,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #gead  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,febru>y #aa1         
#bjbf,ms4 ,sal9as 7= h]self1 ,mr4       
,mool5a>1 ,ms4 ,tokuda1 & ,mr4 ,moylan7 
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,agriculture  ,a ,,bill
  ,to au?orize rural heal? facilities to
 use c]ta9 ,f$]al agricultural cr$it    
assi/ance = ! purpose ( ref9anc+ debt   
obligations1 updat+ necess>y s]vices1   
te*nology1 & equipm5t1 & support+       
ancill>y ne$s4  #a4 ,%ort title ,?is    
,act may be cit$ z ! ,rural ,heal? ,c>e 
,facilities ,revitalization ,act4  #b4  
,assi/ance = di/ress$ rural heal? c>e   
facilities  7a7 ,9 g5]al ,subtitle ,a ( 
! ,consolidat$ ,f>m & ,rural ,developm5t
 ,act 7#g ,u4,s4,c4 #aibb-aicf;c7 is    
am5d$ by add+ at ! end ! foll[+3        
#caj;,j4 ,assi/ance = di/ress$ rural    
heal? c>e facilities  7a7 ,9 g5]al ,a   
heal? c>e facility1 includ+ a hospital1 
behavioral heal? facility1 heal? c>e    
cl9ic 7includ+ a mobile heal? c>e       

cl9ic71 home heal? ag5cy1 & long-t]m c>e
 facility1 9 a rural area may use       
assi/ance provid$ "u section #cjf7;a7 = 
a community facility1 or "u section     
#caj;,b1 to-- 7#a7 ref9ance a debt      
obligation2  7#b7 update a teleheal?1   
equipm5t1 or onl9e database2 or  7#c7   
support ancill>y ne$s1 includ+ op]at+   
exp5ses & res]ve funds4  7b7            
,limitations ,a facility may use        
assi/ance pursuant to subsection 7a7    
only if do+ s w\ld-- 7#a7 help pres]ve  
access to a heal? s]vice 9 a rural      
community2  7#b7 mean+fully improve !   
f9ancial position ( ! facility2 &  7#c7 
o!rwise meet ! f9ancial feasibility &   
security adequacy requirem5ts ( ! ,rural
 ,developm5t ,ag5cy4  7c7 ,waiv] ,9 !   
case ( an application f a facility      
ref]r$ to 9 subsection 7a7 ( ?is section
 = assi/ance "u section #cjf7;a7 = a    
community facility1 or "u section       
#caj;,b1 ! ,secret>y may waive !        
requirem5t ( section #cjb7;a77#a77;,d7  
if ! facility t is insolv5t or locat$ 9 

a p]si/5t pov]ty area1 socially         
vuln]able community 7z det]m9$ by !     
,secret>y71 or di/ress$ area 7z det]m9$ 
by ! ,secret>y74  7d7 ,def9itions ,9 ?is
 section3 7#a7 ,p]si/5t pov]ty area ,!  
t]m p]si/5t pov]ty area means an area ) 
a pov]ty rate ( #bj p]c5t or m = #d     
consecutive "t p]iods1 approximately #aj
 ye>s ap>t1 spann+ approximately #cj    
ye>s4  7#b7 ,rural area ,! t]m rural    
area means an area ) a population (     
#ej1jjj or few] inhabitants t is n an   
urbaniz$ area adjac5t or contigu\s to a 
city ) a population ( m ?an #ej1jjj     
inhabitants4  4  7b7 ,effective date ,! 
am5dm5t made by subsection 7a7 %all take
 effect #f mon?s aft] ! date ( !        
enactm5t ( ?is ,act4