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required under this subsection to calculate or publish a na-
tional or a State-specific error rate for fiscal year 2009 or 
fiscal year 2010.’’. 
(d) CORRECTIONS TO EXCEPTIONS TO EXCLUSION OF 
CHILDREN OF CERTAIN EMPLOYEES.—Section 2110(b)(6) 
of the Social Security Act (42 U.S.C. 1397jj(b)(6)) is 
amended— 
(1) in subparagraph (B)— 
(A) by striking ‘‘PER PERSON’’ in the head-
ing; and 
(B) by striking ‘‘each employee’’ and insert-
ing ‘‘employees’’; and 
(2) in subparagraph (C), by striking ‘‘, on a 
case-by-case basis,’’. 
(e) ELECTRONIC HEALTH RECORDS.—Effective as if 
included in the enactment of section 4201(a)(2) of the 
American Recovery and Reinvestment Act of 2009 (Public 
Law 111–5), section 1903(t) of the Social Security Act (42 
U.S.C. 1396b(t)) is amended— 
(1) in paragraph (3)(E), by striking ‘‘reduced by 
any payment that is made to such Medicaid provider 
from any other source (other than under this sub-
section or by a State or local government)’’ and in-
serting ‘‘reduced by the average payment the Sec-
retary estimates will be made to such Medicaid pro-
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viders (determined on a percentage or other basis for 
such classes or types of providers as the Secretary 
may specify) from other sources (other than under 
this subsection, or by the Federal government or a 
State or local government)’’; and 
(2) in paragraph (6)(B), by inserting before the 
period the following: ‘‘and shall be determined to have 
met such responsibility to the extent that the payment 
to the Medicaid provider is not in excess of 85 percent 
of the net average allowable cost’’. 
(f) CORRECTIONS OF DESIGNATIONS.— 
(1) Section 1902 of the Social Security Act (42 
U.S.C. 1396a) is amended— 
(A) in subsection (a)(10), in the matter fol-
lowing subparagraph (G), by striking ‘‘and’’ be-
fore ‘‘(XVI) the medical’’ and by striking ‘‘(XVI) 
if’’ and inserting ‘‘(XVII) if’’; 
(B) in subsection (a)(23), by striking ‘‘(ii)’’ 
and inserting ‘‘(kk)’’; 
(C) in subsection (a)(77), by striking ‘‘(ii)’’ 
and inserting ‘‘(kk)’’; 
(D) in subsection (ii)(2), as added by sec-
tion 2303(a)(2) of Public Law 111–148, by strik-
ing ‘‘(XV)’’ and inserting ‘‘(XVI)’’; and
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(E) by redesignating subsection (ii), as 
added by section 6401(b)(1)(B) of Public Law 
111–148, as subsection (kk) and transferring 
such subsection so as to appear after subsection 
(jj) of that section. 
(2) Section 2107(e)(1) of the Social Security Act 
(42 U.S.C. 1397gg(e)(1)) is amended— 
(A) in subparagraph (D), as added by sec-
tion 6401(c) of Public Law 111–148, by striking 
‘‘(ii)’’ and inserting ‘‘(kk)’’; and 
(B) by redesignating the subparagraph (N) 
of that section added by 2101(e) of Public Law 
111–148 as subparagraph (O). 
SEC. 206. FUNDING FOR CLAIMS REPROCESSING. 
For purposes of carrying out the provisions of, and 
amendments made by, this Act that relate to title XVIII 
of the Social Security Act, and other provisions of, or relat-
ing to, such title that ensure appropriate payment of 
claims, there are appropriated to the Secretary of Health 
and Human Services for the Centers for Medicare & Med-
icaid Services Program Management Account, from 
amounts in the general fund of the Treasury not otherwise 
appropriated, $200,000,000. Amounts appropriated under 
the preceding sentence shall be in addition to any other 
funds available for such purposes, shall remain available
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until expended, and shall not be used to implement changes 
to title XVIII of the Social Security Act made by Public 
Laws 111-148 and 111-152. 
SEC. 207. REVISION TO THE MEDICARE IMPROVEMENT 
FUND. 
Section 1898(b)(1)(B) of the Social Security Act (42 
U.S.C. 
1395iii(b)(1)(B)) 
is 
amended 
by 
striking 
‘‘$550,000,000’’ and inserting ‘‘$275,000,000’’. 
SEC. 208. LIMITATIONS ON AGGREGATE AMOUNT RECOV-
ERED ON RECONCILIATION OF THE HEALTH 
INSURANCE TAX CREDIT AND THE ADVANCE 
OF THAT CREDIT. 
(a) IN GENERAL.—So much of section 36B(f)(2)(B) of 
the Internal Revenue Code of 1986 as precedes clause (ii) 
thereof is amended to read as follows: 
‘‘(B) LIMITATION ON INCREASE.— 
‘‘(i) IN GENERAL.—In the case of a 
taxpayer whose household income is less 
than 500 percent of the poverty line for the 
size of the family involved for the taxable 
year, the amount of the increase under sub-
paragraph (A) shall in no event exceed the 
applicable dollar amount determined in ac-
cordance with the following table (one-half 
of such amount in the case of a taxpayer
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whose tax is determined under section 1(c) 
for the taxable year): 
‘‘If the household income (expressed as a percent of 
poverty line) is: 
The applicable dollar 
amount is: 
Less than 200% ..............................................................
$600 
At least 200% but less than 250% ...............................
$1,000 
At least 250% but less than 300% ...............................
$1,500 
At least 300% but less than 350% ...............................
$2,000 
At least 350% but less than 400% ...............................
$2,500 
At least 400% but less than 450% ...............................
$3,000 
At least 450% but less than 500% ...............................
$3,500’’. 
(b) 
CONFORMING
AMENDMENT.—Section 
36B(f)(2)(B)(ii) of such Code is amended by inserting ‘‘in 
the table contained’’ after ‘‘each of the dollar amounts’’. 
(c) EFFECTIVE DATE.—The amendments made by this 
section shall apply to taxable years beginning after Decem-
ber 31, 2013. 
SEC. 209. DETERMINATION OF BUDGETARY EFFECTS. 
(a) IN GENERAL.—The budgetary effects of this Act, 
for the purpose of complying with the Statutory Pay-As- 
You-Go Act of 2010, shall be determined by reference to the 
latest statement titled ‘‘Budgetary Effects of PAYGO Legis-
lation’’ for this Act, submitted for printing in the Congres-
sional Record by the Chairman of the Senate Budget Com-
mittee, provided that such statement has been submitted 
prior to the vote on passage. 
(b) EMERGENCY DESIGNATION FOR CONGRESSIONAL 
ENFORCEMENT.—In the House of Representatives, this Act,
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with the exception of section 101, is designated as an emer-
gency for purposes of pay-as-you-go principles. 
Amend the title so as to read: ‘‘An Act to extend 
certain expiring provisions of the Medicare and Medicaid 
programs, and for other purposes.’’. 
Attest: 
Secretary.