[Congressional Record Volume 167, Number 145 (Tuesday, August 10, 2021)]
[Senate]
[Page S6378]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 3558. Mr. THUNE (for himself, Mr. Portman, and Mrs. Capito) 
submitted an amendment intended to be proposed by him to the concurrent 
resolution S. Con. Res. 14, setting forth the congressional budget for 
the United States Government for fiscal year 2022 and setting forth the 
appropriate budgetary levels for fiscal years 2023 through 2031; which 
was ordered to lie on the table; as follows:

       At the end of title III, add the following:

     SEC. 3___. DEFICIT-NEUTRAL RESERVE FUND RELATING TO ENSURING 
                   THAT HOSPITALS WHOSE MEDICAID INPATIENT 
                   UTILIZATION RATE OR LOW-INCOME UTILIZATION RATE 
                   FOR PURPOSES OF ELIGIBILITY FOR A 
                   DISPROPORTIONATE SHARE HOSPITAL PAYMENT 
                   ADJUSTMENT UNDER MEDICAID FELL BELOW 11.75 
                   PERCENT DUE TO COVID-19 ARE NOT REMOVED FROM 
                   THE PUBLIC HEALTH SERVICE ACT 340B PROGRAM.

       The Chairman of the Committee on the Budget of the Senate 
     may revise the allocations of a committee or committees, 
     aggregates, and other appropriate levels in this resolution, 
     and make adjustments to the pay-as-you-go ledger, for one or 
     more bills, joint resolutions, amendments, amendments between 
     the Houses, motions, or conference reports relating to 
     ensuring that hospitals whose Medicaid inpatient utilization 
     rate or low-income utilization rate for purposes of 
     eligibility for a disproportionate share hospital payment 
     adjustment under Medicaid fell below 11.75 percent due to 
     COVID-19 are not removed from the Public Health Service Act 
     340B program, by the amounts provided in such legislation for 
     those purposes, provided that such legislation would not 
     increase the deficit over either the period of the total of 
     fiscal years 2022 through 2026 or the period of the total of 
     fiscal years 2022 through 2031.
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