979
HR 3590 EAS/PP
``(xi) for 2011 and each subsequent
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year--
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``(I) the percentage increase in the
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consumer price index for all urban
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consumers (United States city average)
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for the 12-month period ending with
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June of the previous year, reduced
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by--
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``(II) the productivity adjustment
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described in section
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1886(b)(3)(B)(xi)(II).''; and
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(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-
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sult in the applicable percentage increase under sub-
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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.''.
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(o) O
THER
I
TEMS
.--Section 1842(s)(1) of the Social
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Security Act (42 U.S.C. 1395u(s)(1)) is amended--
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(1) in the first sentence, by striking ``Subject to''
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and inserting ``(A) Subject to'';
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(2) by striking the second sentence and inserting
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the following new subparagraph:
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