,,ii  #aacth ,,congress  #ast ,session  
,s4 #hdb  ,,in ,,the ,,senate ,,of ,,the
 ,,united ,,states  ,april #be1 #bjac   
,mr4 ,schumer 7for himself and ,mr4     
,grassley7 introduced the following     
bill2 which was read twice and referred 
to the ,committee on ,finance  ,a ,,bill
  ,to amend title ,,xviii of the ,social
 ,security ,act to provide for an       
extension of the ,medicare-dependent    
hospital 7,,mdh7 program and the        
increased payments under the ,medicare  
low-volume hospital program4  #a4 ,short
 title ,this ,act may be cited as the   
,rural ,hospital ,access ,act of #bjac4 
#b4 ,extension of the                   
,medicare-dependent hospital 7,,mdh7    
program  7a7 ,extension of payment      
methodology ,section #ahhf7;d77#e77;,g7 
of the ,social ,security ,act 7#db      
,u4,s4,c4 #acieww7d77#e77;,g77 is       
amended--  7#a7 in clause 7i71 by       
striking ,october #a1 #bjac and         
inserting ,october #a1 #bjad2 and  7#b7 
in clause 7ii77,,ii71 by striking       

,october #a1 #bjac and inserting        
,october #a1 #bjad4  7b7 ,conforming    
amendments  7#a7 ,extension of target   
amount ,section #ahhf7;b77#c77;,d7 of   
the ,social ,security ,act 7#db         
,u4,s4,c4 #acieww7b77#c77;,d77 is       
amended--  7,a7 in the matter preceding 
clause 7i71 by striking ,october #a1    
#bjac and inserting ,october #a1 #bjad2 
and  7,b7 in clause 7iv71 by striking   
through fiscal year #bjac and inserting 
through fiscal year #bjad4  7#b7        
,permitting hospitals to decline        
reclassification ,section #aceja7;e77#b7
 of the ,omnibus ,budget ,reconciliation
 ,act of #aiic 7#db ,u4,s4,c4 #acieww   
note7 is amended by striking through    
fiscal year #bjac and inserting through 
fiscal year #bjad4  #c4 ,extension of   
the increased payments under the        
,medicare low-volume hospital program   
,section #ahhf7;d77#ab7 of the ,social  
,security ,act 7#db ,u4,s4,c4           
#acieww7d77#ab77 is amended--  7#a7 in  
subparagraph 7,b71 in the matter        

preceding clause 7i71 by striking #bjad 
and inserting #bjae2  7#b7 in           
subparagraph 7,c77i71 by striking and   
#bjac each place it appears and         
inserting 1 #bjac1 and #bjad2 and  7#c7 
in subparagraph 7,d71 by striking and   
#bjac and inserting 1 #bjac1 and #bjad4