,i  #aacth ,,congress  #ast ,session    
,h4 ,r4 #ihf  ,,in ,,the ,,house ,,of   
,,representatives  ,march #f1 #bjac ,mr4
 ,schock 7for himself1 ,mr4 ,braley of  
,iowa1 ,mr4 ,huizenga of ,michigan1     
,mrs4 ,mc,morris ,rodgers1 and ,mr4     
,walden7 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 ensure the eligibility
 of eligible professionals practicing in
 rural health clinics for electronic    
health records and quality improvement  
incentives under ,medicare1 and for     
other purposes4  #a4 ,short title ,this 
,act may be cited as the ,rural ,health 
,clinic ,fairness ,act of #bjac4  #b4   
,extension of ,medicare ,,ehr incentives

 to eligible professionals practicing in
 rural health clinics  7a7 ,in general  
,section #ahdh7o77#e77;,a7 of the       
,social ,security ,act 7#db ,u4,s4,c4   
#aciew7o77#e77;,a77 is amended by       
inserting before the period at the end  
the following3 and1 with respect to     
payment years after #bjac1 includes     
rural health clinic services 7as defined
 in section #ahfa7;aa77#a77 furnished by
 an eligible professional4  7b7         
,offsetting reduction ,section          
#ahdh7o77#a77;,b7 of the ,social        
,security ,act 7#db ,u4,s4,c4           
#aciew-#d7o77#a77;,b77 is amended--     
7#a7 in clause 7ii71 by striking clauses
 7iii7 through 7v7 and inserting the    
succeeding clauses2 and  7#b7 by adding 
at the end the following new clause3    
7iv7 ,budget neutrality adjustment ,the 
,secretary shall reduce the applicable  
amounts that would otherwise be         
determined under this subparagraph with 
respect to #bjad and each succeeding    
year by an amount that the ,secretary   

estimates would ensure that estimated   
aggregate payments under this subsection
 for such year is not increased as a    
result of the amendment made by section 
#b7;a7 of the ,rural ,health ,clinic    
,fairness ,act of #bjac4  4  #c4        
,extension of ,medicare e,rx and quality
 reporting incentives to rural health   
clinics  7a7 ,in general ,section       
#ahdh7m77#f77;,a7 of the ,social        
,security ,act 7#db ,u4,s4,c4           
#aciew7m77#f77;,a77 is amended by       
inserting before the period at the end  
the following3 1 except that the term   
covered professional services shall1    
with respect to reporting periods for   
#bjad or a subsequent year1 include     
rural health clinic services 7as defined
 in section #ahfa7;aa77#a77 furnished by
 an eligible professional4  7b7         
,offsetting reduction ,section          
#ahdh7m77#a7 of such ,act 7#db ,u4,s4,c4
 #aciew7m77#a77 is amended--  7#a7 in   
subparagraph 7,b71 by striking ,for     
purposes and inserting ,subject to      

subparagraph 7,c71 for purposes2 and    
7#b7 by adding at the end the following 
new subparagraph3  7,c7 ,budget         
neutrality adjustment ,the ,secretary   
shall reduce the applicable quality     
percent that would otherwise be         
determined under subparagraph 7,b7 for  
#bjad by an amount that the ,secretary  
estimates would ensure that estimated   
aggregate payments under this subsection
 for such year is not increased as a    
result of the amendment made by section 
#c7;a7 of the ,rural ,health ,clinic    
,fairness ,act of #bjac4  4