,i  #aac? ,,congress  #b;d ,session  ,h4
 ,r4 #djfg  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,febru>y #ah1 #bjad   
,ms4 ,j5k9s 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 provide = !     
ext5sion ( ! en=cem5t in/ruction on     
sup]vision requirem5ts = outpati5t      
!rapeutic s]vices 9 critical access &   
small rural hospitals ?r\gh #bjad4  #a4 
,ext5sion ( en=cem5t in/ruction on      
sup]vision requirem5ts = outpati5t      
!rapeutic s]vices 9 critical access &   
small rural hospitals ?r\gh #bjad ,!    
,secret>y ( ,heal? & ,human ,s]vices    
%all cont9ue to apply ?r\gh cal5d> ye>  
#bjad ! en=cem5t in/ruction describ$ 9 !
 notice ( ! ,c5t]s = ,m$ic>e  ,m$icaid  
,s]vices entitl$ ,en=cem5t ,in/ruction  
on ,sup]vision ,requirem5ts = ,outpati5t

 ,!rapeutic ,s]vices 9 ,critical ,access
 & ,small ,rural ,hospitals = ,,cy      
#bjac1 dat$ ,novemb] #a1 #bjab 7provid+ 
= an exception to ! re/atem5t &         
cl>ification "u ! f9al rulemak+ *anges  
to ! ,m$ic>e hospital outpati5t         
prospective paym5t sy/em & cal5d> ye>   
#bjji paym5t rates 7publi%$ 9 ! ,f$]al  
,regi/] on ,novemb] #ah1 #bjjh1 #gc ,f$4
 ,reg4 #fhgjb ?r\gh #fhgjd7 ) respect to
 requirem5ts = direct sup]vision by     
physicians = !rapeutic hospital         
outpati5t s]vices74