I 
112TH CONGRESS 
1ST SESSION H. R. 1324 
To eliminate sweetheart deals under the Patient Protection and Affordable 
Care Act. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 1, 2011 
Mr. BUCHANAN (for himself, Mr. CHAFFETZ, Mr. GIBBS, Mr. MCKINLEY, Mr. 
HUELSKAMP, Mr. SESSIONS, and Mr. DUNCAN of South Carolina) intro-
duced 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. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. ELIMINATION OF SWEETHEART DEALS UNDER 
PPACA. 
(a) REPEALS.—Effective as if included in the enact-
ment of the Patient Protection and Affordable Care Act 
(Public Law 111–148, in this section referred to as 
‘‘PPACA’’) or, in the case of paragraph (1), as if included 
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in the enactment of the Health Care and Education Rec-
onciliation Act of 2010 (Public Law 111–152), the fol-
lowing provisions are repealed: 
(1) SWEETHEART
DEAL
TO
PROVIDE
TEN-
NESSEE WITH MEDICAID DSH FUNDS.—Clause (v) of 
section 1923(f)(6)(A) of the Social Security Act (42 
U.S.C. 1396r–4(f)(6)(A)), as added by section 
1203(b) of the Health Care and Education Rec-
onciliation Act of 2010 (Public Law 111–152). 
(2) SWEETHEART
DEAL
TO
PROVIDE
HAWAII 
WITH MEDICAID DSH FUNDS.—Clause (iii) of section 
1923(f)(6)(B) of the Social Security Act (42 U.S.C. 
1396r–4(f)(6)(B)), 
as 
added 
by 
section 
10201(e)(1)(A) of PPACA. 
(3) SWEETHEART DEAL TO PROVIDE LOUISIANA 
WITH A SPECIAL INCREASED MEDICAID FMAP.—Sub-
section (aa) of section 1905 of the Social Security 
Act, as added by section 2006 of PPACA. 
(4) SWEETHEART
DEAL
THAT
INCREASES 
MEDICARE
REIMBURSEMENT
JUST
FOR
FRONTIER 
STATES.—Section 10324 of PPACA (and the 
amendments made by such section). 
(5) SWEETHEART DEAL GRANTING MEDICARE 
COVERAGE FOR INDIVIDUALS EXPOSED TO ENVIRON-
MENTAL
HAZARDS
IN
LIBBY, MONTANA.—Section 
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10323 of PPACA (and the amendments made by 
such section). 
(6) SWEETHEART DEAL FOR A HOSPITAL IN 
CONNECTICUT.—Section 10502 of PPACA. 
(b) ELIMINATION OF SWEETHEART DEAL THAT RE-
CLASSIFIES HOSPITALS IN MICHIGAN AND CONNECTICUT 
TO INCREASE THEIR MEDICARE REIMBURSEMENT.—Sec-
tion 3137(a) of PPACA, as amended by section 10317 of 
such Act, is amended— 
(1) in paragraph (2)— 
(A) by striking ‘‘FISCAL YEAR 2010’’ and 
all that follows through ‘‘for purposes of imple-
mentation of the amendment’’ and inserting 
‘‘FISCAL
YEAR
2010.—For purposes of imple-
mentation of the amendment’’; and 
(B) by striking subparagraph (B); and 
(2) by striking paragraph (3). 
Æ 
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