,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #biij  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #bc1 #bjai,mr4   
,gre5 ( ,t5nessee 7= himself & ,mr4     
,?ompson ( ,mississippi7 introduc$ !    
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,ways & ,means  ,a ,,bill 
,to am5d title ,,xviii ( ! ,social      
,security ,act to p]mit ,/ates to       
designate )\t any mileage limitations   
facilities t are locat$ 9 rural areas z 
critical access hospitals1 & = o!r      
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,rural ,heal? ,c>e ,access 
,act ( #bjai4  #b4 ,m$ic>e ,rural       
,hospital ,flexibility ,program  7a7 ,9 
g5]al ,section #ahbj ( ! ,social        
,security ,act 7#db ,u4,s4,c4           
#acie;i-#d7 is am5d$--  7#a7 9          
subsection 7c77#b77;,b77i7-- 7,a7 by    
/rik+ 1 & t-- & ins]t+ a semicolon2 &   
7,b7 by /rik+ subclauses 7,i7 & 7,,ii72 
&  7#b7 9 subsection 7h77#c71 by ins]t+ 
made be=e ! date ( ! enactm5t ( ! ,rural
 ,heal? ,c>e ,access ,act ( #bjai aft]  

any r$esignation4  7b7 ,effective date  
,! am5dm5t made by subsection 7a77#a7   
%all apply ) respect to any designation 
or r$esignation made on or aft] ! date (
 ! enactm5t ( ?is ,act4