,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #ccfe  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,octob] #bi1 #bjac,mr4
 ,walb]g 7= himself1 ,mr4 ,graves (     
,miss\ri1 ,mr4 ,tib]i1 & ,mr4 ,mess]7   
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,ways & ,means  ,a     
,,bill  ,to exempt c]ta9 long-t]m c>e   
hospitals op]at+ 9 a s+le-hospital ,,msa
 f ! ,m$ic>e ?re%old paym5t adju/m5t    
policy = long-t]m c>e hospitals1 & = o!r
 purposes4  #a4 ,%ort title ,?is ,act   
may be cit$ z ! ,def5d+ ,rural ,access  
to ,long ,t]m ,acute ,c>e ,act ( #bjac4 
#b4 ,exemption f ?re%old paym5t adju/m5t
 policy = c]ta9 long-t]m c>e hospitals  
op]at+ 9 a s+le-hospital ,,msa  7a7 ,9  
g5]al ,! ,secret>y ( ,heal? & ,human    
,s]vices %all n apply sections #dab4ecd 
or #dab4ecf ( title #db1 ,code ( ,f$]al 
,regulations1 to any long-t]m c>e       
hospital op]at+ 9 a s+le-hospital ,,msa 
7z def9$ 9 subsection 7b774  7b7        
,long-,t]m c>e hospital op]at+ 9 a      
s+le-,hospital ,,msa def9$ ,9 ?is       

section1 ! t]m long-t]m c>e hospital    
op]at+ 9 a s+le-hospital ,,msa means an 
entity t meets ! foll[+ crit]ia on !    
date ( ! enactm5t ( ?is ,act3 7#a7 ,!   
entity is a long-t]m c>e hospital z     
def9$ 9 section #ahfa7;ccc7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           
#aciex7ccc771 b is n a long-t]m c>e     
hospital describ$ 9 section             
#ahhf7;d77#a77;,b77iv77,,ii7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#acieww7d77#a77;,b77iv77,,ii774  7#b7 ,!
 entity is locat$ 9 a ,metropolitan     
,/ati/ical ,area 7z def9$ by ! ,(fice ( 
,managem5t & ,budget 9 ,,omb ,bullet9   
#ac-ja publi%$ ,febru>y #bh1 #bjac7 t   
has only "o subsection 7d7 hospital 7z  
def9$ 9 section #ahhf7;d77#b77;,d7 ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acieww7d77#b77;,d774  7c7 ,effective   
date ,subsection 7a7 applies to long-t]m
 c>e hospitals = co/ report+ p]iods     
beg9n+ on or aft] ,octob] #a1 #bjac4