To establish a deficit-neutral reserve fund to sunset the provision of Patient Protection and Affordable Care Act that increases payments to hospitals in a few States by reducing payments to the majority of States through the Medicare hospital wage index.

SA 409. Mr. COBURN (for himself, Mrs. McCaskill, and Ms. Baldwin)
submitted an amendment intended to be proposed by him to the concurrent
resolution S. Con. Res. 8, setting forth the congressional budget for
the United States Government for fiscal year 2014, revising the
appropriate budgetary levels for fiscal year 2013, and setting forth
the appropriate budgetary levels for fiscal years 2015 through 2023;
which was ordered to lie on the table; as follows:

At the appropriate place, add the following:

SEC. 3__. DEFICIT-NEUTRAL RESERVE FUND TO REQUIRE STATE-WIDE
BUDGET NEUTRALITY IN THE CALCULATION OF THE
MEDICARE HOSPITAL WAGE INDEX FLOOR.

The Chairman of the Committee on the Budget of the Senate
may revise the allocations of a committee or committees,
aggregates, and other appropriate levels in this resolution
for one or more bills, joint resolutions, amendments,
motions, or conference reports that would adjust Medicare
outlays, by the amounts provided in such legislation for
those purposes, provided that such legislation would not
increase the deficit over either the period of the total of
fiscal years 2013 through 2018 or the period of the total of
fiscal years 2013 through 2023.
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