,,ii  #aai? ,,congress  #a/ ,session    
,s4 #acij  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,april #i1 #bjbe,mr4   
,lank=d 7= himself1 ,mr4 ,m>%all1 ,mr4  
,cassidy1 ,mr4 ,tillis1 ,mr4 ,cornyn1   
,mr4 ,mull91 ,mr4 ,boozman1 ,mr4        
,b>rasso1 & ,mr4 ,budd7 introduc$ !     
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,f9ance  ,a ,,bill   
,to am5d title ,,xviii ( ! ,social      
,security ,act to revise c]ta9 physician
 self-ref]ral exemptions relat+ to      
physician-own$ hospitals4  #a4 ,%ort    
title ,?is ,act may be cit$ z !         
,physician ,l$ & ,rural ,access to      
,quality ,c>e ,act4  #b4 ,revis+ c]ta9  
physician self-ref]ral exemptions relat+
 to physician-own$ hospitals  7a7 ,9    
g5]al ,section #ahgg ( ! ,social        
,security ,act 7#db ,u4,s4,c4 #acienn7  
is am5d$-- 7#a7 9 subsection 7d7-- 7,a7 
9 p>agraph 7#b77;,c71 by ins]t+ 7o!r ?an
 a cov]$ rural hospital 7z def9$ 9      
subsection 7h777 aft] a hospital2 &     
7,b7 9 p>agraph 7#c77;,d71 by ins]t+ 9 !

 case ( a hospital o!r ?an a cov]$ rural
 hospital 7z def9$ 9 subsection 7h771   
be=e ! hospital2 &  7#b7 9 subsection   
7h71 by add+ at ! end ! foll[+ new      
p>agraph3  7#h7 ,cov]$ rural hospital   
7,a7 ,9 g5]al ,! t]m cov]$ rural        
hospital means a hospital t-- 7i7 is    
locat$ 9 a rural area 7z def9$ 9 section
 #ahhf7;d77#b77;,d772 &  7ii7 z ( ! date
 t su* hospital enrolls "u ?is title1   
meets ! crit]ia describ$ 9 clause       
7i77,i7 ( section #ahbj7;c77#b77;,b74   
7,b7 ,cl>ification ,no?+ 9 ?is p>agraph 
%all be int]pret$ z requir+ a cov]$     
rural hospital to meet any o!r crit]ia  
"u section #ahbj7;c77#b77;,b74  4  7b7  
,all[+ = expansion ( exi/+              
physician-,own$ hospitals ,section      
#ahgg7;i7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acienn7i77 is am5d$--   
7#a7 9 p>agraph 7#a77;,b71 by /rik+ 9   
p>agraph 7#c7 & ins]t+ 9 p>agraph 7#c7  
or 7#g72 &  7#b7 by add+ at ! end !     
foll[+ new p>agraph3  7#g7 ,sunset (    
expansion prohibition ,! requirem5t     

describ$ 9 p>agraph 7#a77;,b7 %all n    
apply beg9n+ on ! date ( ! enactm5t (   
?is p>agraph4  4