,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #baia  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #ah1 #bjbe,mr4   
,griffi? 7= himself1 ,mr4 ,h]n (        
,oklahoma1 ,mr4 ,vic5te ,gonzalez (     
,texas1 ,mr4 ,joyce ( ,p5nsylvania1 ,mr4
 ,correa1 ,mr4 ,bald]son1 ,mr4 ,valadao1
 ,mr4 ,pflug]1 ,mr4 ,dunn ( ,florida1   
,mr4 ,davis ( ,nor? ,c>ol9a1 ,mr4       
,yakym1 ,mr4 ,web] ( ,texas1 ,mrs4      
,mill]-,meeks1 & ,mr4 ,au/9 ,scott (    
,georgia7 introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ,en]gy &     
,comm]ce1 & 9 addition to ! ,committee  
on ,ways & ,means1 = 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$  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
revise c]ta9 physician self-ref]ral     
exemptions relat+ to physician-own$     
hospitals4  #a4 ,%ort title ,?is ,act   
may be cit$ z ! ,physician ,l$ & ,rural 
,access to ,quality ,c>e ,act4  #b4     

,revis+ c]ta9 physician self-ref]ral    
exemptions relat+ to physician-own$     
hospitals  7a7 ,9 g5]al ,section #ahgg (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #acienn7 is am5d$--  7#a7 9 subsection 
7d7-- 7,a7 9 p>agraph 7#b77;,c71 by     
ins]t+ 7o!r ?an a cov]$ rural hospital  
7z def9$ 9 subsection 7h777 aft] a      
hospital2 &  7,b7 9 p>agraph 7#c77;,d71 
by ins]t+ 9 ! case ( a hospital o!r ?an 
a cov]$ rural hospital 7z def9$ 9       
subsection 7h771 be=e ! hospital2 &     
7#b7 9 subsection 7h71 by add+ at ! end 
! foll[+ new p>agraph3  7#h7 ,cov]$     
rural hospital ,! t]m cov]$ rural       
hospital means a hospital t-- 7,a7 is   
locat$ 9 a rural area 7z def9$ 9 section
 #ahhf7;d77#b77;,d772 &  7,b7 z ( ! date
 t su* hospital enrolls "u ?is title1 is
 locat$ m ?an a #ce-mile drive 7or1 9 ! 
case ( m\nta9\s t]ra9 or 9 areas ) only 
second>y roads available1 a #ae-mile    
drive7 f a hospital or a critical access
 hospital4  4  7b7 ,all[+ = expansion ( 
exi/+ physician-,own$ hospitals ,section

 #ahgg7;i7 ( ! ,social ,security ,act   
7#db ,u4,s4,c4 #acienn7i77 is am5d$--   
7#a7 9 p>agraph 7#a77;,b71 by /rik+ 9   
p>agraph 7#c7 & ins]t+ 9 p>agraph 7#c7  
or 7#g72 &  7#b7 by add+ at ! end !     
foll[+ new p>agraph3  7#g7 ,sunset (    
expansion prohibition ,! requirem5t     
describ$ 9 p>agraph 7#a77;,b7 %all n    
apply beg9n+ on ! date ( ! enactm5t (   
?is p>agraph4  4