S.Amdt. 1167

SA 1167. Mr. TUBERVILLE submitted an amendment intended to be
proposed to amendment SA 891 proposed by Mr. Schumer (for himself, Mr.
Wyden, Mrs. Murray, Mr. Brown, Mr. Peters, Mr. Cardin, Ms. Cantwell,
Ms. Stabenow, Mr. Tester, Mr. Menendez, Mr. Schatz, Mr. Carper, Mr.
Leahy, and Mr. Sanders) to the bill H.R. 1319, to provide for
reconciliation pursuant to title II of S. Con. Res. 5; which was
ordered to lie on the table; as follows:

On page 581, strike lines 6 through 14 and insert the
following:
``(4) Adjustment of allocations and payment.--
``(A) Adjustment to ensure a minimum payment for rural
states.--
``(i) In general.--The Secretary shall adjust the amounts
otherwise determined for allocation and payment to States
under paragraph (3) as necessary to ensure that an amount
equal to 30 percent of the total amount appropriated under
subsection (a)(1) is paid to rural States described in clause
(ii).
``(ii) Rural states described.--A State described in this
clause is a State for which the nonurban Medicare area wage
index for fiscal year 2021 does not exceed 0.805.
``(B) Pro rata adjustment.--The amounts otherwise
determined for allocation and payment under paragraphs (1),
(2), and (3) may be adjusted by the Secretary on a pro rata
basis to the extent necessary to ensure that all available
funds are distributed to territories, Tribal governments, and
States in accordance with the requirements specified in each
paragraph (as applicable) and the certification requirement
specified in subsection (d). Any adjustment under this
subparagraph shall comply with the requirement of
subparagraph (A).
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