,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #edih  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,april #ab1 #bjah ,mr4
 ,pet]son 7= himself & ,mr4 ,tipton7    
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce1 & 9 
addition to ! ,committee on ,ways &     
,means1 = a p]iod to be subsequ5tly     
det]m9$ by ! ,speak]1 9 ea* case =      
consid]ation ( su* provisions z fall )9 
! jurisdiction ( ! committee conc]n$  ,a
 ,,bill  ,to am5d title ,,xviii ( !     
,social ,security ,act to ext5d ! floor 
on ! area wage index "u ! inpati5t      
prospective paym5t sy/em to c]ta9 sole  
community hospitals & to am5d ! ,public 
,heal? ,s]vice ,act to provide          
eligibility = c]ta9 sole community      
hospitals to disc\nt$ drug prices "u !  
#cdj;,b drug pric+ program4  #a4 ,%ort  
title ,?is ,act may be cit$ z ! ,rural  
,hospital ,fronti] ,fairness ,act4  #b4 
,ext5d+ floor on area wage index to     
c]ta9 sole community hospitals ,section 
#ahhf7;d77#c77;,e77iii7 ( ! ,social     

,security ,act 7#db ,u4,s4,c4           
#acieww7d77#c77;,e77iii77 is am5d$--    
7#a7 9 subclause 7,i71 by ins]t+ be=e ! 
p]iod at ! end ! foll[+3 &1 = dis*>ges  
occurr+ on or aft] ,octob] #a1 #bjah1 ! 
area wage index applicable "u ?is       
subp>agraph to any sole community       
hospital t is locat$ n m ?an #ge miles f
 ! close/ fronti] ,/ate & t makes an    
election "u subclause 7,v7 may n be less
 ?an #a4jj2 &  7#b7 by add+ at ! end !  
foll[+ new subclause3  7,v7 ,sole       
community hospital election ,! ,secret>y
 %all provide = a process "u :i* a sole 
community hospital describ$ 9 subclause 
7,i7 may elect1 at su* "t & 9 su* mann] 
z specifi$ by ! ,secret>y1 to apply     
subclause 7,i7 to su* sole community    
hospital4  4  #c4 ,eligibility ( c]ta9  
sole community hospitals = disc\nt$ drug
 prices "u ! #cdj;,b drug pric+ program 
7a7 ,9 g5]al ,section #cdj;,b7a77#d7 ( !
 ,public ,heal? ,s]vice ,act 7#db       
,u4,s4,c4 #bef;b7a77#d77 is am5d$ by    
add+ at ! end ! foll[+ new subp>agraph3 

7,p7 ,an entity t is a sole community   
hospital 7z def9$ 9 section             
#ahhf7;d77#e77;,c77iii7 ( ! ,social     
,security ,act71 t 0 classifi$ z su* a  
hospital be=e ,octob] #a1 #bjae1 & t is 
locat$ n m ?an #ge miles f ! close/     
fronti] ,/ate 7z def9$ 9 section        
#ahhf7;d77#c77;,e77iii77,,ii7 ( su*     
,act74  4  7b7 ,effective date  7#a7 ,9 
g5]al ,! am5dm5t made by subsection 7a7 
%all apply to drugs pur*as$ on or aft] !
 fir/ day ( ! fir/ mon? t beg9s m ?an   
#fj days aft] ! date ( ! enactm5t ( ?is 
,act4  7#b7 ,con=m+ #cdj;,b agreem5ts ,!
 ,secret>y ( ,heal? & ,human ,s]vices   
%all provide = su* timely modification (
 agreem5ts ent]$ into "u section #cdj;,b
 ( ! ,public ,heal? ,s]vice ,act 7#db   
,u4,s4,c4 #bef;b7 z is necess>y to      
provide = ! application ( ! am5dm5t made
 by subsection 7a7 on a timely basis    
consi/5t ) p>agraph 7#a74