S.Amdt. 3063

SA 3063. Mr. AKAKA (for himself and Mr. Inouye) submitted an
amendment intended to be proposed to amendment SA 2786 proposed by Mr.
Reid (for himself, Mr. Baucus, Mr. Dodd, and Mr. Harkin) to the bill
H.R. 3590, to amend the Internal Revenue Code of 1986 to modify the
first-time homebuyers credit in the case of members of the Armed Forces
and certain other Federal employees, and for other purposes; which was
ordered to lie on the table; as follows:

On page 515 of the amendment, between lines 11 and 12,
insert the following:

SEC. 2552. ESTABLISHMENT OF PERMANENT MEDICAID DSH ALLOTMENT
FOR HAWAII.

(a) In General.--Section 1923(f)(6) of the Social Security
Act (42 U.S.C. 1396r-4(f)(6)) is amended--
(1) by striking the paragraph heading and inserting the
following: ``Allotment adjustments for tennessee and
hawaii''; and
(2) in subparagraph (B), by adding at the end the
following:
``(iii) Allotment for 2d, 3rd, and 4th quarter of fiscal
year 2012, fiscal year 2013, and succeeding fiscal years.--
Notwithstanding the table set forth in paragraph (2) or
paragraph (7):

``(I) 2d, 3rd, and 4th quarter of fiscal year 2012.--The
DSH allotment for Hawaii for the 2d, 3rd, and 4th quarters of
fiscal year 2012 shall be $7,500,000.
``(II) Treatment as a low-dsh state for fiscal year 2013
and succeeding fiscal years.--With respect to fiscal year
2013, and each fiscal year thereafter, the DSH allotment for
Hawaii shall be increased in the same manner as allotments
for low DSH States are increased for such fiscal year under
clauses (ii) and (iii) of paragraph (5)(B).
``(III) Certain hospital payments.--The Secretary may not
impose a limitation on the total amount of payments made to
hospitals under the QUEST section 1115 Demonstration Project
except to the extent that such limitation is necessary to
ensure that a hospital does not receive payments in excess of
the amounts described in subsection (g), or as necessary to
ensure that such payments under the waiver and such payments
pursuant to the allotment provided in this clause do not, in
the aggregate in any year, exceed the amount that the
Secretary determines is equal to the Federal medical
assistance percentage component attributable to
disproportionate share hospital payment adjustments for such
year that is reflected in the budget neutrality provision of
the QUEST Demonstration Project.''.

(b) Conforming Amendment.--Effective October 1, 2011,
paragraph (7) of section 1923(f) of such Act (42 U.S.C.
1396r-4(f)), as added by section 2551, is amended--
(1) in subparagraph (A), in the matter preceding clause
(i), by striking ``subparagraph (E)'' and inserting
``subparagraphs (E) and (G)''; and
(2) by adding at the end the following:
``(G) Nonapplication.--The preceding provisions of this
paragraph shall not apply to the DSH allotment determined for
the State of Hawaii for a fiscal year under paragraph (6).''.
______