,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #gbjh  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,june #ae1 #bjbj,mr4  
,gue/ 7= himself1 ,ms4 ,sewell (        
,alabama1 ,mr4 ,hag$orn1 ,mr4 ,?ompson (
 ,mississippi1 ,mr4 ,murphy ( ,nor?     
,c>ol9a1 ,mr4 ,byrne1 ,mr4 ,kelly (     
,mississippi1 ,mr4 ,williams1 ,mr4      
,h>ris1 ,mr4 ,david ,p4 ,roe (          
,t5nessee1 ,mr4 ,/eube1 ,mr4 ,/ew>t1    
,mr4 ,lucas1 ,mr4 ,ku/(f ( ,t5nessee1 & 
,mr4 ,palazzo7 introduc$ ! foll[+ bill2 
:i* 0 ref]r$ to ! ,committee on ,small  
,bus9ess  ,a ,,bill  ,to am5d ! ,small  
,bus9ess ,act to include hospitals s]v+ 
rural areas or areas ( p]si/5t pov]ty 9 
! pay*eck protection program1 & = o!r   
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,,ppp ,access = ,rural     
,hospitals ,act4  #b4 ,inclusion (      
critical c>e hospitals 9 ! pay*eck      
protection program  7a7 ,eligibility (  
hospitals ) m ?an "o physical location  
,section #g7;a77#cf77;,d77iii7 ( !      
,small ,bus9ess ,act 7#ae ,u4,s4,c4     

#fcf7;a77#cf77;,d77iii77 is am5d$ by    
/rik+ beg9n+ ) #gb & ins]t+ ! foll[+3   
beg9n+ ) #gb 7or1 9 ! case ( a critical 
c>e hospital1 is assign$ a ,nor?        
,am]ican ,indu/ry ,classification ,sy/em
 code beg9n+ ) #fb74  7b7 ,waiv] (      
affiliation rules ,section              
#g7;a77#cf77;,d77iv77,i7 ( ! ,small     
,bus9ess ,act 7#ae ,u4,s4,c4            
#fcf7;a77#cf77;,d77iv77,i77 is am5d$ by 
/rik+ beg9n+ ) #gb & ins]t+ ! foll[+3   
beg9n+ ) #gb 7or1 9 ! case ( a critical 
c>e hospital1 is assign$ a ,nor?        
,am]ican ,indu/ry ,classification ,sy/em
 code beg9n+ ) #fb74  7c7 ,critical c>e 
hospitals def9$ ,section                
#g7;a77#cf77;,d7 ( ! ,small ,bus9ess    
,act 7#ae ,u4,s4,c4 #fcf7;a77#cf77;,d77 
is am5d$ by add+ at ! end ! foll[+ new  
clause3  7vii7 ,critical c>e hospital   
def9$ ,9 ?is clause1 ! t]m critical c>e 
hospital means a hospital 7z def9$ 9    
section #ahfa7;e7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciex7e777 t-- 7,i7
 is locat$ 9 a c\nty 7or equival5t unit 

( local gov]nm5t7 9 a rural area1 z     
def9$ 9 section #ahhf7;d77#b77;,d7 ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acieww7d77#b77;,d771 is treat$ z be+   
locat$ 9 a rural area pursuant to       
section #ahhf7;d77#h77;,e7 ( su* ,act   
7#db ,u4,s4,c4 #acieww7d77#h77;,e771 or 
is a critical access hospital1 z def9$ 9
 section #ahfa7mm77#a7 ( su* ,act 7#db  
,u4,s4,c4 #aciex7mm77#a772 or  7,,ii7 = 
! mo/ rec5t co/ report+ p]iod "u section
 #ahhf7;d7 ( ! ,social ,security ,act   
7#db ,u4,s4,c4 #acieww7d771 receiv$ an  
additional paym5t "u section            
#ahhf7;d77#e77;,f7 ( su* ,act 7#db      
,u4,s4,c4 #acieww7d77#e77;,f774  4