I 115th CONGRESS 1st Session H. R. 3817 IN THE HOUSE OF REPRESENTATIVES September 21, 2017 Mr. Young of Iowa (for himself, Mr. Kind , Mr. Blum , Mr. Duffy , Mr. Loebsack , Mr. Pocan , and Mr. Gallagher ) introduced 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 amend title XVIII of the Social Security Act to improve the accuracy of geographic adjustment factors under the Medicare program and to permanently extend certain adjustments to such factors for certain localities, and for other purposes.