,,ii  #aag? ,,congress  #a/ ,session    
,s4 #caje  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,octob] #bh1 #bjba,mr4 
,b5net introduc$ ! foll[+ bill2 :i* 0   
read twice & ref]r$ to ! ,committee on  
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to am5d ! ,public ,heal?    
,s]vice ,act to e/abli% a hospital      
revitalization program to assi/ c]ta9   
heal? facilities 9 con/ruct+ & mod]niz+ 
_! facilities & to support community    
developm5t4  #a4 ,%ort title ,?is ,act  
may be cit$ z ! ,hospital               
,revitalization ,act ( #bjba4  #b4      
,hospital revitalization program ,title 
,,vi ( ! ,public ,heal? ,s]vice ,act    
7#db ,u4,s4,c4 #bia et seq47 is am5d$ by
 add+ at ! end ! foll[+3  ,e ,hospital  
revitalization program  #fea4           
,e/abli%m5t ( hospital revitalization   
program  7a7 ,9 g5]al ,! ,secret>y %all 
aw>d grants & loans to eligible         
hospitals = purposes ( assi/+ su*       
hospitals 9 con/ruct+ & mod]niz+ _!     
facilities1 includ+ rural heal? cl9ics1 

(f-site outpati5t dep>tm5ts1 skill$     
nurs+ facilities1 & o!r facilities n    
physically "p ( ! eligible hospital     
build+1 to increase capacity & bett]    
s]ve communities 9 ne$4  7b7 ,eligible  
hospitals  7#a7 ,9 g5]al ,to be eligible
 to receive an aw>d "u ?is section1 a   
hospital %all submit an application to !
 ,secret>y at su* "t1 9 su* mann]1 &    
conta9+ su* in=mation z ! ,secret>y may 
require1 includ+ in=mation to demon/rate
 t1 bas$ on available data = fiscal or  
cal5d> ye>s #bjag ?r\gh #bjai1 su*      
hospital-- 7,a7 _h less ?an #ej1jjj1jjj 
9 net pati5t rev5ue or few] ?an #ej b$s 
7z report$ by ! ,heal? ,c>e ,co/ &      
,in=mation ,report+ ,sy/em72  7,b7 _h a 
negative total m>g9 = at lea/ #b ( ! #c 
fiscal ye>s prior to fiscal ye> #bjbj2 &
  7,c7 _h a public pay] mix p]c5tage1 = 
ea* ( ! #c fiscal ye>s prior to fiscal  
ye> #bjbj1 t is at lea/ #fe p]c5t 7at   
lea/ #fe p]c5t ( net pati5t rev5ue f !  
,m$ic>e program or ,m$icaid program74   
7#b7 ,prioritization crit]ia ,!         

,secret>y %all develop prioritization   
crit]ia = ! grant & loans "u subsection 
7d71 includ+-- 7,a7 ! ye> 9 :i* !       
hospital 0 built2  7,b7 ! physical /ate 
( ! hospital2  7,c7 ! av]age age-(-plant
 ratio 7accumulat$ depreciation divid$  
by annual depreciation exp5se72  7,d7 ! 
level ( ! hospital's electronic heal?   
record implem5tation2  7,e7 :e!r !      
hospital is locat$ 9 a heal? pr(essional
 %ortage area 7z def9$ 9 section        
#ccb7;a77#a77;,a7 ( ! ,public ,heal?    
,s]vice ,act72 &  7,f7 ! level (1       
relative to ! national or /atewide      
av]age1 individuals ) income bel[ #aej  
p]c5t ( ! ,f$]al pov]ty level 9 ! area  
s]v$ by ! hospital4  7c7 ,application   
,ea* eligible hospital desir+ an aw>d "u
 ?is section %all submit to ! ,secret>y 
an application1 at su* "t1 9 su* mann]1 
& conta9+ su* in=mation to det]m9e      
eligibility & prioritization requir$ "u 
subsection 7b7 & o!r in=mation z !      
,secret>y may require1 includ+-- 7#a7 a 
community heal? ne$s assessm5t1 :i* %all

 be made available on ! websites ( !    
hospital & ! ,dep>tm5t ( ,heal? & ,human
 ,s]vices1 t-- 7,a7 acc\nts = heal?     
equity ?r\gh factors 7l socioeconomic1  
racial1 e?nic1 sexual pref]5ce1 g5d]    
id5tity1 heal? insurance cov]age1       
education level1 & geography7 t h an    
impact on ! ov]all heal? ( ! population2
  7,b7 honors indig5\s hi/ory & curr5t  
pres5ce ) a l& ackn[l$gm5t /atem5t2     
7,c7 outl9es a projection = n less ?an  
#e ye>s1 & if possible = #aj ye>s1 )    
respect to-- 7i7 population &           
demographic tr5ds )9 ! local community &
 region2  7ii7 curr5t availability (1 & 
project$ community ne$ =-- 7,i7 inpati5t
 hospital s]vices2 outpati5t &          
ambulatory s]vices2  7,,ii7 diagno/ic & 
lab s]vices2  7,,iii7 po/-acute &       
community s]vices2  7,,iv7 em]g5cy      
m$ical s]vices2  7,v7 oral & d5tal c>e2 
&  7,,vi7 prev5tive & population heal?  
s]vices2  7iii7 curr5t availability &   
project$ community ne$ = ,tribal or     
vet]an heal? & wellness s]vices2 &  7iv7

 curr5t availability & project$         
community ne$ = non-cl9ical s]vices1 su*
 z food support1 h\s+ assi/ance1        
transportation1 l+ui/ic1 & o!r s]vices t
 impact ! heal? c>e /atus ( ! impact$   
population2  7,d7 provides a /atem5t    
outl9+ ! ov]>*+ gap 9 local community or
 regional s]vices2  7,e7 provides a     
/atem5t t id5tifies ! highe/ priority   
s]vices t h ! pot5tial to improve ov]all
 heal? & wellness ( ! local region2 &   
7,f7 e/abli%es a hospital trans=mation  
plan t conta9s-- 7i7 a process =        
consult+ ) repres5tatives ( !           
community's int]e/s & input2  7ii7 a li/
 ( community input s\rces repres5t+ !   
broad int]e/s ( ! community1 t is       
repres5tative ( individuals :o are      
m$ically und]s]v$1 l[-income1 or f      
m9ority populations & t may include     
repres5tatives ( local hospitals1       
physicians1 alli$ heal? pr(essionals1   
private & public pay]s1 pati5ts &       
consum]s1 ,tribal repres5tatives1 & o!r 
relevant /akehold]s1 includ+ local or   

regional social s]vice organizations2 & 
7iii7 an outl9e ( goals & action /eps = 
improv+ or ma9ta9+ access to c>e1       
/r5g!n+ quality ( c>e1 bett] coord9at+  
c>e across ! local or regional heal? c>e
 deliv]y sy/em1 & address+ o!r community
 ne$s or gaps id5tifi$ 9 ! ne$s         
assessm5t2  7#b7 a prelim9>y con/ruction
 project plan t-- 7,a7 outl9es a project
 budget ) co/s (-- 7i7 adm9i/rative &   
legal exp5ses2  7ii7 l&1 /ructure1      
rights-(-way appraisals2  7iii7         
relocation exp5ses2  7iv7 ar*itectural &
 eng9e]+ fees2  7v7 inspection fees2    
7vi7 site "w 7su* z helipad equipm5t &  
telecommunication & data network        
upgrades72  7vii7 demolition & removal2 
7viii7 equipm5t 7su* z m$ical equipm5t &
 te*nology sy/ems1 furniture1 kit*5 &   
ba?room appliances1 & signage72 &  7ix7 
any o!r co/s ! ,secret>y det]m9es       
appropriate2 &  7,b7 outl9es ! plann$   
spaces ) descriptions 7includ+ squ>e    
footage & purpose71 z ! ,secret>y       
det]m9es appropriate1 :i* %all include--

 7i7 c>e units or w>ds & ! numb] (      
expect$ b$s 9 su* areas2  7ii7 diagno/ic
 & treatm5t areas1 includ+ imag+ areas1 
em]g5cy dep>tm5ts1 laboratories1 &      
ph>macies2  7iii7 adm9i/rative areas1   
includ+ lobbies1 (fice space1 education 
areas2 &  7iv7 o!r types ( spaces !     
,secret>y det]m9es appropriate2  7#c7 an
 en]gy plan = h[ ! project acc\nts =    
en]gy resili5ce & effici5cy2 &  7#d7 a  
report on ! economic impact ( ! aw>d on 
! area or region s]v$1 includ+ an       
analysis ( local labor m>ket effects su*
 z h[ ! hospital may help improve wages1
 h\sehold incomes1 employm5t &          
unemploym5t rates1 & meet labor dem&s & 
h[ ! hospital may help improve wages 9 !
 area4  7d7 ,safe /ructure waiv] ,!     
,secret>y may grant a waiv] to eligible 
hospitals ) respect to ! tim+ (         
submissions ( in=mation requir$ "u      
p>agraph 7#a71 7#c71 or 7#d7 (          
subsection 7c71 if ! ,secret>y det]m9es 
t ! project to be c>ri$ out by !        
eligible hospital receiv+ su* waiv] %\ld

 be exp$it$ to ensure ! safety ( pati5ts
 or work]s4  7e7 ,grant & loan am\nts   
7#a7 ,9 g5]al ,an aw>d to an eligible   
hospital "u ?is section %all be 9 an    
am\nt det]m9$ by ! ,secret>y1 bas$ on ! 
in=mation submitt$ by ! eligible        
hospital "u subsection 7c77#b74 ,! total
 am\nt ( su* an aw>d %all n exce$       
#dj1jjj1jjj1 ( :i* n m ?an #cj p]c5t may
 be aw>d$ z a grant1 & any rema9+ am\nt 
may be aw>d$ z a l[ int]e/ loan4  7#b7  
,no effect on eligibility = o!r fund+   
,am\nts receiv$ by an eligible hospital 
"u ?is section %all h no effect on !    
hospital's eligibility = fund+ made     
available ?r\gh o!r ,f$]al programs1    
includ+ any su* fund+ available )       
respect to ! project support$ by ! aw>d 
"u ?is section4  7f7 ,report+ ,ea*      
recipi5t ( an aw>d "u ?is section %all  
submit an annual report to ! ,secret>y  
on ! use ( su* aw>d funds 9 ! previ\s   
fiscal ye>1 includ+ ! use ( su* funds to
 address issues rais$ 9 ! community     
heal? ne$s assessm5t1 ! en]gy plan1 &   

economic impact report submitt$ ) !     
recipi5t's application "u subsection    
7c74 ,su* recipi5t %all po/ ea* su*     
report on ! website ( ! recipi5t4  7g7  
,au?orization ( appropriations  7#a7 ,9 
g5]al ,!re are au?oriz$ to be           
appropriat$ #ag1jjj1jjj1jjj = fiscal ye>
 #bjbb to c>ry out ?is section4 ,am\nts 
appropriat$ "u ?is subsection %all rema9
 available ?r\gh fiscal ye> #bjbe4  7#b7
 ,managem5t & ov]sight ,! ,secret>y may 
allocate up to #j4a p]c5t ( ! funds     
appropriat$ "u ?is subsection = !       
managem5t & ov]sight ( programs "u ?is  
section4  4