,,ii  #aahth ,,congress  #b;d ,session  
,s4 #dbja  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,april #bc1    
#bjbd,mrs4 ,hyde-,smith introduced the  
following bill2 which was read twice and
 referred to the ,committee on ,finance 
,a ,,bill  ,to amend title ,,xviii of   
the ,social ,security ,act to modify the
 criteria for designation of rural      
emergency hospitals4  #a4 ,short title  
,this ,act may be cited as the ,rural   
,health ,sustainability ,act4  #b4      
,modification of criteria for           
designation of rural emergency hospitals
 ,section #ahfa7kkk77#c7 of the ,social 
,security ,act 7#db ,u4,s4,c4           
#aciex7kkk77#c77 is amended-- 7#a7 in   
the matter preceding subparagraph 7,a71 
by striking as of the date of the       
enactment of this subsection and        
inserting as of ,january #a1 #bjad2     
7#b7 in subparagraph 7,a71 by striking  
or at the end2  7#c7 in subparagraph    
7,b71 by striking the period at the end 
and inserting 2 or2 and  7#d7 by adding 

at the end the following new            
subparagraph3  7,c7 was designated as   
rural by the ,office of ,rural ,health  
,policy of the ,health ,resources and   
,services ,administration4  4