A Couple Amendments to HCR

These are just the jist of the headings; otherwise, I'd have too much to post here.

 SEC. __X. PREVENTING THE IMPLEMENTATION OF NEW ENTITLEMENTS THAT WOULD RAID MEDICARE.

     (a) Ban on New Spending Taking Effect.--

     (1) IN GENERAL.--Notwithstanding any other provision of law, the Secretary of the Treasury and the Secretary of Health and Human Service are prohibited from implementing any spending increase or revenue reduction provision in either the Patient Protection and Affordable Care Act or this Act (referred to in this section as the ``Health Care Acts'') unless both the Director of the Office of Management and Budget (referred to in this section as ``OMB'') and the Chief Actuary of the Centers for Medicare and Medicaid Services Office of the Actuary (referred to in this section as`` CMS OACT'') certify that they project that all of the projected Federal spending increases and revenue reductions resulting from the Health Care Acts will be offset by projected gross savings from the Health Care Acts.

   SEC. __. REVISIONS TO THE PRACTICE EXPENSE GEOGRAPHIC ADJUSTMENT UNDER THE MEDICARE PHYSICIAN FEE SCHEDULE.

    Effective as if included in the enactment of the Patient Protection and Affordable Care Act, subparagraph (H) of section 1848(e)(1) of the Social Security Act (42 U.S.C. 1395w-4(e)(1)), as added by section 3102(b) of the Patient Protection and Affordable Care Act, is amended to read as follows:

     ``(H) PRACTICE EXPENSE GEOGRAPHIC ADJUSTMENT FOR 2010 AND SUBSEQUENT YEARS.--

   SEC. __. ELIMINATION OF SWEETHEART DEAL THAT INCREASES MEDICARE REIMBURSEMENT JUST FOR FRONTIER STATES. 

    Effective as if included in the enactment of the Patient Protection and Affordable Care Act, section 10324 of such Act (and the amendments made by such section) is repealed.

   SEC. 1502. ELIMINATION OF SWEETHEART DEALS. 

    (a) Repeals.--Effective as if included in the enactment of the Patient Protection and Affordable Care Act, the following provisions are repealed: 

    (1) SWEETHEART DEAL TO PROVIDE TENNESSEE 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 this Act. 

    (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 the Patient Protection and Affordable Care Act. 

    (3) SWEETHEART DEAL TO PROVIDE LOUISIANA WITH A SPECIAL INCREASED MEDICAID FMAP.--Subsection (aa) of section 1905 of the Social Security Act, as added by section 2006 of the Patient Protection and Affordable Care Act. 

    (4) SWEETHEART DEAL THAT INCREASES MEDICARE REIMBURSEMENT JUST FOR FRONTIER STATES.--Section 10324 of the Patient Protection and Affordable Care Act (and the amendments made by such section). 

    (5) SWEETHEART DEAL GRANTING MEDICARE COVERAGE FOR INDIVIDUALS EXPOSED TO ENVIRONMENTAL HAZARDS IN LIBBY, MONTANA.--Section 10323 of the Patient Protection and Affordable Care Act (and the amendments made by such section). 

    (6) SWEETHEART DEAL FOR A HOSPITAL IN CONNECTICUT.--Section 10502 of the Patient Protection and Affordable Care Act. 

    (b) Elimination of Sweetheart Deal That Reclassifies Hospitals in Michigan and Connecticut to Increase Their Medicare Reimbursement.--Section 3137(a) of the Patient Protection and Affordable Care Act, as amended by section 10317 of such Act, is amended--

    SEC. 1__. SPECIAL RULE FOR INDIVIDUALS AGE 30 AND OVER NOT ELIGIBLE FOR EXCHANGE CREDITS AND REDUCTIONS.

     Section 1302(e) of the Patient Protection and Affordability Act is amended--

     (1) by redesignating paragraph (3) as paragraph (4); and

     (2) by inserting after paragraph (2), the following:

     ``(3) SPECIAL RULE FOR INDIVIDUALS AGE 30 AND OVER NOT ELIGIBLE FOR EXCHANGE CREDITS AND REDUCTIONS.--