,,ii  #aafth ,,congress  #b;d ,session  
,s4 #chbc  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,may #ba1      
#bjbj,mr4 ,manchin 7for himself1 ,mrs4  
,hyde-,smith1 and ,ms4 ,murkowski7      
introduced the following bill2 which was
 read twice and referred to the         
,committee on ,health1 ,education1      
,labor1 and ,pensions  ,a ,,bill  ,to   
ensure that a portion of funds          
appropriated to the ,public ,health and 
,social ,services ,emergency ,fund for  
payments to eligible health care        
providers is reserved for such providers
 located in rural areas1 and for other  
purposes4  #a4 ,short title ,this ,act  
may be cited as the ,save ,our ,rural   
,health ,providers ,act4  #b4           
,reservation of funding for rural health
 care providers  7a7 ,in general        
,notwithstanding any other provision of 
law1 the ,secretary of ,health and      
,human ,services 7referred to in this   
section as the ,secretary7 shall reserve
 not less than #bj percent of all       

amounts described in subsection 7b7 for 
reimbursing1 through grants or other    
mechanisms1 eligible rural health care  
providers for health care related       
expenses or lost revenues that are      
attributable to coronavirus4  7b7       
,amounts ,the amounts described in this 
subsection are each of the following3   
7#a7 ,the unobligated balance of the    
appropriation of #ajj1jjj1jjj1jjj in the
 third paragraph under the heading      
,department of ,health and ,human       
,services--,office of the               
,secretary--,public ,health and ,social 
,services ,emergency ,fund in division  
,b of the ,,cares ,act 7,public ,law    
#aaf-acf74  7#b7 ,the unobligated       
balance of the appropriation under the  
heading ,department of ,health and      
,human ,services--,office of the        
,secretary--,public ,health and ,social 
,services ,emergency ,fund in division  
,b of the ,paycheck ,protection ,program
 and ,health ,care ,enhancement ,act    
7,public ,law #aaf-aci74  7#c7 ,any     

unobligated balance of an appropriation 
under any other provision of law enacted
 prior to the date of enactment of this 
section that is made available to the   
,public ,health and ,social ,services   
,emergency ,fund for the purpose of     
reimbursing1 through grants or other    
mechanisms1 health care providers for   
health care related expenses or lost    
revenues attributable to coronavirus4   
7#d7 ,any appropriation under any other 
provision of law enacted subsequent to  
the date of enactment of this section   
that is made available to the ,public   
,health and ,social ,services ,emergency
 ,fund for the purpose described in     
paragraph 7#c74  7c7 ,priority ,in      
reimbursing eligible rural health care  
providers under this section1 the       
,secretary shall give priority to such  
providers that-- 7#a7 provide care for a
 disproportionately high percentage of  
individuals enrolled in the ,medicare   
program under title ,,xviii of the      
,social ,security ,act 7#db ,u4,s4,c4   

#acie et seq47 or under a ,state        
,medicaid plan under title ,,xix of such
 ,act 7#db ,u4,s4,c4 #acif et seq47 or  
under a waiver of such plan2  7#b7      
provide care for populations with a     
disproportionately high percentage of-- 
7,a7 individuals age #fj or older2 or   
7,b7 individuals who have co-morbidities
 that make them particularly vulnerable 
to complications from coronavirus2 or   
7#c7 provide care for populations-- 7,a7
 in areas with limited access to health 
infrastructure2 or  7,b7 with a high    
population of uninsured individuals4    
7d7 ,requirements for reimbursement     
7#a7 ,in general ,reimbursements to     
eligible rural health care providers    
under this section shall1 subject to    
subsection 7c7 and paragraph 7#b71 be   
otherwise provided in accordance with   
the applicable provisions of law        
described in subsection 7b74  7#b7 ,use 
of funds ,any reimbursements under this 
section may be used for any purposes    
related to preventing1 preparing for1 or

 responding to coronavirus1 including   
purchasing equipment necessary for such 
purposes or upgrading facilities for    
such purposes4  7e7 ,definition of      
eligible rural health care provider ,in 
this section1 the term eligible rural   
health care provider means-- 7#a7 any   
health care provider that-- 7,a7 is     
eligible to receive payments under any  
of the provisions of law described in   
subsection 7b72 and  7,b7 is located in 
a rural area1 as defined by the         
,secretary2 or  7#b7 any health care    
provider that is-- 7,a7 a critical      
access hospital1 as defined in section  
#ahfa7mm7 of the ,social ,security ,act 
7#db ,u4,s4,c4 #aciex7mm772  7,b7 a     
rural health clinic 7as defined in      
section #ahfa7;aa77#b7 of such ,act 7#db
 ,u4,s4,c4 #aciex7aa77#b7772  7,c7 a    
hospital that-- 7i7 is classified as a  
rural referral center under section     
#ahhf7;d77#e77;,c77i7 of such ,act 7#db 
,u4,s4,c4 #acieww7d77#e77;,c77i772 and  
7ii7 is a sole community hospital 7as   

defined in section                      
#ahhf7;d77#e77;,d77iii7 of such ,act    
7#db ,u4,s4,c4                          
#acieww7d77#e77;,d77iii772 or  7,d7 any 
other health care service provider      
located in a rural area1 as defined by  
the ,secretary4