I 

112TH CONGRESS 

1ST SESSION H. R. 3258 

To extend for a 2 year certain geographic practice cost index (GPCI) 

adjustments under the Medicare program, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

OCTOBER 25, 2011 

Mr. BRALEY of Iowa (for himself, Ms. MCCOLLUM, Mr. KIND, Mr. DEFAZIO, 

and Mr. INSLEE) 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 extend for a 2 year certain geographic practice cost 

index (GPCI) adjustments under the Medicare program, 

and for other purposes. 

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

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Medicare Equity Ex5 tension Act of 2011’’. 


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•HR 3258 IH

1 SEC. 2. 2-YEAR EXTENSION OF CERTAIN MEDICARE GPCI 

2 ADJUSTMENTS. 

3 (a) EXTENSION OF MEDICARE PRACTICE EXPENSE

4 GEOGRAPHIC ADJUSTMENT UNDER PPACA.—Section 

5 1848(e)(1)(H) of the Social Security Act (42 U.S.C. 

6 1395w(e)(1)(H)) is amended— 

7 (1) in clause (ii)— 

8 (A) in the heading, by inserting ‘‘, 2012, OR

9 2013’’ after ‘‘FOR 2011’’; and 

10 (B) by inserting ‘‘, 2012, or 2013’’ after 

11 ‘‘during 2011’’; and 

12 (2) in clause (iii), by striking ‘‘or 2011’’ and in13 serting ‘‘, 2011, 2012, or 2013’’. 

14 (b) FURTHER EXTENSION OF MEDICARE WORK GE15 OGRAPHIC ADJUSTMENT FLOOR UNDER MMEA.—Sec16 tion 1848(e)(1)(E) of the Social Security Act (42 U.S.C. 

17 1395w–4(e)(1)(E)), as amended by section 103 of the 

18 Medicare and Medicaid Extenders Act of 2010 (Public 

19 Law 111–309), is amended by striking ‘‘before January 

20 1, 2012’’ and inserting ‘‘before January 1, 2014’’. 

21 SEC. 3. SUNSET OF SPECIAL PROVISIONS FOR FRONTIER 

22 STATES UNDER SECTION 10324 OF PPACA. 

23 (a) AREA WAGE INDEX FLOOR FOR INPATIENT HOS24 PITAL SERVICES.—Section 1886(d)(3)(E)(iii)(I) of the 

25 Social Security Act (42 U.S.C. 1395ww(d)(3)(E)(iii)(I)), 

26 as added by section 10324(a)(1)(B) of the Patient ProtecVerDate Mar 15 2010 00:42 Oct 26, 2011 Jkt 099200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H3258.IH H3258

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•HR 3258 IH

1 tion and Affordable Care Act, is amended by inserting 

2 ‘‘and before January 1, 2012’’ after ‘‘October 1, 2010,’’. 

3 (b) AREA WAGE ADJUSTMENT FLOOR FOR HOS4 PITAL OUTPATIENT SERVICES.—Section 1833(t)(19)(A) 

5 of the Social Security Act (42 U.S.C. 1395l(t)(19)(A)), 

6 as added by section 10324(b)(2) of the Patient Protection 

7 and Affordable Care Act, is amended by inserting ‘‘and 

8 before January 1, 2012’’ after ‘‘January 1, 2011,’’. 

9 (c) PRACTICE INDEX FLOOR FOR PHYSICIANS’ SERV10 ICES.—Section 1848(e)(1)(I)(i) of the Social Security Act 

11 (42 U.S.C. 1395w–4(e)(1)(I)(i)), as added by section 

12 10324(c)(2) of the Patient Protection and Affordable Care 

13 Act, is amended by inserting ‘‘and before January 1, 

14 2012’’ after ‘‘January 1, 2011,’’. 

Æ 


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