#aadth ,,congress  #ast ,session  ,s4   
#bbfa  ,,an ,,act  ,to amend title      
,,xviii of the ,social ,security ,act to
 improve the way beneficiaries are      
assigned under the ,medicare shared     
savings program by also basing such     
assignment on services furnished by     
,federally qualified health centers and 
rural health clinics4  #a4 ,short title 
,this ,act may be cited as the ,rural   
,,aco ,provider ,equity ,act of #bjae4  
#b4 ,improvements to the assignment of  
beneficiaries under the ,medicare shared
 savings program ,section #ahii7;c7 of  
the ,social ,security ,act 7#db         
,u4,s4,c4 #acie;jjj7c77 is amended--    
7#a7 by striking utilization of primary 
and inserting 8utilization of--  7#a7 in
 the case of performance years beginning
 on or after ,april #a1 #bjab1 primary  
2  7#b7 in paragraph 7#a71 as added by  
paragraph 7#a7 of this section1 by      
striking the period at the end and      
inserting 2 and2 and  7#c7 by adding at 
the end the following new paragraph3    

7#b7 in the case of performance years   
beginning on or after ,january #a1      
#bjah1 services provided under this     
title by a ,federally qualified health  
center or rural health clinic 7as those 
terms are defined in section            
#ahfa7;aa771 as may be determined by the
 ,secretary4  4  ,passed the ,senate    
,december #ag1 #bjae4,secretary