,,ib  ,union ,cal5d> ,no4 #hjd  #aah?   
,,congress  #b;d ,session  ,h4 ,r4 #gica
  ,report ,no4 #aah-iee1 ,"p ,i  ,,9 ,,!
 ,,h\se ,,( ,,repres5tatives  ,april    
#aj1 #bjbd ,mrs4 ,mill] ( ,we/ ,virg9ia 
7= h]self & ,ms4 ,c>aveo7 introduc$ !   
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,ways & ,means1 & 9       
addition to ! ,committee on ,en]gy &    
,comm]ce1 = 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$    
,decemb] #bg1 #bjbd ,additional         
sponsors3 ,mr4 ,mooney & ,ms4 ,l(gr5    
,decemb] #bg1 #bjbd ,report$ f !        
,committee on ,ways & ,means ) an       
am5dm5t ,/rike out all aft] ! enact+    
clause & ins]t ! "p pr9t$ 9 italic      
,decemb] #bg1 #bjbd ,committee on ,en]gy
 & ,comm]ce dis*>g$2 committ$ to !      
,committee ( ! ,:ole ,h\se on ! ,/ate ( 
! ,union & ord]$ to be pr9t$ ,= text (  
introduc$ bill1 see copy ( bill z       
introduc$ on ,april #aj1 #bjbd  ,a      

,,bill  ,to am5d title ,,xviii ( !      
,social ,security ,act to update ! fee  
s*$ule = ambulance s]vices provid$ by   
critical access hospitals4  #a4 ,%ort   
title ,?is ,act may be cit$ z ! ,pres]v+
 ,em]g5cy ,access 9 ,key ,sites ,act or 
! ,,peaks ,act4  #b4 ,update to fee     
s*$ule = ambulance s]vices provid$ by   
critical access hospitals ,section      
#ahcd7l77#h7 ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #aciem7l77#h77 is am5d$ 9
 ! flu% left text foll[+ subp>agraph    
7,b7 by ins]t+ 7or1 9 ! case ( m\nta9\s 
t]ra9 or 9 areas ) only second>y roads  
available1 ) respect to s]vices furni%$ 
on or aft] ,janu>y #a1 #bjbf1 a #ae-mile
 drive7 aft] #ce-mile drive4  #c4       
,treatm5t ( hospitals t met m\nta9\s    
t]ra9 or second>y roads di/ance         
requirem5t = designation z critical     
access hospital ,section #ahbj7;h7 ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acie;i-#d7;h77 is am5d$ by add+ at !   
end ! foll[+ new p>agraph3  7#d7        
,treatm5t ( hospitals t met m\nta9\s    

t]ra9 or second>y roads di/ance         
requirem5ts = designation  7,a7 ,9 g5]al
 ,beg9n+ ,janu>y #a1 #bjbe1 9 ! case ( a
 hospital describ$ 9 subp>agraph 7,b71  
su* hospital %all be deem$ to meet !    
#ae-mile di/ance requirem5t = m\nta9\s  
t]ra9 or second>y roads describ$ 9      
subsection 7c77#b77;,b77i77,i74  7,b7   
,hospital describ$ ,a hospital describ$ 
9 ?is subp>agraph is a hospital t-- 7i7 
z ( ! date ( enactm5t ( ?is p>agraph1 is
 designat$ z a critical access hospital2
  7ii7 demon/rates 79 a mann] det]m9$ by
 ! ,secret>y7 t ! hospital met !        
#ae-mile di/ance requirem5t = m\nta9\s  
t]ra9 or second>y roads describ$ 9      
subsection 7c77#b77;,b77i77,i7 z ( !    
hospital's la/ c]tification z a critical
 access hospital2 &  7iii7 aft] su* date
 ( enactm5t1 has a new hospital or o!r  
facility describ$ 9 ?is subsection t is 
locat$ n less ?an #aj1 b no m ?an #ae1  
miles f ! hospital4  7,c7 ,regulations  
,n lat] ?an #a ye> aft] ! date (        
enactm5t ( ?is p>agraph1 ! ,secret>y    

%all promulgate regulations to c>ry out 
?is p>agraph4  4  ,decemb] #bg1 #bjbd   
,report$ f ! ,committee on ,ways &      
,means ) an am5dm5t ,decemb] #bg1 #bjbd 
,committee on ,en]gy & ,comm]ce dis*>g$2
 committ$ to ! ,committee ( ! ,:ole     
,h\se on ! ,/ate ( ! ,union & ord]$ to  
be pr9t$