,,ii ,cal5d> ,no4 #aha #aad? ,,congress 
#a/ ,session  ,s4 #fjg ,report ,no4     
#aad-ajb ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$
 ,,/ates  ,febru>y #bg1 #bjae,mr4       
,grassley 7= himself1 ,mr4 ,b5net1 ,ms4 
,murk[ski1 ,mr4 ,moran1 ,mr4 ,udall1    
,mr4 ,sullivan1 ,mr4 ,?une1 ,mr4 ,wick]1
 ,mr4 ,rob]ts1 ,mrs4 ,ern/1 ,mr4        
,frank51 ,mr4 ,co*ran1 ,mr4 ,g>dn]1     
,mrs4 ,fis*]1 & ,mr4 ,r\nds7 introduc$ !
 foll[+ bill2 :i* 0 read twice & ref]r$ 
to ! ,committee on ,f9ance  ,july #cj1  
#bjae,report$ by ,mr4 ,hat*1 ) an       
am5dm5t & an am5dm5t to ! title,strike  
out all aft] ! enact+ clause & ins]t !  
"p pr9t$ 9 italic  ,a ,,bill  ,to am5d  
title ,,xviii ( ! ,social ,security ,act
 to provide = a five-ye> ext5sion ( !   
rural community hospital demon/ration   
program1 & = o!r purposes4  #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$--
  7#a7 9 subsection 7a77#e71 by /rik+   
#e-ye> ext5sion p]iod & ins]t+ #aj-ye>  
ext5sion p]iod2 &  7#b7 9 subsection    
7g7--  7,a7 9 ! subsection head+1 by    
/rik+ ,five-,ye> & ins]t+ ,t5-,ye>2     
7,b7 9 p>agraph 7#a71 by /rik+          
additional #e-ye> & ins]t+ additional   
#aj-ye>2 &  7,c7 by /rik+ #e-ye>        
ext5sion p]iod & ins]t+ #aj-ye> ext5sion
 p]iod ea* place x appe>s 4  7b7 ,*ange 
9 tim+ = report ,subsection 7e7 ( su*   
section #daj;,a is am5d$ by /rik+ ,n    
lat] ?an #f mon?s aft] ! completion &   
ins]t+ ,n lat] ?an #b ye>s prior to !   
completion4  #a4 ,%ort title ,?is ,act  
may be cit$ z ! ,rural ,community       
,hospital ,demon/ration ,ext5sion ,act (
 #bjae4  #b4 ,five-ye> ext5sion ( !     

,m$ic>e rural community hospital        
demon/ration program  7a7 ,ext5sion     
,section #daj;,a ( ! ,m$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$--
  7#a7 9 subsection 7a77#e71 by /rik+   
#e-ye> ext5sion p]iod & ins]t+ #aj-ye>  
ext5sion p]iod2 &  7#b7 9 subsection    
7g7--  7,a7 9 ! subsection head+1 by    
/rik+ ,five-,ye> & ins]t+ ,t5-,ye>2     
7,b7 9 p>agraph 7#a71 by /rik+          
additional #e-ye> & ins]t+ additional   
#aj-ye>2  7,c7 by /rik+ #e-ye> ext5sion 
p]iod & ins]t+ #aj-ye> ext5sion p]iod   
ea* place x appe>s2  7,d7 9 p>agraph    
7#c71 by add+ at ! end ! foll[+ new     
s5t5ce3 ,not)/&+ ! prec$+ s5t5ce1 aft] !
 date ( ! enactm5t ( ?is s5t5ce1 only   
hospitals describ$ 9 p>agraph 7#d7 or   
7#e7 may p>ticipate 9 demon/ration      
program "u ?is section4  7,e7 9 p>agraph

 7#d77;,b7-- 7i7 9 ! matt] prec$+ clause
 7i71 by ins]t+ ea* #e-ye> p]iod 9 aft] 
hospital dur+2 &  7ii7 9 clause 7i71 by 
ins]t+ ea* applicable #e-ye> p]iod 9    
aft] ! fir/ day (2 &  7,f7 by add+ at ! 
end ! foll[+ new p>agraph3  7#e7 ,o!r   
hospitals 9 demon/ration program ,dur+ !
 second #e ye>s ( ! #aj-ye> ext5sion    
p]iod1 ! ,secret>y %all apply !         
provisions ( p>agraph 7#d7 to rural     
community hospitals t are n describ$ 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  4  
7b7 ,*ange 9 tim+ = report ,subsection  
7e7 ( su* section #daj;,a is am5d$ by   
/rik+ ,n lat] ?an #f mon?s aft] !       
completion & ins]t+ ,n lat] ?an ,augu/  
#a1 #bjah4  ,am5d ! title s z to read3  
,a bill to provide = a five-ye> ext5sion
 ( ! ,m$ic>e rural community hospital   
demon/ration program44 ,july #cj1       
#bjae,report$ ) an am5dm5t & an am5dm5t 

to ! title