,,ic  #aacth ,,congress  #b;d ,session  
,s4 #aied  ,,in ,,the ,,house ,,of      
,,representatives  ,february #aa1 #bjad 
,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  ,,an ,,act  ,to    
provide for the extension of the        
enforcement instruction on supervision  
requirements for outpatient therapeutic 
services in critical access and small   
rural hospitals through #bjad4  #a4     
,extension of enforcement instruction on
 supervision requirements for outpatient
 therapeutic services in critical access
 and small rural hospitals through #bjad
 ,the ,secretary of ,health and ,human  
,services shall continue to apply       
through calendar year #bjad the         
enforcement instruction described in the
 notice of the ,centers for ,medicare   

,medicaid ,services entitled            
,enforcement ,instruction on            
,supervision ,requirements for          
,outpatient ,therapeutic ,services in   
,critical ,access and ,small ,rural     
,hospitals for ,,cy #bjac1 dated        
,november #a1 #bjab 7providing for an   
exception to the restatement and        
clarification under the final rulemaking
 changes to the ,medicare hospital      
outpatient prospective payment system   
and calendar year #bjji payment rates   
7published in the ,federal ,register on 
,november #ah1 #bjjh1 #gc ,fed4 ,reg4   
#fhgjb through #fhgjd7 with respect to  
requirements for direct supervision by  
physicians for therapeutic hospital     
outpatient services74  ,passed the      
,senate ,february #aj1 #bjad4,nancy     
,erickson1,secretary