,,ii  #aag? ,,congress  #a/ ,session    
,s4 #cjhe  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,octob] #bg1 #bjba,mr4 
,inh(e 7= himself & ,mr4 ,lank=d7       
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to assi/ 9 !       
transition ( a c]ta9 hospital to a      
,m$ic>e rural em]g5cy hospital1 & = o!r 
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,help+ ,acc\nt = ,rural    
,m$ical ,outpati5t ,ne$s 9 ,oklahoma    
,act or ! ,,h>mon ,oklahoma ,act4  #b4  
,assi/ance 9 ! transition ( a c]ta9     
hospital to a ,m$ic>e rural em]g5cy     
hospital  7a7 ,special rule ,9 ! case ( 
a critical access hospital 7z def9$ 9   
section #ahfa7mm7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciex7mm777 ) a    
,c5t]s = ,m$ic>e  ,m$icaid ,s]vices     
c]tification numb] ( #cgacch1 ! foll[+  
%all apply3 7#a7 ,pursuant to ! ,june   
#aa1 #bjba1 ,c5t]s = ,m$ic>e  ,m$icaid  
,s]vices lett] s5t to ! critical access 
hospital-- 7,a7 ! ,secret>y ( ,heal? &  

,human ,s]vices 7ref]r$ to 9 ?is section
 z ! ,secret>y7 %all susp5d ! runn+ ( ! 
tw5ty-f\r mon? ext5sion m5tion$ 9 !     
,octob] #ae1 #bjai1 lett] to ! hospital 
dur+ ! ,,covid-#ai public heal? em]g5cy2
 &  7,b7 ! hospital %all h #ai4g mon?s  
aft] ! end ( ! ,,covid-#ai public heal? 
em]g5cy to notify ! ,c5t]s = ,m$ic>e    
,m$icaid ,s]vices ( ! hospital's int5t  
to ei!r conv]t to an acute c>e hospital1
 transition to a rural em]g5cy hospital 
"u section #ahfa7kkk7 ( ! ,social       
,security ,act 7#db ,u4,s4,c4           
#aciex7kkk77 7if ! hospital qualifies z 
su*71 or t]m9ate z a critical access    
hospital4  7#b7 ,prior to ! end ( !     
#ai4g mon?s describ$ 9 p>agraph         
7#a77;,b71 ! ,secret>y %all n take an   
adv]se r$esignation action ) respect to 
! critical access hospital /atus ( !    
hospital z long z ! hospital cont9ues to
 meet all ( ! requirem5ts = designation 
z a critical access hospital o!r ?an !  
di/ance requirem5t "u section           
#ahbj7;c77#b77;,b77i7 ( su* ,act 7#db   

,u4,s4,c4 #acie;i-#d7;c77#b77;,b77i774  
7#c7 ,if1 prior to ! end ( ! #ai4g mon?s
 describ$ 9 p>agraph 7#a77;,b71 !       
critical access hospital notifies !     
,secret>y ( ! hospital's int5tion to    
transition to a rural em]g5cy hospital1 
! ,secret>y-- 7,a7 %all give priority to
 ! process+ ( ! reque/ = su* transition2
 &  7,b7 %all n take an adv]se          
r$esignation action ) respect to !      
critical access hospital /atus ( !      
hospital prior to ! lat] (-- 7i7 ! end (
 ! #ai4g mon?s describ$ 9 p>agraph      
7#a77;,b72 or  7ii7 ! date ! ,secret>y  
makes a f9al det]m9ation ) respect to   
su* reque/4  7b7 ,timel9e = regulations 
7#a7 ,9 g5]al ,! ,secret>y %all-- 7,a7 n
 lat] ?an ,july #a1 #bjbb1 promulgate a 
propos$ rule to c>ry out ! provisions (1
 & am5dm5ts made by1 section #abe (     
division ,,cc ( ! ,consolidat$          
,appropriations ,act1 #bjba 7,public    
,law #aaf-bfj72 &  7,b7 n lat] ?an      
,novemb] #a1 #bjbb1 promulgate a f9al   
rule to c>ry out su* provisions &       

am5dm5ts4  7#b7 ,additional in=mation ,!
 ,secret>y %all ensure t ! propos$ &    
f9al rules requir$ "u p>agraph 7#a7     
conta9 a description ( ! additional     
in=mation t w be requir$ "u section     
#ahfa7kkk77#d7 ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #aciex7kkk77#d774