,,ib  ,union ,calendar ,no4 #deb  #aadth
 ,,congress  #b;d ,session  ,h4 ,r4     
#daaa  ,report ,no4 #aad-ehb  ,,in ,,the
 ,,house ,,of ,,representatives         
,november #ai1 #bjae ,mr4 ,lance 7for   
himself1 ,mr4 ,cramer1 and ,mr4         
,loebsack7 introduced the following     
bill2 which was referred to the         
,committee on ,energy and ,commerce     
,may #bc1 #bjaf ,reported with an       
amendment1 committed to the ,committee  
of the ,whole ,house on the ,state of   
the ,union1 and ordered to be printed   
,strike out all after the enacting      
clause and insert the part printed in   
italic ,for text of introduced bill1 see
 copy of bill as introduced on ,november
 #ai1 #bjae  ,a ,,bill  ,to include     
skilled nursing facilities as a type of 
health care provider under section      
#bed7;h7 of the ,communications ,act of 
#aicd4  #a4 ,short title ,this ,act may 
be cited as the ,rural ,health ,care    
,connectivity ,act of #bjaf4  #b4       
,telecommunications services for skilled

 nursing facilities  7a7 ,in general    
,section #bed7;h77#g77;,b7 of the       
,communications ,act of #aicd 7#dg      
,u4,s4,c4 #bed7;h77#g77;,b77 is         
amended--  7#a7 in clause 7vi71 by      
striking and at the end2  7#b7 by       
redesignating clause 7vii7 as clause    
7viii72  7#c7 by inserting after clause 
7vi7 the following3  7vii7 skilled      
nursing facilities 7as defined in       
section #ahai7;a7 of the ,social        
,security ,act 7#db ,u4,s4,c4           
#acie;i-#c7;a7772 and  2 and  7#d7 in   
clause 7viii71 as redesignated1 by      
striking clauses 7i7 through 7vi7 and   
inserting clauses 7i7 through 7vii74    
7b7 ,savings clause ,nothing in         
subsection 7a7 shall be construed to    
affect the aggregate annual cap on      
,federal universal service support for  
health care providers under section     
#ed4fge of title #dg1 ,code of ,federal 
,regulations1 or any successor          
regulation4  7c7 ,effective date ,the   
amendments made by subsection 7a7 shall 

apply beginning on the date that is #ahj
 days after the date of the enactment of
 this ,act4  ,may #bc1 #bjaf ,reported  
with an amendment1 committed to the     
,committee of the ,whole ,house on the  
,state of the ,union1 and ordered to be 
printed