,i  #aah? ,,congress  #b;d ,session  ,h4
 ,r4 #hbid  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,may #h1 #bjbd,mr4    
,van ,ord5 introduc$ ! foll[+ bill2 :i* 
0 ref]r$ to ! ,committee on ,ways &     
,means  ,a ,,bill  ,to am5d title       
,,xviii ( ! ,social ,security ,act to   
provide = a waiv] ( c]ta9 crit]ia )     
respect to ! designation ( a critical   
access hospital4  #a4 ,%ort title ,?is  
,act may be cit$ z ! ,rural ,heal?c>e   
,revitalization ,act ( #bjbd4  #b4      
,waiv] ( c]ta9 crit]ia ) respect to !   
designation ( a critical access hospital
 ,section #ahbj7;c77#b7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4           
#acie;i-#d7;c77#b77 is am5d$-- 7#a7 9   
subp>agraph 7,b71 9 ! matt] prec$+      
clause 7i71 by /rik+ ,a ,/ate may       
designate & ins]t+ ,subject to          
subp>agraph 7,f71 a ,/ate may designate2
 &  7#b7 by add+ at ! end ! foll[+ new  
subp>agraph3  7,f7 ,waiv] ( c]ta9       
crit]ia ) respect to ! designation ( a  
critical access hospital  7i7 ,9 g5]al  

,subject to clause 7ii71 9 ! case ( a   
metropolitan /ati/ical area 9 :i* a     
,,cms-accr$it$ facility 7z describ$ 9   
section #ajc4cj7;f77#b7 ( title #bi1    
,code ( ,f$]al ,regulations7 ) #cjj b$s 
or few] has t]m9at$ op]ations1 ! ,/ate 9
 :i* metropolitan /ati/ical area is     
locat$ may waive ! requirem5ts describ$ 
9 subp>agraph 7,b77i7 ) respect to a    
subsequ5t facility locat$ 9 su*         
metropolitan /ati/ical area = purposes (
 designat+ su* facility z a critical    
access hospital4  7ii7 ,requirem5ts     
describ$ ,= purposes ( clause 7i71 a    
subsequ5t facility %all-- 7,i7 provide n
 m ?an #aj b$s2  7,,ii7 meet !          
requirem5ts describ$ 9 clauses 7ii7     
?r\gh 7v7 ( subp>agraph 7,b72 &  7,,iii7
 meet ! requirem5ts describ$ 9 section  
#cdj;,b7a77#d77,l77i7 ( ! ,public ,heal?
 ,s]vice ,act4  4