,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #dbgg  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,july #b1 #bjbe,mr4   
,davis ( ,nor? ,c>ol9a 7= himself & ,mr4
 ,b]gman7 introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ,en]gy &     
,comm]ce  ,a ,,bill  ,to am5d ,title    
,,xix ( ! ,social ,security ,act to     
cl>ify t rural em]g5cy hospitals are    
treat$ z outpati5t hospitals = purposes 
( ,m$icaid paym5t1 & = o!r purposes4    
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,rural ,em]g5cy ,hospital ,f9ancial   
,/ability ,act4  #b4 ,cl>ification (    
,m$icaid paym5t = rural em]g5cy         
hospitals  7a7 ,am5dm5t to ,m$icaid     
/atute ,p>agraph 7#b77;,a7 ( ,section   
#aije7;a7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acif;d7a77 is am5d$ by  
ins]t+ ! foll[+ aft] outpati5t hospital 
s]vices3 7includ+ rural em]g5cy hospital
 s]vices1 z def9$ 9 section #ahfa7kkk71 
:5 su* s]vices are available712  7b7    
,nurs+ facility am5dm5t ,p>agraph       
7#d77;,a7 ( ,section #aije7;a7 ( !      

,social ,security ,act 7#db ,u4,s4,c4   
#acif;d7a77 is am5d$ by ins]t+ b includ+
 s]vices provid$ 9 a nurs+ facility t is
 a di/9ct "p unit ( a rural em]g5cy     
hospital1 z def9$ 9 section             
#ahfa7kkk77#b7 aft] diseases4  7c7      
,effective date ,! am5dm5ts made by ?is 
,act %all take effect on ! date (       
enactm5t1 & %all apply to s]vices       
furni%$ on or aft] su* date4  #c4       
,rulemak+ ,n lat] ?an #ab mon?s aft] !  
date ( enactm5t ( ?is ,act1 ! ,secret>y 
( ,heal? & ,human ,s]vices %all issue   
f9al regulations to c>ry out ! am5dm5ts 
made by ?is ,act4