,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #ehba  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,octob] #bd1 #bjbe,mr4
 ,la,malfa introduc$ ! foll[+ bill2 :i* 
0 ref]r$ to ! ,committee on ,ways &     
,means  ,a ,,bill  ,to am5d title       
,,xviii ( ! ,social ,security ,act to   
provide = ! treatm5t ( c]ta9 hospitals z
 critical access hospitals "u ! ,m$ic>e 
program4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,rural ,hospital ,fairness  
,act4  #b4 ,provid+ = ! treatm5t ( c]ta9
 hospitals z critical access hospitals  
"u ! ,m$ic>e program ,section #ahbj7;h7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #acie;i-#d7;h77 is am5d$ by   
add+ at ! end ! foll[+ new p>agraph3    
7#d7 ,cont9uation ( ,,cah /atus = c]ta9 
facilities  7,a7 ,9 g5]al ,a facility   
describ$ 9 subp>agraph 7,b7 t does n    
meet ! location requirem5t "u subsection
 7c77#b77;,b77i77,i7 7& 0 n c]tifi$ by !
 ,/ate z be+ a necess>y provid] ( heal? 
c>e s]vices to resid5ts 9 ! area "u     
subsection 7c77#b77;,b77i77,,ii77 %all  

be deem$ to h be5 c]tifi$ by ! ,secret>y
 "u subsection 7e7 z a critical access  
hospital s long z su* facility is       
o!rwise eligible to be designat$ by !   
,/ate z a critical access hospital "u   
subsection 7c7 & meets any o!r crit]ia  
requir$ by ! ,secret>y "u subsection    
7e77#c74  7,b7 ,facility describ$ ,=    
purposes ( subp>agraph 7,a71 a facility 
describ$ 9 ?is subp>agraph is a facility
 t--  7i7 0 designat$ z a critical      
access hospital be=e ,janu>y #a1 #bjjb2 
7ii7 z ( ,decemb] #ca1 #bjbd1 0 c]tifi$ 
by ! ,secret>y "u subsection 7e7 z a    
critical access hospital2 &  7iii7 z ( !
 date on :i* ! facility 0 (ficially     
notifi$ by ! ,secret>y t x 0 no long] s 
c]tifi$1 0 locat$ 9 a c\nty 7or         
equival5t unit ( local gov]nm5t7 9 :i*  
no o!r hospital1 critical access        
hospital1 or rural em]g5cy hospital 0   
locat$4  4