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PPACT: Page 977, Patient Protection and Affordable Care Act of 2009

977
HR 3590 EAS/PP
of the productivity adjustment under sub-
1
clause (I) shall not result in an adjustment
2
to the fee schedules under clause (i) being
3
less than 0.0 for a year. The application of
4
subclause (II) may result in an adjustment
5
to the fee schedules under clause (i) being
6
less than 0.0 for a year, and may result in
7
payment rates for a year being less than
8
such payment rates for the preceding year.''.
9
(m) C
ERTAIN
D
URABLE
M
EDICAL
E
QUIPMENT
.--Sec-
10
tion 1834(a)(14) of the Social Security Act (42 U.S.C.
11
1395m(a)(14)) is amended--
12
(1) in subparagraph (K)--
13
(A) by striking ``2011, 2012, and 2013,'';
14
and
15
(B) by inserting ``and'' after the semicolon
16
at the end;
17
(2) by striking subparagraphs (L) and (M) and
18
inserting the following new subparagraph:
19
``(L) for 2011 and each subsequent year--
20
``(i) the percentage increase in the con-
21
sumer price index for all urban consumers
22
(United States city average) for the 12-
23
month period ending with June of the pre-
24
vious year, reduced by--
25

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