,,ii #aaf? ,,congress #b;d ,session ,s4 #cdcg ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,m>* #aa1 #bjbj,mrs4 ,loeffl] 7= h]self & ,ms4 ,smi?7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to reau?orize c]ta9 programs reg>d+ rural heal? c>e4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,improv+ ,c>e 9 ,rural ,am]ica ,reau?orization ,act ( #bjbj4 #b4 ,rural heal? c>e s]vices outrea*1 rural heal? network developm5t1 & small heal? c>e provid] quality improvem5t grant programs ,section #ccj;,a ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;c7 is am5d$-- 7#a7 9 subsection 7d77#b7-- 7,a7 9 subp>agraph 7,a71 by /rik+ ess5tial & ins]t+ basic2 & 7,b7 9 subp>agraph 7,b7-- 7i7 9 ! matt] prec$+ clause 7i71 by ins]t+ to aft] grants2 & 7ii7 9 clauses 7i71 7ii71 & 7iii71 by /rik+ to ea* place su* t]m appe>s2 7#b7 9 subsection 7e7-- 7,a7 9 p>agraph 7#a7-- 7i7 by ins]t+ improv+ & aft] outrea* by2 7ii7 by ins]t+ 1 ?r\gh community engagem5t & evid5ce-bas$ or innovative1 evid5ce-in=m$ models be=e ! p]iod ( ! fir/ s5t5ce2 & 7iii7 by /rik+ #c ye>s & ins]t+ #e ye>s2 & 7,b7 9 p>agraph 7#b7-- 7i7 9 ! matt] prec$+ subp>agraph 7,a71 by ins]t+ %all aft] entity2 7ii7 9 subp>agraph 7,a71 by /rik+ %all be a rural public or rural nonpr(it private entity & ins]t+ be an entity propos+ to s]ve rural und]s]v$ populations2 7iii7 9 subp>agraphs 7,b7 & 7,c71 by /rik+ %all ea* place su* t]m appe>s2 & 7iv7 9 subp>agraph 7,b7-- 7,i7 9 ! matt] prec$+ clause 7i71 by ins]t+ t aft] memb]s2 & 7,,ii7 9 clauses 7i7 & 7ii71 by /rik+ t ea* place su* t]m appe>s2 7#c7 9 subsection 7f7-- 7,a7 9 p>agraph 7#a7-- 7i7 9 subp>agraph 7,a7-- 7,i7 9 ! matt] prec$+ clause 7i71 by /rik+ promote1 ?r\gh plann+ & implem5tation1 ! developm5t ( integrat$ heal? c>e networks t h comb9$ ! functions ( ! entities p>ticipat+ 9 ! networks & ins]t+ plan & implem5t integrat$ heal? c>e networks t collaborate2 & 7,,ii7 9 clause 7ii71 by /rik+ ess5tial heal? c>e s]vices & ins]t+ basic heal? c>e s]vices & associat$ heal? outcomes2 & 7ii7 by am5d+ subp>agraph 7,b7 to read z foll[s3 7,b7 ,grant p]iods ,! ,director may aw>d grants "u ?is subsection = p]iods ( n m ?an #e ye>s4 2 & 7,b7 9 p>agraph 7#b7-- 7i7 9 ! matt] prec$+ subp>agraph 7,a71 by ins]t+ %all aft] entity2 7ii7 9 subp>agraph 7,a71 by /rik+ %all be a rural public or rural nonpr(it private entity & ins]t+ be an entity propos+ to s]ve rural und]s]v$ populations2 7iii7 9 subp>agraph 7,b7-- 7,i7 9 ! matt] prec$+ clause 7i7-- 7aa7 by /rik+ %all2 & 7bb7 by ins]t+ t aft] p>ticipants2 & 7,,ii7 9 clauses 7i7 & 7ii71 by /rik+ t ea* place su* t]m appe>s2 & 7iv7 9 subp>agraph 7,c71 by /rik+ %all2 7#d7 9 subsection 7g7-- 7,a7 9 p>agraph 7#a7-- 7i7 by ins]t+ 1 includ+ activities relat$ to increas+ c>e coord9ation1 enhanc+ *ronic disease managem5t1 & improv+ pati5t heal? outcomes be=e ! p]iod ( ! fir/ s5t5ce2 & 7ii7 by /rik+ #c ye>s & ins]t+ #e ye>s2 & 7,b7 9 p>agraph 7#b7-- 7i7 9 ! matt] prec$+ subp>agraph 7,a71 by ins]t+ %all aft] entity2 7ii7 9 subp>agraphs 7,a7 & 7,b71 by /rik+ %all ea* place su* t]m appe>s2 & 7iii7 9 subp>agraph 7,a77ii71 by ins]t+ or regional aft] local2 7#e7 9 subsection 7h77#c71 9 ! matt] prec$+ subp>agraph 7,a71 by ins]t+ 1 z appropriate1 aft] ! ,secret>y2 7#f7 by am5d+ subsection 7i7 to read z foll[s3 7i7 ,report ,n lat] ?an #d ye>s aft] ! date ( enactm5t ( ! ,improv+ ,c>e 9 ,rural ,am]ica ,reau?orization ,act ( #bjbj1 & e #e ye>s !reaft]1 ! ,secret>y %all prep>e & submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a report on ! activities & outcomes ( ! grant programs "u subsections 7e71 7f71 & 7g71 includ+ ! impact ( projects fund$ "u su* programs on ! heal? /atus ( rural resid5ts ) *ronic conditions4 2 & 7#g7 9 subsection 7j71 by /rik+ #de1jjj1jjj = ea* ( fiscal ye>s #bjjh ?r\gh #bjab & ins]t+ #gi1ejj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4