On June 20, President Clinton announced his $21 billion BBA relief package for providers, with $9 billion of the relief specified. Decisions on spending the remaining $12 billion would be negotiated with Congress. The $21 billion over five years is part of a larger package that includes a prescription drug benefit for seniors and creating a “lock-box” to protect the solvency of the Medicare trust fund. According to AHA, hospitals would receive $5 billion over five years and $11 billion over 10 years, including a full market basket update for fiscal year 2001 (FY01), Indirect Medical Education at 6.5 percent for FY01, elimination of the additional scheduled 1 percent reduction in Medicare DSH for FY01, and a freeze in further Medicaid DSH reductions for FY01. Skilled nursing would receive $1 billion over 5 years and $2 billion over 10 years, including full market basket for FY01 and an additional one-year therapy cap delay. Managed care would receive $1 billion over five years and $3 billion over 10 years, a result of interaction between fee-for-service and managed care payment increases.