,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #biij  ,,in ,,the ,,house ,,of  
,,representatives  ,may #bc1 #bjai,mr4  
,green of ,tennessee 7for himself and   
,mr4 ,thompson of ,mississippi7         
introduced the following bill2 which was
 referred to the ,committee on ,ways and
 ,means  ,a ,,bill  ,to amend title     
,,xviii of the ,social ,security ,act to
 permit ,states to designate without any
 mileage limitations facilities that are
 located in rural areas as critical     
access hospitals1 and for other         
purposes4  #a4 ,short title ,this ,act  
may be cited as the ,rural ,health ,care
 ,access ,act of #bjai4  #b4 ,medicare  
,rural ,hospital ,flexibility ,program  
7a7 ,in general ,section #ahbj of the   
,social ,security ,act 7#db ,u4,s4,c4   
#acie;i-#d7 is amended--  7#a7 in       
subsection 7c77#b77;,b77i7-- 7,a7 by    
striking 1 and that-- and inserting a   
semicolon2 and  7,b7 by striking        
subclauses 7,i7 and 7,,ii72 and  7#b7 in
 subsection 7h77#c71 by inserting made  

before the date of the enactment of the 
,rural ,health ,care ,access ,act of    
#bjai after any redesignation4  7b7     
,effective date ,the amendment made by  
subsection 7a77#a7 shall apply with     
respect to any designation or           
redesignation made on or after the date 
of the enactment of this ,act4