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PPACT: Page 978, Patient Protection and Affordable Care Act of 2009

978
HR 3590 EAS/PP
``(ii) the productivity adjustment de-
1
scribed in section 1886(b)(3)(B)(xi)(II).'';
2
and
3
(3) by adding at the end the following flush sen-
4
tence:
5
``The application of subparagraph (L)(ii) may result
6
in the covered item update under this paragraph
7
being less than 0.0 for a year, and may result in pay-
8
ment rates under this subsection for a year being less
9
than such payment rates for the preceding year.''.
10
(n) P
ROSTHETIC
D
EVICES
, O
RTHOTICS
,
AND
P
ROS
-
11
THETICS
.--Section 1834(h)(4) of the Social Security Act
12
(42 U.S.C. 1395m(h)(4)) is amended--
13
(1) in subparagraph (A)--
14
(A) in clause (ix), by striking ``and'' at the
15
end;
16
(B) in clause (x)--
17
(i) by striking ``a subsequent year''
18
and inserting ``for each of 2007 through
19
2010''; and
20
(ii) by inserting ``and'' after the semi-
21
colon at the end;
22
(C) by adding at the end the following new
23
clause:
24

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Top tags: end, clause, year, act, following, inserting, ppact, rates, result, section

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