,,ii  #aae? ,,congress  #a/ ,session    
,s4 #ihf  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,april #bg1 #bjag,mr4  
,m55dez 7= himself1 ,mr4 ,book]1 ,mr4   
,c>p]1 & ,mr4 ,coons7 introduc$ ! foll[+
 bill2 :i* 0 read twice & ref]r$ to !   
,committee on ,f9ance  ,a ,,bill  ,to   
am5d title ,,xviii ( ! ,social ,security
 ,act to p]mit hospitals 9 all-urban    
,/ates to be consid]$ ,m$ic>e dep5d5t   
hospitals1 & = o!r purposes4  #a4 ,%ort 
title ,?is ,act may be cit$ z !         
,fairness = ,our ,hospitals ,act (      
#bjag4  #b4 ,p]mitt+ hospitals 9        
all-urban ,/ates to be consid]$ ,m$ic>e 
dep5d5t hospitals  7a7 ,9 g5]al ,section
 #ahhf7;d77#e77;,g77iv77,i7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           
#acieww7d77#e77;,g77iv77,i77 is am5d$ to
 read z foll[s3  7,i7 t-- 7aa7 is locat$
 9 a rural area2 or  7bb7 = dis*>ges    
occurr+ on or aft] ,janu>y #a1 #bjaa1 is
 locat$ 9 a ,/ate ) no rural area 7z    
def9$ 9 p>agraph 7#b77;,d77 & satisfies 
any ( ! crit]ia 9 subclause 7,i71       

7,,ii71 7,,iii71 or 7,,iv7 ( p>agraph   
7#h77;,e77ii71  4  7b7 ,process =       
recalculat+ paym5ts ,n lat] ?an #abj    
days aft] ! date ( ! enactm5t ( ?is     
,act1 ! ,secret>y ( ,heal? & ,human     
,s]vices %all e/abli% & implem5t a      
process "u :i* ! ,secret>y %all         
reimburse hospitals impact$ by ! am5dm5t
 made by subsection 7a7 = any           
und]paym5ts "u title ,,xviii ( ! ,social
 ,security ,act t are a result ( !      
implem5tation ( su* am5dm5t4