,,ib  ,union ,cal5d> ,no4 #hjg  #aah?   
,,congress  #b;d ,session  ,h4 ,r4 #hbce
  ,report ,no4 #aah-ifj1 ,"p ,i  ,,9 ,,!
 ,,h\se ,,( ,,repres5tatives  ,may #b1  
#bjbd ,mr4 ,murphy 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 
,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 ,may #b1 #bjbd  ,a ,,bill 
,to am5d title ,,xviii ( ! ,social      
,security ,act to modify ! di/ribution (
 c]ta9 additional graduate m$ical       
education positions "u ! ,m$ic>e        

program4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,rural ,physician ,work=ce  
,pres]vation ,act4  #b4 ,modify+ !      
di/ribution ( c]ta9 additional graduate 
m$ical education positions "u ! ,m$ic>e 
program ,section #ahhf7;h7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           
#acieww7h77 is am5d$--  7#a7 9 p>agraph 
7#i7-- 7,a7 9 subp>agraph 7,b77ii77,i71 
by am5d+ su* subclause to read z foll[s3
  7,i7 ,hospitals t-- 7aa7 are locat$ 9 
a rural area 7z def9$ 9 section         
#ahhf7;d77#b77;,d772 or  7bb7 are treat$
 z be+ locat$ 9 a rural area pursuant to
 section #ahhf7;d77#h77;,e71 b only if  
su* hospital s treat$ meets a crit]ion  
specifi$ 9 subclause 7,i7 or 7,,ii7 (   
clause 7ii7 ( su* section4  2 &  7,b7 9 
subp>agraph 7,f77ii71 by ins]t+ &       
includes1 ) respect to ! di/ribution (  
full-"t equival5t resid5cy positions =  
fiscal ye> #bjbc or #bjbd1 a hospital t 
is treat$ z be+ locat$ 9 a rural area   
pursuant to section #ahhf7;d77#h77;,e7  
reg>dless ( :e!r su* hospital meets a   

crit]ion specifi$ 9 subclause 7,i7 or   
7,,ii7 ( clause 7ii7 ( su* section be=e 
! p]iod2 &  7#b7 9 p>agraph             
7#aj77;,b77ii77,i71 by am5d+ su*        
subclause to read z foll[s3  7,i7       
,hospitals t--  7aa7 are locat$ 9 a     
rural area 7z def9$ 9 section           
#ahhf7;d77#b77;,d772 or  7bb7 are treat$
 z be+ locat$ 9 a rural area pursuant to
 section #ahhf7;d77#h77;,e71 b only if  
su* hospital s treat$ meets a crit]ion  
specifi$ 9 subclause 7,i7 or 7,,ii7 (   
clause 7ii7 ( su* section4  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$