,,ii  #aaeth ,,congress  #ast ,session  
,s4 #ihj  ,,in ,,the ,,senate ,,of ,,the
 ,,united ,,states  ,april #bg1         
#bjag,mrs4 ,capito 7for herself1 ,mrs4  
,shaheen1 ,mr4 ,franken1 and ,mrs4      
,gillibrand7 introduced the following   
bill2 which was read twice and referred 
to the ,committee on ,finance  ,a ,,bill
  ,to amend title ,,xviii of the ,social
 ,security ,act to provide for payments 
for certain rural health clinic and     
,federally qualified health center      
services furnished to hospice patients  
under the ,medicare program4  #a4 ,short
 title ,this ,act may be cited as the   
,rural ,access to ,hospice ,act of      
#bjag4  #b4 ,medicare payment for       
certain rural health clinic and         
,federally qualified health center      
services furnished to hospice patients  
7a7 ,in general ,section #ahab7;d77#b7  
of the ,social ,security ,act 7#db      
,u4,s4,c4 #acie;d7d77#b77 is amended--  
7#a7 in subparagraph 7,a7--  7,a7 in the
 matter preceding clause 7i71 by        

striking subparagraphs 7,b7 and 7,c7 and
 inserting the succeeding provisions of 
this paragraph2  7,b7 in clause         
7ii77,,ii71 by striking the semicolon at
 the end and inserting a period2 and    
7,c7 by striking the flush matter       
following clause 7ii77,,ii72 and  7#b7  
by adding at the end the following new  
subparagraph3  7,e7 ,subparagraph       
7,a77ii7 shall not apply to-- 7i7       
physicians' services furnished by the   
individual's attending physician 7as    
defined in section #ahfa7;dd77#c77;,b771
 if not an employee of the hospice      
program2  7ii7 services provided by 7or 
under arrangements made by7 the hospice 
program2 or  7iii7 rural health clinic  
services 7as defined in paragraph 7#a7  
of section #ahfa7;aa77 and ,federally   
qualified health center services 7as    
defined in paragraph 7#c7 of such       
section7 if such services--  7,i7 would 
otherwise be physicians' services if    
furnished by an individual not          
affiliated with a rural health clinic   

7as defined in paragraph 7#b7 of such   
section7 or a ,federally qualified      
health center 7as defined in paragraph  
7#d7 of such section72 and  7,,ii7 are--
 7aa7 furnished by the individual's     
attending physician 7as so defined71 if 
not an employee of the hospice program2 
or  7bb7 provided under arrangements    
made by the hospice program4  4  7b7    
,effective date ,the amendments made by 
this section shall apply to services    
furnished on or after the date that is  
six months after the date of the        
enactment of this ,act4