,,ic  #aad? ,,congress  #b;d ,session   
,s4 #fjg  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,janu>y #be1 #bjaf    
,ref]r$ to ! ,committee on ,ways &      
,means  ,,an ,,act  ,to provide = a     
five-ye> ext5sion ( ! ,m$ic>e rural     
community hospital demon/ration program4
  #a4 ,%ort title ,?is ,act may be cit$ 
z ! ,rural ,community ,hospital         
,demon/ration ,ext5sion ,act ( #bjae4   
#b4 ,five-ye> ext5sion ( ! rural        
community hospital demon/ration program 
7a7 ,ext5sion ,section #daj;,a ( !      
,m$ic>e ,prescription ,drug1            
,improvem5t1 & ,mod]nization ,act (     
#bjjc 7,public ,law #ajh-agc2 #db       
,u4,s4,c4 #acieww note71 z am5d$ by     
sections #cabc & #ajcac ( ! ,pati5t     
,protection & ,af=dable ,c>e ,act       
7,public ,law #aaa-adh71 is am5d$--     
7#a7 9 subsection 7a77#e71 by /rik+     
#e-ye> ext5sion p]iod & ins]t+ #aj-ye>  
ext5sion p]iod2 &  7#b7 9 subsection    
7g7--  7,a7 9 ! subsection head+1 by    
/rik+ ,five-,ye> & ins]t+ ,t5-,ye>2     

7,b7 9 p>agraph 7#a71 by /rik+          
additional #e-ye> & ins]t+ additional   
#aj-ye>2  7,c7 by /rik+ #e-ye> ext5sion 
p]iod & ins]t+ #aj-ye> ext5sion p]iod   
ea* place x appe>s2  7,d7 9 p>agraph    
7#d77;,b7--  7i7 9 ! matt] prec$+ clause
 7i71 by ins]t+ ea* #e-ye> p]iod 9 aft] 
hospital dur+2 &  7ii7 9 clause 7i71 by 
ins]t+ ea* applicable #e-ye> p]iod 9    
aft] ! fir/ day (2 &  7,e7 by add+ at ! 
end ! foll[+ new p>agraphs3  7#e7 ,o!r  
hospitals 9 demon/ration program ,dur+ !
 second #e ye>s ( ! #aj-ye> ext5sion    
p]iod1 ! ,secret>y %all apply !         
provisions ( p>agraph 7#d7 to rural     
community hospitals t are n describ$ 9  
p>agraph 7#d7 b are p>ticipat+ 9 !      
demon/ration program "u ?is section z ( 
,decemb] #cj1 #bjad1 9 a simil> mann] z 
su* provisions apply to rural community 
hospitals describ$ 9 p>agraph 7#d74     
7#f7 ,expansion ( demon/ration program  
to rural areas 9 any ,/ate  7,a7 ,9     
g5]al ,! ,secret>y %all1 not)/&+        
subsection 7a77#b7 or p>agraph 7#b7 (   

?is subsection1 n lat] ?an #abj days    
aft] ! date ( ! enactm5t ( ?is p>agraph1
 issue a solicitation = applications to 
select up to ! maximum numb] (          
additional rural community hospitals    
locat$ 9 any ,/ate to p>ticipate 9 !    
demon/ration program "u ?is section = ! 
second #e ye>s ( ! #aj-ye> ext5sion     
p]iod )\t exce$+ ! limitation "u        
p>agraph 7#c7 ( ?is subsection4  7,b7   
,priority ,9 det]m9+ :i* rural community
 hospitals t submitt$ an application    
pursuant to ! solicitation "u           
subp>agraph 7,a7 to select =            
p>ticipation 9 ! demon/ration program1 !
 ,secret>y--  7i7 %all give priority to 
rural community hospitals locat$ 9 "o ( 
! #bj ,/ates ) ! l[e/ population        
d5sities 7z det]m9$ by ! ,secret>y us+ !
 #bjae ,/ati/ical ,ab/ract ( ! ,unit$   
,/ates72 &  7ii7 may consid]--  7,i7    
closures ( hospitals locat$ 9 rural     
areas 9 ! ,/ate 9 :i* ! rural community 
hospital is locat$ dur+ ! #e-ye> p]iod  
imm$iately prec$+ ! date ( ! enactm5t ( 

?is p>agraph2 &  7,,ii7 ! population    
d5sity ( ! ,/ate 9 :i* ! rural community
 hospital is locat$4  4  7b7 ,*ange 9   
tim+ = report ,subsection 7e7 ( su*     
section #daj;,a is am5d$-- 7#a7 by /rik+
 ,n lat] ?an #f mon?s aft] ! completion 
( ! demon/ration program "u ?is section 
& ins]t+ ,n lat] ?an ,augu/ #a1 #bjah2 &
  7#b7 by /rik+ su* program & ins]t+ !  
demon/ration program "u ?is section4    
,pass$ ! ,s5ate ,janu>y #bj1            
#bjaf4;,julie ,e4 ,adams1,secret>y