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Amend the amendment by striking out all of the first paragraph after the title (page 1, lines 11 to 13 in amendment) and inserting the following:
‘Amend the bill in section 4 in §6917 in subsection 1 in paragraph B in the first line (page 1, line 29 in L.D.) by inserting after the following: "paid" the following: 'for plan years' ’
 
SUMMARY
This amendment removes the effective date of September 1, 2009 and clarifies that access payments apply to claims paid for plan years beginning on or after the date the section takes effect.