,,ib  ,union ,cal5d> ,no4 #hjc  #aah?   
,,congress  #b;d ,session  ,h4 ,r4 #hbde
  ,report ,no4 #aah-ied  ,,9 ,,! ,,h\se 
,,( ,,repres5tatives  ,may #f1 #bjbd    
,mr4 ,fe5/ra introduc$ ! foll[+ bill2   
:i* 0 ref]r$ to ! ,committee on ,ways & 
,means  ,decemb] #bg1 #bjbd ,additional 
sponsor3 ,mr4 ,fong  ,decemb] #bg1 #bjbd
 ,report$ ) an am5dm5t1 committ$ to !   
,committee ( ! ,:ole ,h\se on ! ,/ate ( 
! ,union1 & ord]$ to be pr9t$ ,/rike out
 all aft] ! enact+ clause & ins]t ! "p  
pr9t$ 9 italic ,= text ( introduc$ bill1
 see copy ( bill z introduc$ on ,may #f1
 #bjbd  ,a ,,bill  ,to am5d title       
,,xviii ( ! ,social ,security ,act to   
e/abli% ! ,rural ,hospital ,/abilization
 ,pilot ,program to provide grants to   
rural hospitals = purposes ( ensur+     
local access to s]vices4  #a4 ,%ort     
title ,?is ,act may be cit$ z ! ,rural  
,hospital ,/abilization ,act4  #b4      
,rural ,hospital ,/abilization ,pilot   
,program ,section #ahbj7;g7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           

#acie;i-#d7;g77 is am5d$ by add+ at !   
end ! foll[+ new p>agraph3  7#h7 ,rural 
,hospital ,/abilization ,pilot ,program 
7,a7 ,9 g5]al ,beg9n+ ,janu>y #a1 #bjbf1
 ! ,secret>y1 act+ ?r\gh ! ,director ( !
 ,(fice ( ,rural ,heal? ,policy1 %all   
aw>d grants to-- 7i7 hospitals1 critical
 access hospitals1 & rural em]g5cy      
hospitals t are locat$ 9 a rural area1 z
 su* t]m is us$ = purposes ( section    
#gaa ( ?is ,act 79 ?is p>agraph ref]r$  
to z rural hospitals7 t h submitt$      
applications to ! ,secret>y1 = purposes 
( assi/+ su* hospitals 9 ensur+ local   
access to s]vices2 &  7ii7 exp]i5c$     
te*nical assi/ance provid]s t h submitt$
 applications to ! ,secret>y1 = purposes
 ( assi/+ su* rural hospitals 9 plann+  
to apply = grants "u ?is p>agraph & us+ 
any am\nts receiv$ "u su* a grant4  7,b7
 ,prioritization factors ,9 mak+ grants 
to rural hospitals "u ?is p>agraph = a  
fiscal ye> 7& det]m9+ ! am\nt ( ea* su* 
grant71 ! ,secret>y %all consid] !      
foll[+ factors3  7i7 ,! av]age daily    

c5sus ( ! hospital4  7ii7 ,! di/ance    
betwe5 ! hospital & ! next ne>e/        
hospital4  7iii7 ,! f9ancial            
circum/ances ( ! hospital1 z det]m9$ by 
su* hospital's mo/ rec5tly fil$ ,m$ic>e 
co/ report 7or o!r applicable s\rce (   
in=mation74  7iv7 ,! risk t ! hospital w
 close4  7v7 ,! risk t ! hospital w     
r$uce or /op (f]+ a class ( s]vices4    
7,c7 ,use ( funds  7i7 ,hospitals       
,am\nts receiv$ by a rural hospital "u a
 grant "u ?is p>agraph %all be us$ to   
su/a91 enhance1 or exp& ! classes (     
s]vices (f]$ by su* hospital1 or to beg9
 (f]+ a new class ( s]vice1 & may be us$
 =--  7,i7 m9or r5ovations to build+s2  
7,,ii7 tra9+ ) respect to ! deliv]y (   
new or exi/+ s]vices2  7,,iii7 recruit+ 
or hir+ new /aff or supplem5t+          
comp5sation ( exi/+ /aff2 &  7,,iv7     
equipm5t acquisition or refurbi%m5t4    
7ii7 ,exp]i5c$ te*nical assi/ance       
provid]s ,am\nts receiv$ by an exp]i5c$ 
te*nical assi/ance provid] "u a grant "u
 ?is p>agraph %all be us$ to assi/ rural

 hospitals-- 7,i7 9 apply+ = a grant "u 
?is p>agraph2 &  7,,ii7 ) respect to a  
rural hospital t has be5 aw>d$ a grant  
"u ?is p>agraph1 9 us+ am\nts receiv$ "u
 su* grant 9 accordance ) ! requirem5ts 
( clause 7i74  7,d7 ,reports to         
,congress  7i7 ,initial report ,n lat]  
?an ,janu>y #a1 #bjbi1 ! ,secret>y %all 
submit to ,congress a report on ! grants
 aw>d$ "u ?is p>agraph t includes !     
foll[+ in=mation3  7,i7 ,! names ( all  
exp]i5c$ te*nical assi/ance provid]s t  
receiv$ a grant "u ?is p>agraph &1 )    
respect to ea* su* exp]i5c$ te*nical    
assi/ance provid]1 an analysis ( ! use (
 ! am\nts receiv$ "u su* grant4  7,,ii7 
,! names & locations ( all rural        
hospitals t receiv$ a grant "u ?is      
p>agraph &1 ) respect to ea* su*        
hospital--  7aa7 ! use ( ! am\nts       
receiv$ "u su* grant2  7bb7 an analysis 
( ! f9ancial circum/ances ( su*         
hospital1 z det]m9$ by su* hospital's   
mo/ rec5tly fil$ ,m$ic>e co/ report 7or 
o!r applicable s\rce ( in=mation7--     

7,,aa7 at ! "t ( ! receipt ( su* grant2 
& 7,,bb7 at ! "t ! report is submitt$ "u
 ?is clause2  7cc7 an analysis ( !      
classes ( s]vices (f]$ by ! hospital--  
7,,aa7 prior to ! receipt ( su* grant2 &
 7,,bb7 foll[+ su* receipt1 z det]m9$ at
 ! "t ! report is submitt$ "u ?is       
clause2 &  7dd7 an analysis ( any new   
classes ( s]vices (f]$ by ! hospital    
foll[+ ! receipt ( su* grant4  7ii7     
,subsequ5t report ,n lat] ?an #b ye>s   
aft] ! initial report is submitt$ "u    
clause 7i71 ! ,secret>y %all submit to  
,congress a subsequ5t report on ! grants
 aw>d$ "u ?is p>agraph t includes       
updates to ! in=mation describ$ 9       
subclauses 7,i7 & 7,,ii7 ( su* clause4  
7,e7 ,fund+ ,!re are au?oriz$ to be     
appropriat$ f ! ,f$]al ,hospital        
,insurance ,tru/ ,fund "u section #ahag 
= mak+ grants "u ?is p>agraph1          
#bj1jjj1jjj = ea* ( fiscal ye>s #bjbf   
?r\gh #bjbi1 to rema9 available until   
exp5d$4  4  ,decemb] #bg1 #bjbd ,report$
 ) an am5dm5t1 committ$ to ! ,committee 

( ! ,:ole ,h\se on ! ,/ate ( ! ,union1 &
 ord]$ to be pr9t$