I 115th CONGRESS 1st Session H. R. 2224 IN THE HOUSE OF REPRESENTATIVES April 28, 2017 Mr. Smith of Nebraska (for himself, Mr. Kelly of Pennsylvania , Mr. Long , Mr. Barr , and Mr. Byrne ) introduced the following bill; which was referred to the Committee on Ways and Means A BILL To amend title XVIII of the Social Security Act to apply budget neutrality on a State-specific basis in the calculation of the Medicare hospital wage index floor for non-rural areas.