,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #aaij  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,april #aa1 #bjai,mrs4 
,capito 7= h]self & ,mrs4 ,%ahe57       
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
provide = paym5ts = c]ta9 rural heal?   
cl9ic & ,f$]ally qualifi$ heal? c5t]    
s]vices furni%$ to hospice pati5ts "u ! 
,m$ic>e program4  #a4 ,%ort title ,?is  
,act may be cit$ z ! ,rural ,access to  
,hospice ,act ( #bjai4  #b4 ,m$ic>e     
paym5t = c]ta9 ,f$]ally qualifi$ heal?  
c5t] & rural heal? cl9ic s]vices furni%$
 to hospice pati5ts ,section #ahcd ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7 is am5d$-- 7#a7 9 subsection    
7o71 by add+ at ! end ! foll[+ new      
p>agraph3  7#d7 ,paym5t = att5d+        
physician s]vices furni%$ by ,f$]ally   
qualifi$ heal? c5t]s to hospice pati5ts 
,9 ! case ( s]vices describ$ 9 section  
#ahab7;d77#b77;,a77ii7 furni%$ on or    

aft] ,janu>y #a1 #bjbj1 by an att5d+    
physician 7z def9$ 9 section            
#ahfa7;dd77#c77;,b71 o!r ?an a physician
 or practition] :o is employ$ by a      
hospice program7 :o is employ$ by or    
work+ "u contract ) a ,f$]ally qualifi$ 
heal? c5t]1 a ,f$]ally qualifi$ heal?   
c5t] %all be paid = su* s]vices "u !    
prospective paym5t sy/em "u ?is         
subsection4  2 &  7#b7 by add+ at ! end 
! foll[+ new subsection3  7x7 ,paym5t = 
att5d+ physician s]vices furni%$ by     
rural heal? cl9ics to hospice pati5ts ,9
 ! case ( s]vices describ$ 9 section    
#ahab7;d77#b77;,a77ii7 furni%$ on or    
aft] ,janu>y #a1 #bjbj1 by an att5d+    
physician 7z def9$ 9 section            
#ahfa7;dd77#c77;,b71 o!r ?an a physician
 or practition] :o is employ$ by a      
hospice program7 :o is employ$ by or    
work+ "u contract ) a rural heal? cl9ic1
 a rural heal? cl9ic %all be paid = su* 
s]vices "u ! me?odology = all-inclusive 
rates 7e/abli%$ by ! ,secret>y7 "u      
section #ahcc7;a77#c71 subject to !     

limits describ$ 9 section #ahcc7;f74  4