>
                                    </paragraph>
                                </subsection>
                                <subsection style="-uslm-dtd:subsection" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="b">“(b) </num><heading style="-uslm-dtd:header">Terms of Loans.—</heading><chapeau style="-uslm-dtd:text">A Federal Direct Consolidation Loan made under this section shall have the same terms and conditions as a Federal Direct Consolidation Loan made under section 455(g), except that—</chapeau>
                                    <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="1">“(1) </num><content style="-uslm-dtd:text">in determining the applicable rate of interest on the Federal Direct Consolidation Loan made under this section (other than on a Federal Direct Consolidation Loan described in paragraph (2)), section 427A(l)(3) shall be applied without rounding the weighted average of the interest rate on the loans consolidated to the nearest higher one-eighth of 1 percent as described in subparagraph (A) of section 427A(l)(3); and</content>
                                    </paragraph>
                                    <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="2">“(2) </num><chapeau style="-uslm-dtd:text">if a Federal Direct Consolidation Loan made under this section that repays a loan which is subject to an interest rate determined under section 427A(g)(2), (j)(2), or (k)(2), then the interest rate for such Federal Direct Consolidation Loan shall be calculated—</chapeau>
                                        <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">by using the applicable rate of interest described in section 427A(g)(2), (j)(2), or (k)(2), respectively; and</content>
                                        </subparagraph>
                                        <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">in accordance with section 427A(l)(3).”</content>
                                        </subparagraph>
                                    </paragraph>
                                </subsection>
                            </section></quotedContent>.</content>
                        </subsection>
                    </section>
                    <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tII/stA/ptII/s2207" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="2207">SEC. 2207. </num><heading style="-uslm-dtd:header">TERMINATION OF UNSUBSIDIZED STAFFORD LOANS FOR MIDDLE-INCOME BORROWERS. </heading>
                        <chapeau style="-uslm-dtd:text" class="block">Section 428H (20 U.S.C. 1078-8) is amended—</chapeau>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2207/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">in subsection (a), by inserting “<quotedText style="-uslm-dtd:quote">that are first disbursed before July 1, 2010,</quotedText>” after “<quotedText style="-uslm-dtd:quote">under this part</quotedText>”;</content>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2207/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">in subsection (b)—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2207/2/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">Any student</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">Prior to July 1, 2010, any student</quotedText>”; and</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2207/2/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by inserting “<quotedText style="-uslm-dtd:quote">for which the first disbursement is made before such date</quotedText>” after “<quotedText style="-uslm-dtd:quote">unsubsidized Federal Stafford Loan</quotedText>”; and</content>
                            </subparagraph>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2207/3" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">in subsection (h), by inserting “<quotedText style="-uslm-dtd:quote">and that are first disbursed before July 1, 2010,</quotedText>” after “<quotedText style="-uslm-dtd:quote">July 1, 2006,</quotedText>”.</content>
                        </paragraph>
                    </section>
                    <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tII/stA/ptII/s2208" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="2208">SEC. 2208. </num><heading style="-uslm-dtd:header">TERMINATION OF SPECIAL ALLOWANCES. </heading>
                        <chapeau style="-uslm-dtd:text" class="block">Section 438 (20 U.S.C. 1087-1) is amended—</chapeau>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2208/1" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">in subsection (b)(2)(I)—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2208/1/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in the subclause heading, by inserting “<quotedText style="-uslm-dtd:quote">, and before july 1, 2010</quotedText>” after “<quotedText style="-uslm-dtd:quote"><headingText style="-uslm-dtd:header-in-text">2000</headingText></quotedText>”;</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2208/1/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">in clause (i), by inserting “<quotedText style="-uslm-dtd:quote">and before July 1, 2010,</quotedText>” after “<quotedText style="-uslm-dtd:quote">2000,</quotedText>”;</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2208/1/C" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">in clause (ii)(II), by inserting “<quotedText style="-uslm-dtd:quote">and before July 1, 2010,</quotedText>” after “<quotedText style="-uslm-dtd:quote">2006,</quotedText>”;</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2208/1/D" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">in clause (iii), by inserting “<quotedText style="-uslm-dtd:quote">and before July 1, 2010,</quotedText>” after “<quotedText style="-uslm-dtd:quote">2000,</quotedText>”;</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2208/1/E" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">in clause (iv), by inserting “<quotedText style="-uslm-dtd:quote">and that is disbursed before July 1, 2010,</quotedText>” after “<quotedText style="-uslm-dtd:quote">2000,</quotedText>”;</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2208/1/F" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="F">(F) </num><content style="-uslm-dtd:text">in clause (v)(I), by inserting “<quotedText style="-uslm-dtd:quote">and before July 1, 2010,</quotedText>” after “<quotedText style="-uslm-dtd:quote">2006,</quotedText>”; and</content>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2208/1/G" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="G">(G) </num><chapeau style="-uslm-dtd:text">in clause (vi)—</chapeau>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tII/stA/ptII/s2208/1/G/i" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">in the clause heading, by inserting “<quotedText style="-uslm-dtd:quote">, and before july 1, 2010</quotedText>” after “<quotedText style="-uslm-dtd:quote">2007</quotedText>”; and</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tII/stA/ptII/s2208/1/G/ii" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">in the matter preceding subclause (I), by inserting “<quotedText style="-uslm-dtd:quote">and before July 1, 2010,</quotedText>” after “<quotedText style="-uslm-dtd:quote">2007,</quotedText>”;</content>
                                </clause>
                            </subparagraph>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2208/2" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">in subsection (c)—</chapeau>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2208/2/A" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">(A) </num><chapeau style="-uslm-dtd:text">in paragraph (2)(B)—</chapeau>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tII/stA/ptII/s2208/2/A/i" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">in clause (iii), by inserting “<quotedText style="-uslm-dtd:quote">and</quotedText>” after the semicolon;</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tII/stA/ptII/s2208/2/A/ii" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">in clause (iv), by striking “<quotedText style="-uslm-dtd:quote">; and</quotedText>” and inserting a period; and</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tII/stA/ptII/s2208/2/A/iii" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">by striking clause (v); and</content>
                                </clause>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2208/2/B" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">in paragraph (6), by inserting “<quotedText style="-uslm-dtd:quote">and first disbursed before July 1, 2010,</quotedText>” after “<quotedText style="-uslm-dtd:quote">1992,</quotedText>”; and</content>
                            </subparagraph>
                        </paragraph>
                        <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2208/3" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">in subsection (d)(2)(B), by inserting “<quotedText style="-uslm-dtd:quote">, and before July 1, 2010</quotedText>” after “<quotedText style="-uslm-dtd:quote">2007</quotedText>”.</content>
                        </paragraph>
                    </section>
                    <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tII/stA/ptII/s2209" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="2209">SEC. 2209. </num><heading style="-uslm-dtd:header">ORIGINATION OF DIRECT LOANS AT INSTITUTIONS OUTSIDE THE UNITED STATES. </heading>
                        <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tII/stA/ptII/s2209/a" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Loans for Students Attending Institutions Outside the United States.—</heading><content style="-uslm-dtd:text">Section 452 (20 U.S.C. 1087b) is amended by adding at the end the following:<quotedContent style="-uslm-dtd:quoted-block">
                            <subsection style="-uslm-dtd:subsection" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="d">“(d) </num><heading style="-uslm-dtd:header">Institutions Outside the United States.—</heading><content style="-uslm-dtd:text">Loan funds for students (and parents of students) attending institutions outside the United States shall be disbursed through a financial institution located or operating in the United States and designated by the Secretary to serve as the agent of such institutions with respect to the receipt of the disbursements of such loan funds and the transfer of such funds to such institutions. To be eligible to receive funds under this part, an institution outside the United States shall make arrangements with the agent designated by the Secretary under this subsection to receive funds under this part.”</content>
                            </subsection></quotedContent>.</content>
                        </subsection>
                        <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tII/stA/ptII/s2209/b" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Conforming Amendments.—</heading>
                            <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2209/b/1" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Amendments.—</heading><chapeau style="-uslm-dtd:text">Section 102 (20 U.S.C. 1002), as amended by section 102 of the Higher Education Opportunity Act (Public Law 110-315) and section 101 of Public Law 111-39, is amended—</chapeau>
                                <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2209/b/1/A" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">part B</quotedText>” each place the term appears and inserting “<quotedText style="-uslm-dtd:quote">part D</quotedText>”;</content>
                                </subparagraph>
                                <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2209/b/1/B" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">in subsection (a)(1)(C), by inserting “<quotedText style="-uslm-dtd:quote">, consistent with the requirements of section 452(d)</quotedText>” before the period at the end; and</content>
                                </subparagraph>
                                <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2209/b/1/C" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="C">(C) </num><chapeau style="-uslm-dtd:text">in subsection (a)(2)(A)—</chapeau>
                                    <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tII/stA/ptII/s2209/b/1/C/i" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">in the second sentence of the matter preceding clause (i), by striking “<quotedText style="-uslm-dtd:quote">made, insured, or guaranteed</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">made</quotedText>”; and</content>
                                    </clause>
                                    <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tII/stA/ptII/s2209/b/1/C/ii" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="ii">(ii) </num><chapeau style="-uslm-dtd:text">in clause (iii)—</chapeau>
                                        <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/111/152/tII/stA/ptII/s2209/b/1/C/ii/I" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">in subclause (III), by striking “<quotedText style="-uslm-dtd:quote">only Federal Stafford</quotedText>” and all that follows through “<quotedText style="-uslm-dtd:quote">section 428B</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">only Federal Direct Stafford Loans under section 455(a)(2)(A), Federal Direct Unsubsidized Stafford Loans under section 455(a)(2)(D), or Federal Direct PLUS Loans under section 455(a)(2)(B)</quotedText>”; and</content>
                                        </subclause>
                                        <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/111/152/tII/stA/ptII/s2209/b/1/C/ii/II" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="II">(II) </num><content style="-uslm-dtd:text">in subclause (V), by striking “<quotedText style="-uslm-dtd:quote">a Federal Stafford</quotedText>” and all that follows through “<quotedText style="-uslm-dtd:quote">section 428B</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">a Federal Direct Stafford Loan under section 455(a)(2)(A), a Federal Direct Unsubsidized Stafford Loan under section 455(a)(2)(D), or a Federal Direct PLUS Loan under section 455(a)(2)(B)</quotedText>”.</content>
                                        </subclause>
                                    </clause>
                                </subparagraph>
                            </paragraph>
                            <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2209/b/2" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="2">(2) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t20/s1002">20 U.S.C. 1002 note</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">Effective Date.—</heading><content style="-uslm-dtd:text">The amendments made by subparagraph (C) of paragraph (1) shall be effective on July 1, 2010, as if enacted as part of section 102(a)(1) of the Higher Education Opportunity Act (Public Law 110-315) and subject to section 102(e) of such Act as amended by section 101(a)(2) of Public Law 111-39 (20 U.S.C. 1002 note).</content>
                            </paragraph>
                        </subsection>
                    </section>
                    <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tII/stA/ptII/s2210" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="2210">SEC. 2210. </num><heading style="-uslm-dtd:header">CONFORMING AMENDMENTS. </heading>
                        <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tII/stA/ptII/s2210/a" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Amendments.—</heading><chapeau style="-uslm-dtd:text">Section 454 (20 U.S.C. 1087d) is amended—</chapeau>
                            <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2210/a/1" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">in subsection (a)—</chapeau>
                                <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2210/a/1/A" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by striking paragraph (4); and</content>
                                </subparagraph>
                                <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2210/a/1/B" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by redesignating paragraphs (5) through (7) as paragraphs (4) through (6), respectively; and</content>
                                </subparagraph>
                            </paragraph>
                            <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2210/a/2" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">in subsection (b)(2), by striking “<quotedText style="-uslm-dtd:quote">(5), (6), and (7)</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">(5), and (6)</quotedText>”.</content>
                            </paragraph>
                        </subsection>
                        <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tII/stA/ptII/s2210/b" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="b">(b) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t20/s1087d">20 U.S.C. 1087d note</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">Effective Date.—</heading><content style="-uslm-dtd:text">The amendments made by subsection (a) shall take effect on July 1, 2010.</content>
                        </subsection>
                    </section>
                    <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tII/stA/ptII/s2211" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="2211">SEC. 2211. </num><heading style="-uslm-dtd:header">TERMS AND CONDITIONS OF LOANS. </heading>
                        <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tII/stA/ptII/s2211/a" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><chapeau style="-uslm-dtd:text">Section 455 (20 U.S.C. 1087e) is amended—</chapeau>
                            <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2211/a/1" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">in subsection (a)(1), by inserting “<quotedText style="-uslm-dtd:quote">, and first disbursed on June 30, 2010,</quotedText>” before “<quotedText style="-uslm-dtd:quote">under sections 428</quotedText>”; and</content>
                            </paragraph>
                            <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2211/a/2" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">in subsection (g)—</chapeau>
                                <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2211/a/2/A" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by inserting “<quotedText style="-uslm-dtd:quote">, including any loan made under part B and first disbursed before July 1, 2010</quotedText>” after “<quotedText style="-uslm-dtd:quote">section 428C(a)(4)</quotedText>”; and</content>
                                </subparagraph>
                                <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2211/a/2/B" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by striking the third sentence.</content>
                                </subparagraph>
                            </paragraph>
                        </subsection>
                        <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tII/stA/ptII/s2211/b" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Effective Date.—</heading><content style="-uslm-dtd:text">The amendment made by subsection (a)(1) shall apply with respect to loans first disbursed under part D of title IV of the Higher Education Act of 1965 (20 U.S.C. 1087a et seq.) on or after July 1, 2010.</content>
                        </subsection>
                    </section>
                    <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tII/stA/ptII/s2212" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="2212">SEC. 2212. </num><heading style="-uslm-dtd:header">CONTRACTS; MANDATORY FUNDS. </heading>
                        <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tII/stA/ptII/s2212/a" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Contracts.—</heading><chapeau style="-uslm-dtd:text">Section 456 (20 U.S.C. 1087f) is amended—</chapeau>
                            <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2212/a/1" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">in subsection (a)—</chapeau>
                                <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2212/a/1/A" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by inserting after paragraph (3) the following new paragraph:<quotedContent style="-uslm-dtd:quoted-block">
                                    <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="4">“(4) </num><heading style="-uslm-dtd:header">Servicing by eligible not-for-profit servicers.—</heading>
                                        <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="A">“(A) </num><heading style="-uslm-dtd:header">Servicing contracts.—</heading>
                                            <clause style="-uslm-dtd:clause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="i">“(i) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">The Secretary shall contract with each eligible not-for-profit servicer to service loans originated under this part, if the servicer—</chapeau>
                                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                    <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">meets the standards for servicing Federal assets that apply to contracts awarded pursuant to paragraph (1); and</content>
                                                </subclause>
                                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                    <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">has the capacity to service the applicable loan volume allocation described in subparagraph (B).</content>
                                                </subclause>
                                            </clause>
                                            <clause style="-uslm-dtd:clause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="ii">“(ii) </num><heading style="-uslm-dtd:header">Competitive market rate determination for first 100,000 borrower accounts.—</heading><content style="-uslm-dtd:text">The Secretary shall establish a separate pricing tier for each of the first 100,000 borrower loan accounts at a competitive market rate.</content>
                                            </clause>
                                            <clause style="-uslm-dtd:clause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="iii">“(iii) </num><heading style="-uslm-dtd:header">Ineligibility.—</heading><chapeau style="-uslm-dtd:text">An eligible not-for-profit servicer shall no longer be eligible for a contract under this paragraph after July 1, 2014, if—</chapeau>
                                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                    <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">the servicer has not been awarded such a contract before that date; or</content>
                                                </subclause>
                                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                    <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">the servicer’s contract was terminated, and the servicer had not reapplied for, and been awarded, a contract under this paragraph.</content>
                                                </subclause>
                                            </clause>
                                        </subparagraph>
                                        <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="B">“(B) </num><heading style="-uslm-dtd:header">Allocations.—</heading>
                                            <clause style="-uslm-dtd:clause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="i">“(i) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">The Secretary shall (except as provided in clause (ii)) allocate to an eligible not-for-profit servicer, subject to the contract of such servicer described in subparagraph (A), the servicing rights for the loan accounts of 100,000 borrowers (including borrowers who borrowed loans in a prior year that were serviced by the servicer).</content>
                                            </clause>
                                            <clause style="-uslm-dtd:clause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="ii">“(ii) </num><heading style="-uslm-dtd:header">Servicer allocation.—</heading><content style="-uslm-dtd:text">The Secretary may reallocate, increase, reduce, or terminate an eligible not-for-profit servicer’s allocation of servicing rights under clause (i) based on the performance of such servicer, on the same terms as loan allocations provided by contracts awarded pursuant to paragraph (1).”</content>
                                            </clause>
                                        </subparagraph>
                                    </paragraph></quotedContent>; and</content>
                                </subparagraph>
                            </paragraph>
                            <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2212/a/2" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">by adding at the end the following:<quotedContent style="-uslm-dtd:quoted-block">
                                <subsection style="-uslm-dtd:subsection" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="c">“(c) </num><heading style="-uslm-dtd:header">Definition of Eligible Not-for-profit Servicer.—</heading><chapeau style="-uslm-dtd:text">In this section:</chapeau>
                                    <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">The term ‘<quotedText style="-uslm-dtd:quote">eligible not-for-profit servicer</quotedText>’ means an entity—</chapeau>
                                        <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="A">“(A) </num><chapeau style="-uslm-dtd:text">that is not owned or controlled in whole or in part by—</chapeau>
                                            <clause style="-uslm-dtd:clause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">a for-profit entity; or</content>
                                            </clause>
                                            <clause style="-uslm-dtd:clause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">a nonprofit entity having its principal place of business in another State; and</content>
                                            </clause>
                                        </subparagraph>
                                        <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="B">“(B) </num><chapeau style="-uslm-dtd:text">that—</chapeau>
                                            <clause style="-uslm-dtd:clause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="i">“(i) </num><chapeau style="-uslm-dtd:text">as of July 1, 2009—</chapeau>
                                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                    <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">meets the definition of an eligible not-for-profit holder under section 435(p), except that such term does not include eligible lenders described in paragraph (1)(D) of such section; and</content>
                                                </subclause>
                                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                    <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">was performing, or had entered into a contract with a third party servicer (as such term is defined in section 481(c)) who was performing, student loan servicing functions for loans made under part B of this title;</content>
                                                </subclause>
                                            </clause>
                                            <clause style="-uslm-dtd:clause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="ii">“(ii) </num><chapeau style="-uslm-dtd:text">notwithstanding clause (i), as of July 1, 2009—</chapeau>
                                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                    <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">is the sole beneficial owner of a loan for which the special allowance rate is calculated under section 438(b)(2)(I)(vi)(II) because the loan is held by an eligible lender trustee that is an eligible not-for-profit holder as defined under section 435(p)(1)(D); and</content>
                                                </subclause>
                                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                    <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">was performing, or had entered into a contract with a third party servicer (as such term is defined in section 481(c)) who was performing, student loan servicing functions for loans made under part B of this title; or</content>
                                                </subclause>
                                            </clause>
                                            <clause style="-uslm-dtd:clause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="iii">“(iii) </num><chapeau style="-uslm-dtd:text">is an affiliated entity of an eligible not-for-profit servicer described in clause (i) or (ii) that—</chapeau>
                                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                    <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">directly employs, or will directly employ (on or before the date the entity begins servicing loans under a contract awarded by the Secretary pursuant to subsection (a)(3)(A)), the majority of individuals who perform borrower-specific student loan servicing functions; and</content>
                                                </subclause>
                                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                    <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">as of July 1, 2009, was performing, or had entered into a contract with a third party servicer (as such term is defined in section 481(c)) who was performing, student loan servicing functions for loans made under part B of this title.</content>
                                                </subclause>
                                            </clause>
                                        </subparagraph>
                                    </paragraph>
                                    <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Affiliated entity.—</heading><chapeau style="-uslm-dtd:text">For the purposes of paragraph (1), the term ‘<quotedText style="-uslm-dtd:quote">affiliated entity</quotedText>’—</chapeau>
                                        <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="A">“(A) </num><chapeau style="-uslm-dtd:text">means an entity contracted to perform services for an eligible not-for-profit servicer that—</chapeau>
                                            <clause style="-uslm-dtd:clause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">is a nonprofit entity or is wholly owned by a nonprofit entity; and</content>
                                            </clause>
                                            <clause style="-uslm-dtd:clause" styleType="OLC">
                                                <num style="-uslm-dtd:enum" value="ii">“(ii) </num><chapeau style="-uslm-dtd:text">is not owned or controlled, in whole or in part, by—</chapeau>
                                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                    <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">a for-profit entity; or</content>
                                                </subclause>
                                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                                    <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">an entity having its principal place of business in another State; and</content>
                                                </subclause>
                                            </clause>
                                        </subparagraph>
                                        <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">may include an affiliated entity that is established by an eligible not-for-profit servicer after the date of enactment of the SAFRA Act, if such affiliated entity is otherwise described in paragraph (1)(B)(iii)(I) and subparagraph (A) of this paragraph.”</content>
                                        </subparagraph>
                                    </paragraph>
                                </subsection></quotedContent>.</content>
                            </paragraph>
                        </subsection>
                        <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tII/stA/ptII/s2212/b" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Mandatory Funds.—</heading>
                            <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2212/b/1" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Amendments.—</heading><chapeau style="-uslm-dtd:text">Section 458(a) (20 U.S.C. 1087h(a)) is amended—</chapeau>
                                <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2212/b/1/A" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by redesignating paragraph (5) as paragraph (8);</content>
                                </subparagraph>
                                <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2212/b/1/B" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by redesignating paragraphs (2) through (4) as paragraphs (3) through (5), respectively;</content>
                                </subparagraph>
                                <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2212/b/1/C" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">by inserting after paragraph (1) the following new paragraph:<quotedContent style="-uslm-dtd:quoted-block">
                                    <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Mandatory funds for eligible not-for-profit servicers.—</heading><content style="-uslm-dtd:text">For fiscal years 2010 through 2019, there shall be available to the Secretary, in addition to any other amounts appropriated to carry out this paragraph and out of any money in the Treasury not otherwise appropriated, funds to be obligated for administrative costs of servicing contracts with eligible not-for-profit servicers as described in section 456.”</content>
                                    </paragraph></quotedContent>; and</content>
                                </subparagraph>
                                <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2212/b/1/D" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">by inserting after paragraph (5), as redesignated by subparagraph (B) of this paragraph, the following:<quotedContent style="-uslm-dtd:quoted-block">
                                    <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="6">“(6) </num><heading style="-uslm-dtd:header">Technical assistance to institutions of higher education.—</heading>
                                        <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="A">“(A) </num><heading style="-uslm-dtd:header">Provision of assistance.—</heading><content style="-uslm-dtd:text">The Secretary shall provide institutions of higher education participating, or seeking to participate, in the loan programs under this part with technical assistance in establishing and administering such programs.</content>
                                        </subparagraph>
                                        <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="B">“(B) </num><heading style="-uslm-dtd:header">Funds.—</heading><content style="-uslm-dtd:text">There are authorized to be appropriated, and there are appropriated, to carry out this paragraph (in addition to any other amounts appropriated to carry out this paragraph and out of any money in the Treasury not otherwise appropriated), $50,000,000 for fiscal year 2010.</content>
                                        </subparagraph>
                                        <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="C">“(C) </num><heading style="-uslm-dtd:header">Definition.—</heading><content style="-uslm-dtd:text">In this paragraph, the term ‘<quotedText style="-uslm-dtd:quote">assistance</quotedText>’ means the provision of technical support, training, materials, technical assistance, and financial assistance.</content>
                                        </subparagraph>
                                    </paragraph>
                                    <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                        <num style="-uslm-dtd:enum" value="7">“(7) </num><heading style="-uslm-dtd:header">Additional payments.—</heading>
                                        <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="A">“(A) </num><heading style="-uslm-dtd:header">Provision of assistance.—</heading><content style="-uslm-dtd:text">The Secretary shall provide payments to loan servicers for retaining jobs at locations in the United States where such servicers were operating under part B on January 1, 2010.</content>
                                        </subparagraph>
                                        <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                            <num style="-uslm-dtd:enum" value="B">“(B) </num><heading style="-uslm-dtd:header">Funds.—</heading><content style="-uslm-dtd:text">There are authorized to be appropriated, and there are appropriated, to carry out this paragraph (in addition to any other amounts appropriated to carry out this paragraph and out of any money in the Treasury not otherwise appropriated), $25,000,000 for each of the fiscal years 2010 and 2011.”</content>
                                        </subparagraph>
                                    </paragraph></quotedContent>.</content>
                                </subparagraph>
                            </paragraph>
                            <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stA/ptII/s2212/b/2" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Conforming amendment.—</heading><content style="-uslm-dtd:text">Section 458 (20 U.S.C. 1087h) is further amended by striking “<quotedText style="-uslm-dtd:quote">subsection (a)(3)</quotedText>” in subsection (b) and inserting “<quotedText style="-uslm-dtd:quote">subsection (a)(4)</quotedText>”.</content>
                            </paragraph>
                        </subsection>
                    </section>
                    <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tII/stA/ptII/s2213" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="2213">SEC. 2213. </num><heading style="-uslm-dtd:header">INCOME-BASED REPAYMENT. </heading>
                        <content style="-uslm-dtd:text" class="block">Section 493C (20 U.S.C. 1098e) is amended by adding at the end the following new subsection:<quotedContent style="-uslm-dtd:quoted-block">
                        <subsection style="-uslm-dtd:subsection" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="e">“(e) </num><heading style="-uslm-dtd:header">Special Terms for New Borrowers on and After July 1, 2014.—</heading><chapeau style="-uslm-dtd:text">With respect to any loan made to a new borrower on or after July 1, 2014—</chapeau>
                            <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="1">“(1) </num><content style="-uslm-dtd:text">subsection (a)(3)(B) shall be applied by substituting ‘<quotedText style="-uslm-dtd:quote">10 percent</quotedText>’ for ‘<quotedText style="-uslm-dtd:quote">15 percent</quotedText>’; and</content>
                            </paragraph>
                            <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="2">“(2) </num><content style="-uslm-dtd:text">subsection (b)(7)(B) shall be applied by substituting ‘<quotedText style="-uslm-dtd:quote">20 years</quotedText>’ for ‘<quotedText style="-uslm-dtd:quote">25 years</quotedText>’.”</content>
                            </paragraph>
                        </subsection></quotedContent>.</content>
                    </section>
                </part>
            </subtitle>
            <subtitle style="-uslm-dtd:subtitle" identifier="/us/sComp/111/152/tII/stB" styleType="OLC">
                <num style="-uslm-dtd:enum" value="B">Subtitle B—</num><heading style="-uslm-dtd:header">Health </heading>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tII/stB/s2301" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="2301">SEC. 2301. </num><heading style="-uslm-dtd:header">INSURANCE REFORMS. </heading>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tII/stB/s2301/a" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Extending Certain Insurance Reforms to Grandfathered Plans.—</heading><content style="-uslm-dtd:text">Section 1251(a) of the Patient Protection and Affordable Care Act, as added by section 10103(d) of such Act, is amended by adding at the end the following:<quotedContent style="-uslm-dtd:quoted-block">
                        <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="4">“(4) </num><heading style="-uslm-dtd:header">Application of certain provisions.—</heading>
                            <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="A">“(A) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">The following provisions of the Public Health Service Act (as added by this title) shall    apply to grandfathered health plans for plan years beginning with the first plan year to which such provisions would otherwise apply:</chapeau>
                                <clause style="-uslm-dtd:clause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">Section 2708 (relating to excessive waiting periods).</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">Those provisions of section 2711 relating to lifetime limits.</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="iii">“(iii) </num><content style="-uslm-dtd:text">Section 2712 (relating to rescissions).</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="iv">“(iv) </num><content style="-uslm-dtd:text">Section 2714 (relating to extension of dependent coverage).</content>
                                </clause>
                            </subparagraph>
                            <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="B">“(B) </num><heading style="-uslm-dtd:header">Provisions applicable only to group health plans.—</heading>
                                <clause style="-uslm-dtd:clause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="i">“(i) </num><heading style="-uslm-dtd:header">Provisions described.—</heading><content style="-uslm-dtd:text">Those provisions of section 2711 relating to annual limits and the provisions of section 2704 (relating to pre-existing condition exclusions) of the Public Health Service Act (as added by this subtitle) shall apply to grandfathered health plans that are group health plans for plan years beginning with the first plan year to which such provisions otherwise apply.</content>
                                </clause>
                                <clause style="-uslm-dtd:clause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="ii">“(ii) </num><heading style="-uslm-dtd:header">Adult child coverage.—</heading><content style="-uslm-dtd:text">For plan years beginning before January 1, 2014, the provisions of section 2714 of the Public Health Service Act (as added by this subtitle) shall apply in the case of an adult child with respect to a grandfathered health plan that is a group health plan only if such adult child is not eligible to enroll in an eligible employer-sponsored health plan (as defined in section 5000A(f)(2) of the Internal Revenue Code of 1986) other than such grandfathered health plan.”</content>
                                </clause>
                            </subparagraph>
                        </paragraph></quotedContent>.</content>
                    </subsection>
                    <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/111/152/tII/stB/s2301/b" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Clarification Regarding Dependent Coverage.—</heading><content style="-uslm-dtd:text">Section 2714(a) of the Public Health Service Act, as added by section 1001(5) of the Patient Protection and Affordable Care Act, is amended by striking “<quotedText style="-uslm-dtd:quote">(who is not married)</quotedText>”.</content>
                    </subsection>
                </section>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tII/stB/s2302" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="2302">SEC. 2302. </num><heading style="-uslm-dtd:header">DRUGS PURCHASED BY COVERED ENTITIES. </heading>
                    <chapeau style="-uslm-dtd:text" class="block">Section 340B of the Public Health Service Act (42 U.S.C. 256b), as amended by sections 7101 and 7102 of the Patient Protection and Affordable Care Act, is amended—</chapeau>
                    <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stB/s2302/1" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">in subsection (a)—</chapeau>
                        <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stB/s2302/1/A" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in paragraphs (1), (2), (5), (7), and (9), by striking the terms “<quotedText style="-uslm-dtd:quote">covered drug</quotedText>” and “<quotedText style="-uslm-dtd:quote">covered drugs</quotedText>” each place either term appears and inserting “<quotedText style="-uslm-dtd:quote">covered outpatient drug</quotedText>” or “<quotedText style="-uslm-dtd:quote">covered outpatient drugs</quotedText>”, respectively;</content>
                        </subparagraph>
                        <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stB/s2302/1/B" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="B">(B) </num><chapeau style="-uslm-dtd:text">in paragraph (4)(L)—</chapeau>
                            <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tII/stB/s2302/1/B/i" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">in clause (i), by striking “<quotedText style="-uslm-dtd:quote">and</quotedText>” at the end;</content>
                            </clause>
                            <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tII/stB/s2302/1/B/ii" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">in clause (ii), by striking the period and inserting “<quotedText style="-uslm-dtd:quote">; and</quotedText>”; and</content>
                            </clause>
                            <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tII/stB/s2302/1/B/iii" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">by inserting after clause (ii), the following:<quotedContent style="-uslm-dtd:quoted-block">
                                <clause style="-uslm-dtd:clause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="iii">“(iii) </num><content style="-uslm-dtd:text">does not obtain covered outpatient drugs through a group purchasing organization or other group purchasing arrangement.”</content>
                                </clause></quotedContent>; and</content>
                            </clause>
                        </subparagraph>
                        <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stB/s2302/1/C" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="C">(C) </num><chapeau style="-uslm-dtd:text">in paragraph (5)—</chapeau>
                            <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tII/stB/s2302/1/C/i" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">by striking subparagraph (C);</content>
                            </clause>
                            <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tII/stB/s2302/1/C/ii" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">by redesignating subparagraphs (D) and (E) as subparagraphs (C) and (D), respectively; and</content>
                            </clause>
                            <clause style="-uslm-dtd:clause" identifier="/us/sComp/111/152/tII/stB/s2302/1/C/iii" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">in subparagraph (D), as so redesignated, by striking “<quotedText style="-uslm-dtd:quote">subparagraph (D)</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">subparagraph (C)</quotedText>”;</content>
                            </clause>
                        </subparagraph>
                    </paragraph>
                    <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stB/s2302/2" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">by striking subsection (c);</content>
                    </paragraph>
                    <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stB/s2302/3" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="3">(3) </num><chapeau style="-uslm-dtd:text">in subsection (d)—</chapeau>
                        <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stB/s2302/3/A" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">covered drugs</quotedText>” each place it appears and inserting “<quotedText style="-uslm-dtd:quote">covered outpatient drugs</quotedText>”;</content>
                        </subparagraph>
                        <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stB/s2302/3/B" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">(a)(5)(D)</quotedText>” each place it appears and inserting “<quotedText style="-uslm-dtd:quote">(a)(5)(C)</quotedText>”; and</content>
                        </subparagraph>
                        <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/111/152/tII/stB/s2302/3/C" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">(a)(5)(E)</quotedText>” each place it appears and inserting “<quotedText style="-uslm-dtd:quote">(a)(5)(D)</quotedText>”; and</content>
                        </subparagraph>
                    </paragraph>
                    <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stB/s2302/4" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">by inserting after subsection (d) the following:<quotedContent style="-uslm-dtd:quoted-block">
                        <subsection style="-uslm-dtd:subsection" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="e">“(e) </num><heading style="-uslm-dtd:header">Exclusion of Orphan Drugs for Certain Covered Entities.—</heading><content style="-uslm-dtd:text">For covered entities described in subparagraph (M), (N), or (O) of subsection (a)(4), the term ‘<quotedText style="-uslm-dtd:quote">covered outpatient drug</quotedText>’ shall not include a drug designated by the Secretary under section 526 of the Federal Food, Drug, and Cosmetic Act for a rare disease or condition.”</content>
                        </subsection></quotedContent>.</content>
                    </paragraph>
                </section>
                <section style="-uslm-dtd:section" identifier="/us/sComp/111/152/tII/stB/s2303" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="2303">SEC. 2303. </num><heading style="-uslm-dtd:header">COMMUNITY HEALTH CENTERS. </heading>
                    <chapeau style="-uslm-dtd:text" class="block">Section 10503(b)(1) of the Patient Protection and Affordable Care Act is amended—</chapeau>
                    <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stB/s2303/1" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">in subparagraph (A), by striking “<quotedText style="-uslm-dtd:quote">700,000,000</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">1,000,000,000</quotedText>”;</content>
                    </paragraph>
                    <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stB/s2303/2" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">in subparagraph (B), by striking “<quotedText style="-uslm-dtd:quote">800,000,000</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">1,200,000,000</quotedText>”;</content>
                    </paragraph>
                    <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stB/s2303/3" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">in subparagraph (C), by striking “<quotedText style="-uslm-dtd:quote">1,000,000,000</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">1,500,000,000</quotedText>”;</content>
                    </paragraph>
                    <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stB/s2303/4" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">in subparagraph (D), by striking “<quotedText style="-uslm-dtd:quote">1,600,000,000</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">2,200,000,000</quotedText>”; and</content>
                    </paragraph>
                    <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/111/152/tII/stB/s2303/5" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="5">(5) </num><content style="-uslm-dtd:text">in subparagraph (E), by striking “<quotedText style="-uslm-dtd:quote">2,900,000,000</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">3,600,000,000</quotedText>”.</content>
                    </paragraph>
                </section>
            </subtitle>
        </title>
    </main>
</statuteCompilation>
