,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #cjfc  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,april #bi1 #bjbe,mr4 
,figures 7= himself1 ,mr4 ,jack1 & ,ms4 
,sewell7 introduc$ ! foll[+ bill2 :i* 0 
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to am5d ! ,public 
,heal? ,s]vice ,act to au?orize !       
,secret>y ( ,heal? & ,human ,s]vices to 
make grants to assi/ rural hospitals1 & 
= o!r purposes4  #a4 ,%ort title ,?is   
,act may be cit$ z ! ,rural ,hospital   
,/abilization ,act ( #bjbe 4  #b4       
,grants to assi/ rural hospitals ,!     
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bja et seq47 is am5d$ by     
ins]t+ aft] section #ccj;,a-#b 7#db     
,u4,s4,c4 #bed;c-#a;b7 ! foll[+3        
#ccj;,a-#c4 ,grants to assi/ rural      
hospitals  7a7 ,au?ority ,to make grants
 ,! ,secret>y1 act+ ?r\gh ! ,director ( 
! ,(fice ( ,rural ,heal? ,policy ( !    
,heal? ,res\rces & ,s]vices             
,adm9i/ration1 may make grants "u ?is   
section to rural hospitals-- 7#a7 =     

projects to acquire1 repair1 & upgrade !
 sy/ems1 facilities1 & equipm5t ( rural 
hospitals2 &  7#b7 to provide f9ancial  
assi/ance to be us$ t[>d ! op]ational   
co/s ( rural hospitals1 includ+ payroll 
exp5ses 7except payroll exp5ses         
associat$ ) hospital lead]%ip positions7
 & debt paym5ts4  7b7 ,applications ,to 
be eligible to receive a grant "u ?is   
section1 a rural hospital %all submit to
 ! ,secret>y an application1 at su* "t1 
9 su* mann]1 & conta9+ su* in=mation z !
 ,secret>y may require1 includ+--  7#a7 
a description ( ! projects & exp5ses t w
 receive fund+ "u ! grant2  7#b7 a      
description ( ! mann] 9 :i* ! projects &
 exp5ses fund$ "u ! grant w address !   
f9ancial ne$s ( ! hospital2  7#c7 a     
description ( h[ ! projects & exp5ses   
fund$ "u ! grant w help ensure t        
resid5ts ( rural areas ma9ta9 access to 
hospital s]vices2  7#d7 a plan = su/a9+ 
projects & cov]+ exp5ses at ! hospital  
aft] ,f$]al support "u ?is section has  
end$2 &  7#e7 su* o!r in=mation z !     

,secret>y det]m9es to be appropriate4   
7c7 ,maximum aggregate grant am\nt ,a   
rural hospital may receive n m t        
#e1jjj1jjj1 9 ! aggregate1 9 grant funds
 "u ?is section = any five-ye> p]iod4   
7d7 ,ma9t5ance ( ef=t ,funds made       
available "u ?is section %all be us$ to 
supplem5t & n supplant o!r ,f$]al1      
,/ate1 local1 & ,tribal funds available 
= ! grant purposes describ$ 9 subsection
 7a74  7e7 ,report to ,congress ,n lat] 
?an #ah mon?s aft] ! date ( ! enactm5t (
 ?is ,act1 ! ,secret>y %all submit to ! 
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives1 ! ,committee on
 ,agriculture ( ! ,h\se (               
,repres5tatives1 ! ,committee on ,heal?1
 ,education1 ,labor1 & ,p5sions ( !     
,s5ate1 & ! ,committee on ,agriculture1 
,nutrition1 & ,=e/ry ( ! ,s5ate a report
 on ! activities & outcomes ( ! grant   
program c>ri$ out "u ?is section1       
includ+ ! impact ( projects fund$ "u ?is
 section on improv+ ! f9ancial viability
 ( ! grant recipi5ts & ensur+ t resid5ts

 ( rural areas ma9ta9 access to hospital
 s]vices4  7f7 ,def9itions ,9 ?is       
section3 7#a7 ,rural hospital ,! t]m    
rural hospital means a hospital t is    
locat$ at lea/ #ae miles f ! ne>e/      
hospital & at lea/ #bj miles f ! ne>e/  
urbaniz$ area 7z def9$ by ! ,bureau ( ! 
,c5sus74 ,su* t]m includes public &     
private hospitals4  7#b7 ,hospital      
lead]%ip position ,! t]m hospital       
lead]%ip position has su* mean+ z !     
,secret>y may prescribe by regulation4  
7g7 ,au?orization ( appropriations ,!re 
is au?oriz$ to be appropriat$ to c>ry   
out ?is section #ejj1jjj1jjj1 9 !       
aggregate1 = fiscal ye>s beg9n+ aft]    
,septemb] #cj1 #bjbe4  4