,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #begh  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,june #bh1 #bjac ,mr4 
,braley ( ,i[a introduc$ ! foll[+ bill2 
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce1 & 9 addition to ! ,committee 
on ,ways & ,means1 = a p]iod to be      
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
ext5d = "o ye> ! hold h>mless provision 
= small rural hospitals & sole community
 hospitals "u ! ,m$ic>e prospective     
paym5t sy/em = hospital outpati5t       
dep>tm5t s]vices1 & = o!r purposes4  #a4
 ,%ort title ,?is ,act may be cit$ z !  
,rural ,hospital ,fairness ,act ( #bjac4
  #b4 ,"o-ye> ext5sion ( outpati5t hold 
h>mless provision  7a7 ,9 g5]al ,section
 #ahcc7t77#g77;,d77i7 ( ! ,social       
,security ,act 7#db ,u4,s4,c4           
#aciel7t77#g77;,d77i771 z am5d$ by      
section #cjjb7;a7 ( ! ,middle ,class    

,tax ,relief & ,job ,creation ,act (    
#bjab 7,public ,law #aab-if71 is am5d$--
  7#a7 9 subclause 7,,ii7--  7,a7 9 !   
fir/ s5t5ce1 by /rik+ ,janu>y #a1 #bjac 
& ins]t+ ,janu>y #a1 #bjad2 &  7,b7 9 ! 
second s5t5ce1 by /rik+ or #bjab &      
ins]t+ 1 #bjab1 or #bjac2 &  7#b7 9     
subclause 7,,iii7--  7,a7 9 ! fir/      
s5t5ce1 by /rik+ ,janu>y #a1 #bjac &    
ins]t+ ,janu>y #a1 #bjad2 &  7,b7 9 !   
second s5t5ce1 by /rik+ ,m>* #a1 #bjab &
 ins]t+ ,janu>y #a1 #bjad4  7b7         
,effective date ,! am5dm5ts made by     
subsection 7a7 %all take effect z if    
includ$ 9 ! enactm5t ( section #cjjb ( !
 ,middle ,class ,tax ,relief & ,job     
,creation ,act ( #bjab 7,public ,law    
#aab-if74