I 118th CONGRESS 1st Session H. R. 6313 IN THE HOUSE OF REPRESENTATIVES November 8, 2023 Mr. Smith of Nebraska (for himself, Mr. LaHood , Ms. Sewell , and Ms. Stansbury ) 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.