Sec. 422. Puerto Rico practice expense GPCI improvement

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Section 1848(e)(1) of the Social Security Act ( 42 U.S.C. 1395w–4(e)(1) ) is amended— in subparagraph (A), by striking and

(I)and inserting (I), and

(J); and by adding at the end the following new subparagraph: For purposes of payment for services furnished in Puerto Rico in a year (beginning with 2017), after calculating the practice expense index in subparagraph (A)(i) for Puerto Rico, if such index is below the reference index (as defined in clause (ii)) for the year, the Secretary shall increase such index for Puerto Rico to equal the value of the reference index for the year. The preceding sentence shall not be applied in a budget neutral manner. In this subparagraph, the term reference index means, with respect to a year, 0.800 or, if less, the lowest practice expense index value for the year for any area in the 50 States or the District of Columbia. .

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42 USC 1395w–4(e)(1)

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Sec. 422

Puerto Rico practice expense GPCI improvement

Cite42 USC 1395w–4(e)(1)

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