“ FAILSAFE.—Subclause (II) shall apply for any calendar year only if the aggregate amount of premium tax credits under this section and cost-sharing reductions under section 1402 of the Patient Protection and Affordable Care Act for the preceding calendar year exceeds an amount equal to 0.504 percent of the gross domestic product for the preceding calendar year.”; and
(2) in subsection (c) (2) (C) —
(A) by striking “9.8 percent” in clauses (i) (II) and (iv) and inserting “9.5 percent”; and
(B) by striking “ (b) (3) (A) (iii) ” in clause (iv) and inserting “ (b) (3) (A) (ii) ”. ”

“ Section 279 (b) of the Trade Act of 1974 (19 U.S.C. 2372a (b) ) is amended by striking “Supplement” and all that follows through “Funds” and inserting “There are” and by striking “pursuant” and all that follows and inserting “$500,000,000 for each of fiscal years 2011, 2012, 2013, and 2014 to carry out this subchapter, except that the limitations contained in section 278 (a) (2) shall not apply to such funds and each State shall receive not less than 0.5 percent of the amount appropriated pursuant to this subsection for each such fiscal year.”. ”

“ STATE AND LOCAL TAX BENEFITS.—For purposes of paragraph (1) , any State or local income tax effect which is related to a Federal income tax effect shall be treated in the same manner as a Federal income tax effect.
“ (4) FINANCIAL ACCOUNTING BENEFITS.—For purposes of paragraph (1) (B) , achieving a financial accounting benefit shall not be taken into account as a purpose for entering into a transaction if the origin of such financial accounting benefit is a reduction of Federal income tax. ”

“ IN GENERAL.—The Secretary shall contract with each eligible not-for-profit servicer to service loans originated under this part, if the servicer—
“ (I) meets the standards for servicing Federal assets that apply to contracts awarded pursuant to paragraph (1) ; and
“ (II) has the capacity to service the applicable loan volume allocation described in subparagraph (B) .
“ (ii) COMPETITIVE MARKET RATE DETERMINATION FOR FIRST 100,000 BORROWER ACCOUNTS.—The Secretary shall establish a separate pricing tier for each of the first 100,000 borrower loan accounts at a competitive market rate. ”

“ AFFILIATED ENTITY.—For the purposes of paragraph (1) , the term ‘affiliated entity’—
“ (A) means an entity contracted to perform services for an eligible not-for-profit servicer that—
“ (i) is a nonprofit entity or is wholly owned by a nonprofit entity; and
“ (ii) is not owned or controlled, in whole or in part, by—
“ (I) a for-profit entity; or
“ (II) an entity having its principal place of business in another State ”

“ JOINT AND SEVERAL LIABILITY.—If more than one person is liable for payment of the fee under subsection (a) with respect to a single covered entity by reason of the application of paragraph (3) , all such persons shall be jointly and severally liable for payment of such fee. ”

“ The methodology imposes the largest percentage reductions on the States that—
“ (I) have the lowest percentages of uninsured individuals (determined on the basis of data from the Bureau of the Census, audited hospital cost reports, and other information likely to yield accurate data) during the most recent year for which such data are available; or
“ (II) do not target their DSH payments on—
“ (aa) hospitals with high volumes of Medicaid inpatients (as defined in subsection (b) (1) (A) ) ”

“ For calendar quarters in 2014 and each year thereafter, the Federal medical assistance percentage otherwise determined under subsection (b) for an expansion State described in paragraph (3) with respect to medical assistance for individuals described in section 1902 (a) (10) (A) (i) (VIII) who are nonpregnant childless adults with respect to whom the State may require enrollment in benchmark coverage under section 1937 shall be equal to the percent specified in subparagraph (B) (i) for such year. ”

“ NEW MA PLAN DEFINED.—The term ‘new MA plan’ means, with respect to a year, a plan offered by an organization or sponsor that has not had a contract as a Medicare Advantage organization in the preceding 3-year period.
“ (B) QUALIFYING COUNTY.—The term ‘qualifying county’ means, for a year, a county—
“ (i) that has an MA capitation rate that, in 2004, was based on the amount specified in subsection (c) (1) (B) for a Metropolitan Statistical Area with a population of more than 250,000 ”

“ Conforming amendments.—Title IV (20 U.S.C. 1070 et seq.) is further amended—
(1) in section 401 (b) (20 U.S.C. 1070a (b) ) —
(A) in paragraph (4) —
(i) by striking “maximum basic grant level specified in the appropriate appropriation Act ” and inserting “maximum amount of a Federal Pell Grant award determined under paragraph (2) (A) ”; and
(ii) by striking “such level” each place it appears and inserting “such Federal Pell Grant amount” in each such place ”

“ Restriction.—Section 1861 (ff) (3) (A) of such Act (42 U.S.C. 1395x (ff) (3) (A) ) is amended by inserting “other than in an individual’s home or in an inpatient or residential setting” before the period. ”

“ COVERAGE UNDER SELF-EMPLOYED DEDUCTION.—Section 162 (l) (2) (B) of such Code is amended by inserting “, or any dependent, or individual described in subparagraph (D) of paragraph (1) with respect to,” after “spouse of”. ”