,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #eecf  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,octob] #h1 #bjba,mr4 
,ru% 7= himself & ,mr4 ,smi? ( ,miss\ri7
 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 revise c]ta9  
paym5t rules = outpati5t physical !rapy 
& outpati5t occupational !rapy furni%$ 9
 rural areas & m$ically und]s]v$ areas1 
& = o!r purposes4  #a4 ,%ort title ,?is 
,act may be cit$ z ! ,/abiliz+ ,m$ic>e  
,access to ,rehabilitation & ,!rapy ,act
 or ! ,,sm>t ,act4  #b4 ,revisions to   
outpati5t physical !rapy & outpati5t    
occupational !rapy  7a7 ,preclusion (   
application to s]vices furni%$ 9 rural  
areas & m$ically und]s]v$ areas ,section
 #ahcd7v77#a7 ( ! ,social ,security ,act

 7#db ,u4,s4,c4 #aciem7v77#a77 is       
am5d$-- 7#a7 by /rik+ ,janu>y #a1 #bjbb 
& ins]t+ ,janu>y #a1 #bjbc2 &  7#b7 by  
ins]t+ apply to s]vices furni%$ 9 a     
rural area 7z def9$ 9 section           
#ahhf7;d77#b77;,d7 or a m$ically        
und]s]v$ area 7z designat$ pursuant to  
section #ccj7;b77#c77;,a7 ( ! ,public   
,heal? ,s]vice ,act7 or be=e *ange      
applicable requirem5ts4  7b7 ,limitation
 ( sup]vision requirem5ts ,section      
#ahfa7p7 ( ! ,social ,security ,act1 9 !
 fir/ s5t5ce ( ! flu% left matt] at !   
end1 is am5d$ by ins]t+ 1 b 9 no case   
may ^? conditions impose a sup]vision   
requirem5t t exce$ any su* requirem5t "u
 ,/ate law aft] z ! ,secret>y may f9d   
necess>y4