,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #dbeh  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,june #cj1 #bjbe,mr4  
,ne:\se introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,ways & ,means
  ,a ,,bill  ,to am5d title ,,xviii ( ! 
,social ,security ,act to exp& !        
def9ition ( critical access hospital "u 
! ,m$ic>e program to include c]ta9      
hospitals on ,indian res]vations4  #a4  
,exp&+ ! def9ition ( critical access    
hospital "u ! ,m$ic>e program to include
 c]ta9 hospitals on ,indian res]vations 
,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,b77i77,i71 by ins]t+      
subject to subp>agraph 7,f71 be=e is    
locat$2  7#b7 9 subp>agraph 7,e77ii71 by
 /rik+ ,! total & ins]t+ ,subject to    
subp>agraph 7,f71 ! total2 &  7#c7 by   
add+ at ! end ! foll[+ new subp>agraph3 
7,f7 ,hospitals on ,indian res]vations  
7i7 ,9 g5]al ,beg9n+ ,augu/ #a1 #bjbe1 a
 ,/ate may designate a facility z a     

critical access hospital if ! facility--
 7,i7 is locat$ on a res]vation 7z def9$
 9 section #d ( ! ,indian ,heal? ,c>e   
,improvem5t ,act72 &  7,,ii7 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 hospital1 or ano!r facility  
describ$ 9 ?is subsection1 t-- 7aa7 is  
locat$ on a res]vation 7z s def9$72 or  
7bb7 is op]at$ by ! ,indian ,heal?      
,s]vice1 an ,indian tribe or tribal     
organization1 or an urban ,indian       
organization 7z def9$ 9 section #d ( !  
,indian ,heal? ,c>e ,improvem5t ,act74  
7ii7 ,psy*iatric & rehabilitation di/9ct
 "p units ,a facility describ$ 9 clause 
7i7 may e/abli% a di/9ct "p unit "u     
subp>agraph 7,e7 )\t reg>d to !         
limitation on numb] ( b$s "u clause 7ii7
 ( su* subp>agraph4  4