,,ii  #aafth ,,congress  #ast ,session  
,s4 #aaij  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,april #aa1    
#bjai,mrs4 ,capito 7for herself and     
,mrs4 ,shaheen7 introduced the following
 bill2 which was read twice and referred
 to the ,committee on ,finance  ,a      
,,bill  ,to amend title ,,xviii of the  
,social ,security ,act to provide for   
payments for certain rural health clinic
 and ,federally qualified health center 
services furnished to hospice patients  
under the ,medicare program4  #a4 ,short
 title ,this ,act may be cited as the   
,rural ,access to ,hospice ,act of      
#bjai4  #b4 ,medicare payment for       
certain ,federally qualified health     
center and rural health clinic services 
furnished to hospice patients ,section  
#ahcd of the ,social ,security ,act 7#db
 ,u4,s4,c4 #aciem7 is amended-- 7#a7 in 
subsection 7o71 by adding at the end the
 following new paragraph3  7#d7 ,payment
 for attending physician services       
furnished by ,federally qualified health

 centers to hospice patients ,in the    
case of services described in section   
#ahab7;d77#b77;,a77ii7 furnished on or  
after ,january #a1 #bjbj1 by an         
attending physician 7as defined in      
section #ahfa7;dd77#c77;,b71 other than 
a physician or practitioner who is      
employed by a hospice program7 who is   
employed by or working under contract   
with a ,federally qualified health      
center1 a ,federally qualified health   
center shall be paid for such services  
under the prospective payment system    
under this subsection4  2 and  7#b7 by  
adding at the end the following new     
subsection3  7x7 ,payment for attending 
physician services furnished by rural   
health clinics to hospice patients ,in  
the case of services described in       
section #ahab7;d77#b77;,a77ii7 furnished
 on or after ,january #a1 #bjbj1 by an  
attending physician 7as defined in      
section #ahfa7;dd77#c77;,b71 other than 
a physician or practitioner who is      
employed by a hospice program7 who is   

employed by or working under contract   
with a rural health clinic1 a rural     
health clinic shall be paid for such    
services under the methodology for      
all-inclusive rates 7established by the 
,secretary7 under section #ahcc7;a77#c71
 subject to the limits described in     
section #ahcc7;f74  4