I 

111TH CONGRESS 

2D SESSION H. R. 4960 

To eliminate sweetheart deals under the Patient Protection and Affordable 

Care Act. 

IN THE HOUSE OF REPRESENTATIVES 

MARCH 25, 2010 

Mr. BUCHANAN (for himself, Mr. JONES, Mr. CARTER, Mr. PLATTS, Mr. 

GARY G. MILLER of California, Mr. POSEY, Mr. WESTMORELAND, Mr. 

BROUN of Georgia, Mr. WILSON of South Carolina, Mr. MILLER of Florida, Mr. BISHOP of Utah, Mr. FORBES, Mr. ISSA, Mr. CALVERT, Mr. 

BURGESS, Mr. ROONEY, Mr. CHAFFETZ, Mr. PRICE of Georgia, Mr. 

PENCE, Mr. BRADY of Texas, Mr. KINGSTON, Mr. CASTLE, Mr. GINGREY

of Georgia, Mr. HALL of Texas, and Mrs. BIGGERT) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned 

A BILL 

To eliminate sweetheart deals under the Patient Protection 

and Affordable Care Act. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 


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•HR 4960 IH

1 SECTION 1. ELIMINATION OF SWEETHEART DEALS UNDER 

2 PPACA. 

3 (a) REPEALS.—Effective as if included in the enact4 ment of the Patient Protection and Affordable Care Act 

5 (Public Law 111–148, in this section referred to as 

6 ‘‘PPACA’’), the following provisions are repealed: 

7 (1) SWEETHEART DEAL TO PROVIDE TEN8 NESSEE WITH MEDICAID DSH FUNDS.—Clause (v) of 

9 section 1923(f)(6)(A) of the Social Security Act (42 

10 U.S.C. 1396r–4(f)(6)(A)), as added by section 

11 1203(b) of PPACA. 

12 (2) SWEETHEART DEAL TO PROVIDE HAWAII

13 WITH MEDICAID DSH FUNDS.—Clause (iii) of section 

14 1923(f)(6)(B) of the Social Security Act (42 U.S.C. 

15 1396r–4(f)(6)(B)), as added by section 

16 10201(e)(1)(A) of PPACA. 

17 (3) SWEETHEART DEAL TO PROVIDE LOUISIANA

18 WITH A SPECIAL INCREASED MEDICAID FMAP.—Sub19 section (aa) of section 1905 of the Social Security 

20 Act, as added by section 2006 of PPACA. 

21 (4) SWEETHEART DEAL THAT INCREASES

22 MEDICARE REIMBURSEMENT JUST FOR FRONTIER

23 STATES.—Section 10324 of PPACA (and the 

24 amendments made by such section). 

25 (5) SWEETHEART DEAL GRANTING MEDICARE

26 COVERAGE FOR INDIVIDUALS EXPOSED TO ENVIRONVerDate Nov 24 2008 03:56 Mar 27, 2010 Jkt 089200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H4960.IH H4960

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•HR 4960 IH

1 MENTAL HAZARDS IN LIBBY, MONTANA.—Section 

2 10323 of PPACA (and the amendments made by 

3 such section). 

4 (6) SWEETHEART DEAL FOR A HOSPITAL IN

5 CONNECTICUT.—Section 10502 of PPACA. 

6 (b) ELIMINATION OF SWEETHEART DEAL THAT RE7 CLASSIFIES HOSPITALS IN MICHIGAN AND CONNECTICUT

8 TO INCREASE THEIR MEDICARE REIMBURSEMENT.—Sec9 tion 3137(a) of PPACA, as amended by section 10317 of 

10 such Act, is amended— 

11 (1) in paragraph (2)— 

12 (A) by striking ‘‘FISCAL YEAR 2010’’ and 

13 all that follows through ‘‘for purposes of imple14 mentation of the amendment’’ and inserting 

15 ‘‘FISCAL YEAR 2010.—For purposes of imple16 mentation of the amendment’’; and 

17 (B) by striking subparagraph (B); and 

18 (2) by striking paragraph (3). 

Æ 


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