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PPACT: Page 979, Patient Protection and Affordable Care Act of 2009

979
HR 3590 EAS/PP
``(xi) for 2011 and each subsequent
1
year--
2
``(I) the percentage increase in the
3
consumer price index for all urban
4
consumers (United States city average)
5
for the 12-month period ending with
6
June of the previous year, reduced
7
by--
8
``(II) the productivity adjustment
9
described in section
10
1886(b)(3)(B)(xi)(II).''; and
11
(D) by adding at the end the following flush
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sentence:
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``The application of subparagraph (A)(xi)(II) may re-
14
sult in the applicable percentage increase under sub-
15
paragraph (A) being less than 0.0 for a year, and
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may result in payment rates under this subsection for
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a year being less than such payment rates for the pre-
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ceding year.''.
19
(o) O
THER
I
TEMS
.--Section 1842(s)(1) of the Social
20
Security Act (42 U.S.C. 1395u(s)(1)) is amended--
21
(1) in the first sentence, by striking ``Subject to''
22
and inserting ``(A) Subject to'';
23
(2) by striking the second sentence and inserting
24
the following new subparagraph:
25

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