,,ii  #aai? ,,congress  #a/ ,session    
,s4 #aifj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,june #e1 #bjbe ,mrs4  
,capito 7= h]self1 ,mr4 ,padilla1 ,mr4  
,ju/ice1 ,mr4 ,s*iff1 & ,mr4 ,b>rasso7  
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
provide = ! cont9u$ designation (       
hospitals t met m\nta9\s t]ra9 or       
second>y roads di/ance requirem5t z     
critical access hospitals & to modify   
di/ance requirem5ts = ambulance s]vices 
furni%$ by critical access hospitals4   
#a4  ,%ort title  ,?is ,act may be cit$ 
z ! ,pres]v+ ,em]g5cy ,access 9 ,key    
,sites ,act or ! ,,peaks ,act4  #b4     
,treatm5t ( hospitals t met m\nta9\s    
t]ra9 or second>y roads di/ance         
requirem5t = designation z critical     
access hospital  ,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        

,treatm5t ( hospitals t met m\nta9\s    
t]ra9 or second>y roads di/ance         
requirem5t = designation  7,a7  ,9 g5]al
  ,9 ! case ( a hospital describ$ 9     
subp>agraph 7,b71 ! hospital %all be    
deem$ to meet ! #ae-mile di/ance        
requirem5t = m\nta9\s t]ra9 or second>y 
roads describ$ 9 subsection             
7c77#b77;,b77i77,i7 on or aft] ,janu>y  
#a1 #bjbf4  7,b7  ,hospital describ$  ,a
 hospital describ$ 9 ?is subp>agraph is 
a hospital t--  7i7 z ( ! date (        
enactm5t ( ?is p>agraph1 is designat$ z 
a critical access hospital2  7ii7       
demon/rates 79 a mann] det]m9$ by !     
,secret>y7 t ! hospital met ! #ae-mile  
di/ance requirem5t = m\nta9\s t]ra9 or  
second>y roads describ$ 9 subsection    
7c77#b77;,b77i77,i7 z ( ! hospital's la/
 c]tification z a critical access       
hospital2 &  7iii7 aft] su* date (      
enactm5t1 has a new hospital or o!r     
facility describ$ 9 ?is subsection      
locat$ )9 #aj-ae miles ( ! hospital4    
7,c7  ,regulations  ,n lat] ?an #a ye>  

aft] ! date ( enactm5t ( ?is p>agraph1 !
 ,secret>y %all promulgate regulations  
to c>ry out ?is p>agraph4  4  #c4       
,modification ( di/ance requirem5ts =   
ambulance s]vices furni%$ by critical   
access hospitals  ,section #ahcd7l77#h7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #aciem7l77#h77 is am5d$1 9 !  
flu% matt] foll[+ subp>agraph 7,b71 by  
ins]t+ 7or1 = su* s]vices furni%$ on or 
aft] ,janu>y #a1 #bjbf1 9 ! case (      
m\nta9\s t]ra9 or 9 areas ) only        
second>y roads available1 a #ae-mile    
drive7 aft] #ce-mile drive4