,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #ahhe  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #ab1 #bjba,mr4   
,k9d 7= himself1 ,mr4 ,la,hood1 ,ms4    
,s*ri]1 ,mr4 ,griffi?1 ,mr4 ,co/a1 &    
,mrs4 ,walorski7 introduc$ ! foll[+     
bill2 :i* 0 ref]r$ to ! ,committee on   
,en]gy & ,comm]ce1 & 9 addition to !    
,committee on ,ways & ,means1 = a p]iod 
to be subsequ5tly det]m9$ by ! ,speak]1 
9 ea* case = consid]ation ( su*         
provisions z fall )9 ! jurisdiction ( ! 
committee conc]n$  ,a ,,bill  ,to am5d  
title ,,xviii ( ! ,social ,security ,act
 to adju/ c]ta9 rural heal? cl9ic       
paym5ts "u ! ,m$ic>e program4  #a4 ,%ort
 title ,?is ,act may be cit$ z ! ,rural 
& ,und]s]v$ ,small ,hospital ,protection
 ,act ( #bjba or ! ,,ru% ,protection    
,act ( #bjba4  #b4 ,rural heal? cl9ic   
paym5ts  7a7 ,9 g5]al ,section          
#ahcc7;f77#c7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #aciel7f77#c77 is       
am5d$-- 7#a7 9 subp>agraph 7,a7-- 7,a7 9
 clause 7i71 by /rik+ subclauses 7,i7 & 

7,,ii7 & ins]t+ ! foll[+3  7,i7 )       
respect to a rural heal? cl9ic t _h a p]
 visit paym5t am\nt e/abli%$ = s]vices  
furni%$ 9 #bjbj-- 7aa7 ! p] visit paym5t
 am\nt applicable to su* rural heal?    
cl9ic = rural heal? cl9ic s]vices       
furni%$ 9 #bjbj1 increas$ by ! p]c5tage 
increase 9 ! ,,mei applicable to prim>y 
c>e s]vices furni%$ z ( ! fir/ day (    
#bjba2 or  7bb7 ! limit describ$ 9      
p>agraph 7#b77;,a72 &  7,,ii7 ) respect 
to a rural heal? cl9ic t did n h a p]   
visit paym5t am\nt e/abli%$ = s]vices   
furni%$ 9 #bjbj-- 7aa7 ! p] visit paym5t
 am\nt applicable to su* rural heal?    
cl9ic = rural heal? cl9ic s]vices       
furni%$ 9 #bjba2 or  7bb7 ! limit       
describ$ 9 p>agraph 7#b77;,a72 &  2 &   
7,b7 9 clause 7ii77,i71 by /rik+ "u     
clause 7i77,i7 & ins]t+ "u subclause    
7,i7 or 7,,ii7 ( clause 7i71 z          
applicable12 &  7#b7 9 subp>agraph      
7,b7-- 7,a7 9 ! matt] prec$+ clause 7i71
 by /rik+ #bjai1 0 & ins]t+ #bjbj2  7,b7
 9 clause 7i71 by ins]t+ 0 aft] 7i72 &  

7,c7 by /rik+ clause 7ii7 & ins]t+ !    
foll[+3  7ii7 7,i7 0 enroll$ "u section 
#ahff7;j7 7includ+ tempor>y enrollm5t   
dur+ ! em]g5cy p]iod describ$ 9 section 
#aace7;g77#a77;,b7 = su* p]iod72 or     
7,,ii7 submitt$ an application =        
enrollm5t "u section #ahff7;j7 7or      
reque/$ su* a tempor>y enrollm5t = su*  
p]iod7 t 0 receiv$ n lat] ?an ,decemb]  
#ca1 #bjbj4  4  7b7 ,effective date ,!  
am5dm5ts made by ?is section %all take  
effect z if includ$ 9 ! enactm5t ( !    
,consolidat$ ,appropriations ,act1 #bjba
 7,public ,law #aaf-bfj74