,,ii  #aaith ,,congress  #ast ,session  
,s4 #bcja  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,july #af1     
#bjbe,mr4 ,scott of ,south ,carolina    
7for himself1 ,ms4 ,smith1 ,ms4 ,lummis1
 and ,mr4 ,kaine7 introduced the        
following bill2 which was read twice and
 referred to the ,committee on ,health1 
,education1 ,labor1 and ,pensions  ,a   
,,bill  ,to reauthorize certain programs
 regarding rural health care4  #a4      
,short title ,this ,act may be cited as 
the ,improving ,care in ,rural ,america 
,reauthorization ,act of #bjbe4  #b4    
,rural health care services outreach1   
rural health network development1 and   
small health care provider quality      
improvement grant programs  7a7 ,rural  
health care services outreach grants    
,section #ccj;,a7e7 of the ,public      
,health ,service ,act 7#db ,u4,s4,c4    
#bed;c7e77 is amended by adding at the  
end the following3  7#d7 ,use of funds  
for rural underserved populations ,in   
awarding a grant under this subsection1 

the ,director shall ensure that the     
funds made available through the grant  
will be used1 as appropriate-- 7,a7 to  
meet the health care needs of rural     
underserved populations in the local    
community or region to be served2 and   
7,b7 for other activities to ensure the 
rural underserved populations in the    
local community or region to be served  
will be involved in the development and 
ongoing operations of the project4  4   
7b7 ,rural health network development   
grants ,section #ccj;,a7f7 of the       
,public ,health ,service ,act 7#db      
,u4,s4,c4 #bed;c7f77 is amended by      
adding at the end the following3  7#d7  
,use of funds for rural underserved     
populations ,in awarding a grant under  
this subsection1 the ,director shall    
ensure that the funds made available    
through the grant will be used1 as      
appropriate-- 7,a7 to increase access to
 quality health care services through   
integrated health care networks for the 
rural underserved populations in the    

local community or region to be served2 
and  7,b7 for other activities to ensure
 the rural underserved populations in   
the local community or region to be     
served will benefit from and be involved
 in the planning1 development1 and      
ongoing implementation of the network4  
4  7c7 ,reauthorization ,section        
#ccj;,a7j7 of the ,public ,health       
,service ,act 7#db ,u4,s4,c4 #bed;c7j77 
is amended by striking #bjba through    
#bjbe and inserting #bjbf through #bjcj4