#aadth ,,congress  #b;d ,session  ,h4   
,r4 #efac  ,,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 #bjaf4  #a4 ,short    
title ,this ,act may be cited as the    
,continuing ,access to ,hospitals ,act  
of #bjaf or the ,,cah ,act of #bjaf4    
#b4 ,extension of enforcement           
instruction on supervision requirements 
for outpatient therapeutic services in  
critical access and small rural         
hospitals through #bjaf ,section #a of  
,public ,law #aac-aih1 as amended by    
section #a of ,public ,law #aad-aab1 is 
amended--  7#a7 in the heading1 by      
striking #bjad and #bjae and inserting  
#bjaf2 and  7#b7 by striking and #bjae  
and inserting 1 #bjae1 and #bjaf4  #c4  
,report ,not later than #a year after   
the date of the enactment of this ,act1 
the ,medicare ,payment ,advisory        
,commission 7established under section  

#ahje of the ,social ,security ,act 7#db
 ,u4,s4,c4 #acie;b-#f77 shall submit to 
,congress a report analyzing the effect 
of the extension of the enforcement     
instruction under section #a of ,public 
,law #aac-aih1 as amended by section #a 
of ,public ,law #aad-aab and section #b 
of this ,act1 on the access to health   
care by ,medicare beneficiaries1 on the 
economic impact and the impact upon     
hospital staffing needs1 and on the     
quality of health care furnished to such
 beneficiaries4  ,passed the ,house of  
,representatives ,september #ba1        
#bjaf4;,clerk4