,i  #aaith ,,congress  #b;d ,session    
,h4 ,r4 #hifg  ,,in ,,the ,,house ,,of  
,,representatives  ,may #ba1 #bjbf,mr4  
,feenstra 7for himself1 ,mr4 ,golden of 
,maine1 ,mr4 ,flood1 ,ms4 ,bynum1 ,mrs4 
,miller-,meeks1 ,mrs4 ,hinson1 ,mr4     
,nunn of ,iowa1 ,mr4 ,smith of          
,nebraska1 ,mr4 ,thompson of            
,mississippi1 ,mr4 ,mann1 ,ms4 ,leger   
,fernandez1 ,ms4 ,balint1 ,mr4 ,schmidt1
 ,ms4 ,stansbury1 ,ms4 ,pingree1 and    
,mr4 ,guest7 introduced the following   
bill2 which was referred to the         
,committee on ,ways and ,means  ,a      
,,bill  ,to provide for an extension of 
the rural community hospital            
demonstration program4  #a4 ,short title
 ,this ,act may be cited as the ,rural  
,community ,hospital ,demonstration     
,program ,reauthorization4  #b4         
,five-year extension of the rural       
community hospital demonstration program
  7a7 ,in general ,subsection 7a77#e7 of
 section #daj;,a of the ,medicare       
,prescription ,drug1 ,improvement1 and  

,modernization ,act of #bjjc 7,public   
,law #ajh-agc2 #db ,u4,s4,c4 #acieww    
note71 is amended by striking #ae-year  
extension period and inserting #bj-year 
extension period4  7b7 ,conforming      
amendments for extension  7#a7          
,extension of demonstration period      
,subsection 7g7 of such section #daj;,a 
is amended-- 7,a7 in the subsection     
heading1 by striking ,fifteen-,year and 
inserting ,twenty-,year2  7,b7 in       
paragraph 7#a7-- 7i7 by striking        
additional #ae-year and inserting       
additional #bj-year2 and  7ii7 by       
striking #ae-year extension period and  
inserting #bj-year extension period2    
7,c7 in paragraph 7#b71 by striking     
#ae-year extension period and inserting 
#bj-year extension period2  7,d7 in     
paragraph 7#c71 by striking #ae-year    
extension period and inserting #bj-year 
extension period2  7,e7 in paragraph    
7#d71 by striking #ae-year extension    
period each place it appears and        
inserting #bj-year extension period2    

7,f7 in paragraph 7#e71 by striking     
#ae-year extension period each place it 
appears and inserting #bj-year extension
 period2 and  7,g7 in subparagraph 7,a7 
of paragraph 7#f71 by striking #ae-year 
extension period and inserting #bj-year 
extension period4  7#b7 ,rule for       
hospitals that are not original         
participants in the demonstration       
,paragraph 7#e7 of subsection 7g7 of    
such section #daj;,a is amended-- 7,a7  
in subparagraph 7,b71 by striking       
,additional extension and inserting     
,,caa1 #bjba extension2 and  7,b7 by    
adding at the end the following new     
subparagraph3  7,c7 ,additional         
extension ,during the fourth #e years of
 the #bj-year extension period1 the     
,secretary shall apply the provisions of
 paragraph 7#d7 to rural community      
hospitals that are not described in     
paragraph 7#d7 but are participating in 
the demonstration program under this    
section at any time during the period   
beginning on ,december #cj1 #bjbd1 and  

ending on ,january #a1 #bjbg1 in a      
similar manner as such provisions apply 
to rural community hospitals described  
in paragraph 7#d74  4