,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #gda  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,janu>y #cj1 #bjag,ms4
 ,j5k9s ( ,kansas 7= h]self1 ,mr4       
,loebsack1 & ,mr4 ,smi? ( ,nebraska7    
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 provide = a   
p]man5t ext5sion ( ! en=cem5t in/ruction
 on ,m$ic>e sup]vision requirem5ts =    
outpati5t !rapeutic s]vices 9 critical  
access & small rural hospitals4  #a4    
,%ort title ,?is ,act may be cit$ z !   
,rural ,hospital ,regulatory ,relief    
,act ( #bjag4  #b4 ,p]man5t ext5sion (  
en=cem5t in/ruction on ,m$ic>e          
sup]vision requirem5ts = outpati5t      
!rapeutic s]vices 9 critical access &   
small rural hospitals  7a7 ,9 g5]al     

,section #ahcd ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #aciem7 is am5d$ by 
add+ at ! end ! foll[+ new subsection3  
7t7 ,p]man5t ext5sion ( en=cem5t        
in/ruction on sup]vision requirem5ts =  
outpati5t !rapeutic s]vices 9 critical  
access & small rural hospitals ,on &    
aft] ,janu>y #a1 #bjag1 ! ,secret>y %all
 cont9ue to apply ! en=cem5t in/ruction 
describ$ 9 ! notice ( ! ,c5t]s = ,m$ic>e
  ,m$icaid ,s]vices entitl$ ,en=cem5t   
,in/ruction on ,sup]vision ,requirem5ts 
= ,outpati5t ,!rapeutic ,s]vices 9      
,critical ,access & ,small ,rural       
,hospitals = ,,cy #bjac1 dat$ ,novemb]  
#a1 #bjab 7provid+ = an exception to !  
re/atem5t & cl>ification "u ! f9al      
rulemak+ *anges to ! ,m$ic>e hospital   
outpati5t prospective paym5t sy/em &    
cal5d> ye> #bjji paym5t rates 7publi%$ 9
 ! ,f$]al ,regi/] on ,novemb] #ah1      
#bjjh1 #gc ,f$4 ,reg4 #fhgjb ?r\gh      
#fhgjd7 ) respect to requirem5ts =      
direct sup]vision by physicians =       
!rapeutic hospital outpati5t s]vices71 z

 previ\sly ext5d$ "u section #a (       
,public ,law #aac-aih1 z am5d$ by       
section #a ( ,public ,law #aad-aab &    
section #afjjd7;a7 ( ! #ba/ ,c5tury     
,cures ,act 7,public ,law #aad-bee74  4 
7b7 ,repeal ( requir$ report ,section   
#afjjd ( ! #ba/ ,c5tury ,cures ,act     
7,public ,law #aad-bee7 is am5d$ by     
/rik+ subsection 7b74