,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #abdj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,april #cj1 #bjai,mr4  
,te/] introduc$ ! foll[+ bill2 :i* 0    
read twice & ref]r$ to ! ,committee on  
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
c\nt resid5t "t sp5t 9 a critical access
 hospital z resid5t "t sp5t 9 a         
nonprovid] sett+ = purposes ( mak+      
,m$ic>e direct & indirect graduate      
m$ical education paym5ts4  #a4 ,%ort    
title ,?is ,act may be cit$ z ! ,re/or+ 
,rural ,resid5cies ,act ( #bjai4  #b4   
,c\nt+ resid5t "t sp5t 9 a critical     
access hospital z resid5t "t sp5t 9 a   
nonprovid] sett+ = purposes ( mak+      
,m$ic>e direct & indirect graduate      
m$ical education paym5ts  7a7 ,,gme     
,section #ahhf7;h77#d7 ( ! ,social      
,security ,act 7#db ,u4,s4,c4           
#acieww7h77#d77 is am5d$-- 7#a7 9       
subp>agraph 7,e71 by /rik+ subp>agraphs 
7,j7 & 7,k7 & ins]t+ subp>agraphs 7,j71 
7,k71 & 7,l72 &  7#b7 by add+ at ! end !

 foll[+ new subp>agraph3  7,l7 ,treatm5t
 ( critical access hospitals ,effective 
= co/ report+ p]iods beg9n+ on or aft]  
,july #a1 #bjbj1 su* rules %all provide 
t a critical access hospital 7z def9$ 9 
section #ahfa7mm77#a77 is deem$ to be a 
nonprovid] sett+ = purposes ( det]m9+ ! 
hospital's numb] ( full-"t equival5t    
resid5ts "u ?is subsection4  4  7b7     
,,ime ,section                          
#ahhf7;d77#e77;,b77iv77,,ii7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#acieww7d77#e77;,b77iv77,,ii77 is am5d$ 
by add+ at ! end ! foll[+ s5t5ce3       
,effective = dis*>ges occurr+ on or aft]
 ,july #a1 #bjbj1 = purposes ( ?is      
subclause1 a critical access hospital 7z
 def9$ 9 section #ahfa7mm77#a77 is deem$
 to be a nonprovid] sett+44