,,ii  #aac? ,,congress  #a/ ,session    
,s4 #hdb  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,april #be1 #bjac ,mr4 
,s*um] 7= himself & ,mr4 ,grassley7     
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
provide = an ext5sion ( !               
,m$ic>e-dep5d5t hospital 7,,mdh7 program
 & ! increas$ paym5ts "u ! ,m$ic>e      
l[-volume hospital program4  #a4 ,%ort  
title ,?is ,act may be cit$ z ! ,rural  
,hospital ,access ,act ( #bjac4  #b4    
,ext5sion ( ! ,m$ic>e-dep5d5t hospital  
7,,mdh7 program  7a7 ,ext5sion ( paym5t 
me?odology ,section #ahhf7;d77#e77;,g7 (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #acieww7d77#e77;,g77 is am5d$--  7#a7 9
 clause 7i71 by /rik+ ,octob] #a1 #bjac 
& ins]t+ ,octob] #a1 #bjad2 &  7#b7 9   
clause 7ii77,,ii71 by /rik+ ,octob] #a1 
#bjac & ins]t+ ,octob] #a1 #bjad4  7b7  
,con=m+ am5dm5ts  7#a7 ,ext5sion ( t>get
 am\nt ,section #ahhf7;b77#c77;,d7 ( !  

,social ,security ,act 7#db ,u4,s4,c4   
#acieww7b77#c77;,d77 is am5d$--  7,a7 9 
! matt] prec$+ clause 7i71 by /rik+     
,octob] #a1 #bjac & ins]t+ ,octob] #a1  
#bjad2 &  7,b7 9 clause 7iv71 by /rik+  
?r\gh fiscal ye> #bjac & ins]t+ ?r\gh   
fiscal ye> #bjad4  7#b7 ,p]mitt+        
hospitals to decl9e reclassification    
,section #aceja7;e77#b7 ( ! ,omnibus    
,budget ,reconciliation ,act ( #aiic    
7#db ,u4,s4,c4 #acieww note7 is am5d$ by
 /rik+ ?r\gh fiscal ye> #bjac & ins]t+  
?r\gh fiscal ye> #bjad4  #c4 ,ext5sion (
 ! increas$ paym5ts "u ! ,m$ic>e        
l[-volume hospital program ,section     
#ahhf7;d77#ab7 ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acieww7d77#ab77 is 
am5d$--  7#a7 9 subp>agraph 7,b71 9 !   
matt] prec$+ clause 7i71 by /rik+ #bjad 
& ins]t+ #bjae2  7#b7 9 subp>agraph     
7,c77i71 by /rik+ & #bjac ea* place x   
appe>s & ins]t+ 1 #bjac1 & #bjad2 &     
7#c7 9 subp>agraph 7,d71 by /rik+ &     
#bjac & ins]t+ 1 #bjac1 & #bjad4