,i  #aacth ,,congress  #ast ,session    
,h4 ,r4 #begh  ,,in ,,the ,,house ,,of  
,,representatives  ,june #bh1 #bjac ,mr4
 ,braley of ,iowa introduced the        
following bill2 which was referred to   
the ,committee on ,energy and ,commerce1
 and in addition to the ,committee on   
,ways and ,means1 for a period to be    
subsequently determined by the ,speaker1
 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 extend for
 one year the hold harmless provision   
for small rural hospitals and sole      
community hospitals under the ,medicare 
prospective payment system for hospital 
outpatient department services1 and for 
other purposes4  #a4 ,short title ,this 
,act may be cited as the ,rural         
,hospital ,fairness ,act of #bjac4  #b4 
,one-year extension of outpatient hold  
harmless provision  7a7 ,in general     
,section #ahcc7t77#g77;,d77i7 of the    

,social ,security ,act 7#db ,u4,s4,c4   
#aciel7t77#g77;,d77i771 as amended by   
section #cjjb7;a7 of the ,middle ,class 
,tax ,relief and ,job ,creation ,act of 
#bjab 7,public ,law #aab-if71 is        
amended--  7#a7 in subclause 7,,ii7--   
7,a7 in the first sentence1 by striking 
,january #a1 #bjac and inserting        
,january #a1 #bjad2 and  7,b7 in the    
second sentence1 by striking or #bjab   
and inserting 1 #bjab1 or #bjac2 and    
7#b7 in subclause 7,,iii7--  7,a7 in the
 first sentence1 by striking ,january   
#a1 #bjac and inserting ,january #a1    
#bjad2 and  7,b7 in the second sentence1
 by striking ,march #a1 #bjab and       
inserting ,january #a1 #bjad4  7b7      
,effective date ,the amendments made by 
subsection 7a7 shall take effect as if  
included in the enactment of section    
#cjjb of the ,middle ,class ,tax ,relief
 and ,job ,creation ,act of #bjab       
7,public ,law #aab-if74