[Congressional Record Volume 167, Number 42 (Friday, March 5, 2021)]
[Senate]
[Page S1336]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 1167. Mr. TUBERVILLE submitted an amendment intended to be 
proposed to amendment SA 891 proposed by Mr. Schumer (for himself, Mr. 
Wyden, Mrs. Murray, Mr. Brown, Mr. Peters, Mr. Cardin, Ms. Cantwell, 
Ms. Stabenow, Mr. Tester, Mr. Menendez, Mr. Schatz, Mr. Carper, Mr. 
Leahy, and Mr. Sanders) to the bill H.R. 1319, to provide for 
reconciliation pursuant to title II of S. Con. Res. 5; which was 
ordered to lie on the table; as follows:

        On page 581, strike lines 6 through 14 and insert the 
     following:
       ``(4) Adjustment of allocations and payment.--
       ``(A) Adjustment to ensure a minimum payment for rural 
     states.--
       ``(i) In general.--The Secretary shall adjust the amounts 
     otherwise determined for allocation and payment to States 
     under paragraph (3) as necessary to ensure that an amount 
     equal to 30 percent of the total amount appropriated under 
     subsection (a)(1) is paid to rural States described in clause 
     (ii).
       ``(ii) Rural states described.--A State described in this 
     clause is a State for which the nonurban Medicare area wage 
     index for fiscal year 2021 does not exceed 0.805.
       ``(B) Pro rata adjustment.--The amounts otherwise 
     determined for allocation and payment under paragraphs (1), 
     (2), and (3) may be adjusted by the Secretary on a pro rata 
     basis to the extent necessary to ensure that all available 
     funds are distributed to territories, Tribal governments, and 
     States in accordance with the requirements specified in each 
     paragraph (as applicable) and the certification requirement 
     specified in subsection (d). Any adjustment under this 
     subparagraph shall comply with the requirement of 
     subparagraph (A).
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