,,ii  #aae? ,,congress  #a/ ,session    
,s4 #ihj  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,april #bg1 #bjag,mrs4 
,capito 7= h]self1 ,mrs4 ,%ahe51 ,mr4   
,frank51 & ,mrs4 ,gillibr&7 introduc$ ! 
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,f9ance  ,a ,,bill   
,to am5d title ,,xviii ( ! ,social      
,security ,act to provide = paym5ts =   
c]ta9 rural heal? cl9ic & ,f$]ally      
qualifi$ heal? c5t] s]vices furni%$ to  
hospice pati5ts "u ! ,m$ic>e program4   
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,rural ,access to ,hospice ,act (     
#bjag4  #b4 ,m$ic>e paym5t = c]ta9 rural
 heal? cl9ic & ,f$]ally qualifi$ heal?  
c5t] s]vices furni%$ to hospice pati5ts 
7a7 ,9 g5]al ,section #ahab7;d77#b7 ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#acie;d7d77#b77 is am5d$-- 7#a7 9       
subp>agraph 7,a7--  7,a7 9 ! matt]      
prec$+ clause 7i71 by /rik+ subp>agraphs
 7,b7 & 7,c7 & ins]t+ ! succe$+         
provisions ( ?is p>agraph2  7,b7 9      
clause 7ii77,,ii71 by /rik+ ! semicolon 

at ! end & ins]t+ a p]iod2 &  7,c7 by   
/rik+ ! flu% matt] foll[+ clause        
7ii77,,ii72 &  7#b7 by add+ at ! end !  
foll[+ new subp>agraph3  7,e7           
,subp>agraph 7,a77ii7 %all n apply to-- 
7i7 physicians' s]vices furni%$ by !    
individual's att5d+ physician 7z def9$ 9
 section #ahfa7;dd77#c77;,b771 if n an  
employee ( ! hospice program2  7ii7     
s]vices provid$ by 7or "u arrangem5ts   
made by7 ! hospice program2 or  7iii7   
rural heal? cl9ic s]vices 7z def9$ 9    
p>agraph 7#a7 ( section #ahfa7;aa77 &   
,f$]ally qualifi$ heal? c5t] s]vices 7z 
def9$ 9 p>agraph 7#c7 ( su* section7 if 
su* s]vices--  7,i7 w\ld o!rwise be     
physicians' s]vices if furni%$ by an    
individual n affiliat$ ) a rural heal?  
cl9ic 7z def9$ 9 p>agraph 7#b7 ( su*    
section7 or a ,f$]ally qualifi$ heal?   
c5t] 7z def9$ 9 p>agraph 7#d7 ( su*     
section72 &  7,,ii7 are-- 7aa7 furni%$  
by ! individual's att5d+ physician 7z s 
def9$71 if n an employee ( ! hospice    
program2 or  7bb7 provid$ "u arrangem5ts

 made by ! hospice program4  4  7b7     
,effective date ,! am5dm5ts made by ?is 
section %all apply to s]vices furni%$ on
 or aft] ! date t is six mon?s aft] !   
date ( ! enactm5t ( ?is ,act4