,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #eajc  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,novemb] #ad1         
#bjai,mr4 ,pet]son 7= himself & ,mr4    
,tipton7 introduc$ ! foll[+ bill2 :i* 0 
ref]r$ to ! ,committee on ,ways & ,means
  ,a ,,bill  ,to am5d title ,,xviii ( ! 
,social ,security ,act to ext5d ! floor 
on ! area wage index "u ! inpati5t      
prospective paym5t sy/em to c]ta9 sole  
community hospitals4  #a4 ,%ort title   
,?is ,act may be cit$ z ! ,rural        
,hospital ,fronti] ,work=ce ,fairness   
,act4  #b4 ,ext5d+ floor on area wage   
index to c]ta9 sole community hospitals 
,section #ahhf7;d77#c77;,e77iii7 ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#acieww7d77#c77;,e77iii77 is am5d$--    
7#a7 9 subclause 7,i71 by ins]t+ be=e ! 
p]iod at ! end ! foll[+3 &1 = dis*>ges  
occurr+ on or aft] ,octob] #a1 #bjai1 ! 
area wage index applicable "u ?is       
subp>agraph to any sole community       
hospital t is locat$ n m ?an #ge miles f
 ! close/ fronti] ,/ate & t makes an    

election "u subclause 7,v7 may n be less
 ?an #a4jj2 &  7#b7 by add+ at ! end !  
foll[+ new subclause3  7,v7 ,sole       
community hospital election ,! ,secret>y
 %all provide = a process "u :i* a sole 
community hospital describ$ 9 subclause 
7,i7 may elect1 at su* "t & 9 su* mann] 
z specifi$ by ! ,secret>y1 to apply     
subclause 7,i7 to su* sole community    
hospital4  4