,,ii  #aai? ,,congress  #b;d ,session   
,s4 #dbjd  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,m>* #be1 #bjbf,mrs4   
,blackburn 7= h]self1 ,mr4 ,hick5loop]1 
& ,mrs4 ,hyde-,smi?7 introduc$ ! foll[+ 
bill2 :i* 0 read twice & ref]r$ to !    
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions  ,a ,,bill  ,to am5d 
! ,public ,heal? ,s]vice ,act to e/abli%
 a rural heal? c5t] innovation aw>ds    
program & a rural heal? dep>tm5t        
enhancem5t program1 & = o!r purposes4   
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,rural ,heal? ,innovation ,act (      
#bjbf4  #b4 ,rural heal? c5t] innovation
 aw>ds program ,subp>t ,i ( "p ,d (     
title ,,iii ( ! ,public ,heal? ,s]vice  
,act 7#db ,u4,s4,c4 #bed;b et seq47 is  
am5d$ by add+ at ! end ! foll[+3        
#ccj,q4 ,rural heal? c5t] innovation    
aw>ds program  7a7 ,def9itions ,9 ?is   
section3 7#a7 ,eligible entity ,! t]m   
eligible entity means an entity t-- 7,a7
 is a ,f$]ally qualifi$ heal? c5t]2     
7,b7 is a rural heal? cl9ic2 or  7,c7   

agrees 7z a condition ( receiv+ a grant 
"u ?is section7 to e/abli% su* a c5t] or
 cl9ic1 includ+ a hospital t agrees 7z  
su* a condition7 to conv]t to a ,f$]ally
 qualifi$ heal? c5t] or rural heal?     
cl9ic4  7#b7 ,f$]ally qualifi$ heal?    
c5t] ,! t]m ,f$]ally qualifi$ heal? c5t]
 has ! mean+ giv5 su* t]m 9 section     
#ahfa7;aa7 ( ! ,social ,security ,act4  
7#c7 ,rural heal? cl9ic ,! t]m rural    
heal? cl9ic has ! mean+ giv5 su* t]m 9  
section #ahfa7;aa7 ( ! ,social ,security
 ,act4  7b7 ,e/abli%m5t  7#a7 ,9 g5]al  
,! ,secret>y1 act+ ?r\gh ! ,director ( !
 ,(fice ( ,rural ,heal? ,policy ( !     
,heal? ,res\rces & ,s]vices             
,adm9i/ration1 %all e/abli% a grant     
program to be kn[n z ! ,rural ,heal?    
,c5t] ,innovation ,aw>ds program to aw>d
 grants to eligible entities t submit an
 application 9 accordance ) subsection  
7c7 to enable su* entities to e/abli% or
 ma9ta9 a ,f$]ally qualifi$ heal? c5t]  
or rural heal? cl9ic t-- 7,a7 s]ves     
individuals 9 a rural area z a walk-9   

urg5t c>e c5t] & z a triage c5t] or /ag+
 facility = necess>y air or ambulance   
transport to an em]g5cy dep>tm5t2 &     
7,b7 includes-- 7i7 pr(essional cl9ical 
/aff1 includ+ physicians1 physician     
int]ns1 resid5ts1 nurse practition]s1   
physician assi/ants1 nurse midwives1 or 
o!r heal? c>e provid]s provid+ walk-9   
urg5t c>e & em]g5cy triage2 &  7ii7     
res\rces1 includ+ laboratories1 x-ray   
ma*9es1 & c>diac monitors4  7#b7        
,p]missible uses ( funds ,! funds ( a   
grant aw>d$ "u ?is section may be us$   
to-- 7,a7 exp& ! h\rs ( op]ation ( a    
,f$]ally qualifi$ heal? c5t] or rural   
heal? cl9ic2  7,b7 pay = ! co/s (       
con/ruction & r5ovation ( a ,f$]ally    
qualifi$ heal? c5t] or rural heal?      
cl9ic2 or  7,c7 c>ry out any o!r        
activity = ! purposes describ$ 9        
p>agraph 7#a74  7c7 ,applications &     
selection  7#a7 ,9 g5]al ,an eligible   
entity seek+ a grant "u ?is section %all
 submit to ! ,secret>y an application at
 su* "t1 9 su* mann]1 & conta9+ su*     

in=mation z ! ,secret>y may reasonably  
require4  7#b7 ,/>t up c5t]s & cl9ics   
,an application submitt$ "u p>agraph    
7#a7 by an eligible entity t is n a     
,f$]ally qualifi$ heal? c5t]1 or a rural
 heal? cl9ic1 on ! date on :i* ! entity 
submits ! application "u p>agraph 7#a7  
%all include 9 su* application a        
demon/ration ( ! co/s ( ! equipm5t &    
/aff+ ne$$ to e/abli% ! c5t] or cl9ic4  
7#c7 ,consid]ation ( ov]lap ,9 ! case an
 eligible entity submits an application 
"u p>agraph 7#a7 t proposes to s]ve an  
area t is s]v$ by ano!r eligible entity 
?r\gh a grant "u ?is section1 !         
,secret>y may consid] :e!r an aw>d to ! 
eligible entity s]v+ su* same area c be 
ju/ifi$ bas$ on ! unmet ne$ = additional
 s]vices 9 su* area4  7#d7 ,priority ,9 
select+ recipi5ts ( grants "u ?is       
section1 ! ,secret>y %all give priority 
to an eligible entity t is op]at+ z a   
,f$]ally qualifi$ heal? c5t]1 or a rural
 heal? cl9ic1 on ! date on :i* ! entity 
submits ! application "u p>agraph 7#a74 

7d7 ,grant p]iod & am\nts  7#a7 ,p]iod  
,ea* grant aw>d$ "u ?is section %all be 
= a p]iod ( #e ye>s4  7#b7 ,am\nt  7,a7 
,9 g5]al ,a grant aw>d$ "u ?is section  
to an eligible entity %all n exce$-- 7i7
 = ! fir/ ye> ( ! grant-- 7,i7 #ejj1jjj 
if ! entity is a ,f$]ally qualifi$ heal?
 c5t]1 or a rural heal? cl9ic1 on ! date
 on :i* ! aw>d is made2 &  7,,ii7       
#gej1jjj if ! entity is us+ ! grant to  
e/abli% a ,f$]ally qualifi$ heal? c5t]  
or a rural heal? cl9ic2 &  7ii7 = ea* ( 
! second ?r\gh fif? ye>s ( ! grant1     
#ejj1jjj4  7,b7 ,consid]ations ,9       
det]m9+ ! am\nt ( a grant "u ?is section
 = an eligible entity = ea* ye> aft] !  
fir/ ye> 9 :i* ! grant is aw>d$1 !      
,secret>y %all1 subject to subp>agraph  
7,a77ii71 consid] ! numb] ( pati5ts     
treat$1 & ! type ( treatm5t provid$1 by 
! entity 9 ! prior ye>4  7e7 ,report+   
7#a7 ,9 g5]al ,n lat] ?an #c ye>s aft] !
 date ( enactm5t ( ?is section1 !       
,secret>y %all report to ! committees   
describ$ 9 p>agraph 7#b7 on ! grant     

program "u ?is section1 includ+-- 7,a7  
an assessm5t ( ! success ( ! program1   
*all5ges ) respect to ! program1 & any  
action = regulatory flexibility or      
legislative au?ority ne$$ to improve !  
program2  7,b7 any sav+s to ,f$]al heal?
 c>e programs2  7,c7 any increase 9     
access to c>e2 &  7,d7 any increase 9   
utilization ( heal? s]vices 9 rural     
areas4  7#b7 ,committees ,! committees  
describ$ 9 ?is p>agraph are-- 7,a7 !    
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions1 & ! ,committee on   
,f9ance1 ( ! ,s5ate2 &  7,b7 !          
,committee on ,en]gy & ,comm]ce1 & !    
,committee on ,ways & ,means1 ( ! ,h\se 
( ,repres5tatives4  7f7 ,rule (         
con/ruction ,no entity receiv+ a grant  
"u ?is section %all lose /atus z a      
,f$]ally qualifi$ heal? c5t]1 or a rural
 heal? cl9ic1 on acc\nt ( c>ry+ out any 
activities "u ?is section4  7g7         
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ to c>ry out  
?is section #be1jjj1jjj = ea* ( fiscal  

ye>s #bjbg ?r\gh #bjca4  4  #c4 ,rural  
heal? dep>tm5t enhancem5t program       
,subp>t ,i ( "p ,d ( title ,,iii ( !    
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bed;b et seq471 z am5d$ by   
section #b1 is fur!r am5d$ by add+ at ! 
end ! foll[+3  #ccj,r4 ,rural heal?     
dep>tm5t enhancem5t program  7a7        
,def9ition ( rural heal? dep>tm5t ,9 ?is
 section1 ! t]m rural heal? dep>tm5t    
means a local public heal? dep>tm5t t is
 locat$ 9 a rural area4  7b7 ,e/abli%m5t
 ,! ,secret>y1 act+ ?r\gh ! ,director ( 
! ,(fice ( ,rural ,heal? ,policy ( !    
,heal? ,res\rces & ,s]vices             
,adm9i/ration1 %all aw>d grants1 on a   
competitive basis1 to rural heal?       
dep>tm5ts t submit an application 9     
accordance ) subsection 7c7 to enhance  
su* dep>tm5ts & enable !m to provide    
individuals 9 rural areas ) em]g5cy     
s]vices1 triage & transport to em]g5cy  
dep>tm5ts1 prim>y c>e s]vices1 & o!r    
s]vices simil> to s]vices provid$ by    
em]g5cy dep>tm5ts4  7c7 ,applications ,a

 rural heal? dep>tm5t seek+ a grant "u  
?is section %all submit an application  
to ! ,secret>y at su* "t1 9 su* mann]1 &
 conta9+ su* in=mation z ! ,secret>y may
 reasonably require1 includ+-- 7#a7 an  
indication ( ! e/imat$ co/ ( ! equipm5t 
& /aff+ ne$$ by ! dep>tm5t = ! fir/ ye> 
( ! aw>d to set up ! activities &       
s]vices "u ?is section2  7#b7 a         
demon/ration t ! dep>tm5t has1 on ! date
 on :i* ! application is submitt$1 a    
facility op]at+ t is locat$ 9 a rural   
area2 &  7#c7 a demon/ration t1 on !    
date on :i* ! application is submitt$1 !
 dep>tm5t-- 7,a7 has a nurs+ /aff &     
m$ical equipm5t2 &  7,b7 agrees to use  
su* /aff & equipm5t t[>ds provid+ !     
s]vices & c>ry+ out ! activities "u ?is 
section4  7d7 ,grants  7#a7 ,annual     
aw>ds ,! funds aw>d$ ?r\gh a grant "u   
?is section to a rural heal? dep>tm5t   
%all be aw>d$ on an annual basis = ea* (
 #e ye>s4  7#b7 ,maximum am\nts ,! funds
 aw>d$ ?r\gh a grant "u ?is section to a
 rural heal? dep>tm5t %all be 9 an am\nt

 t = a ye> does n exce$ #ejj1jjj4  7#c7 
,consid]ations ,! ,secret>y %all det]m9e
 ! am\nt aw>d$ to a rural heal? dep>tm5t
 ?r\gh a grant "u ?is section = a ye> 9 
accordance ) ! foll[+3 7,a7 ,= ! fir/   
ye> ( ! aw>d1 ! am\nt %all be bas$ on ! 
am\nt ! rural heal? dep>tm5t e/imates = 
! co/ ( equipm5t & /aff+ ne$$ to set up 
! activities & s]vices support$ "u ?is  
section1 z specifi$ 9 ! application "u  
subsection 7c74  7,b7 ,= ! second ?r\gh 
fif? ye>s ( ! aw>d1 ! am\nt %all be bas$
 on ! numb] ( pati5ts treat$1 & ! type (
 treatm5t provid$1 by ! dep>tm5t 9 !    
prior ye>4  7e7 ,use ( funds  7#a7 ,9   
g5]al ,a rural heal? dep>tm5t receiv+ a 
grant "u ?is section %all use ! funds   
aw>d$ ?r\gh ! grant to provide ! s]vices
 & c>ry out ! activities describ$ 9     
subsection 7b7 at a facility t is locat$
 9 a rural area1 includ+ by-- 7,a7      
obta9+ additional m$ical equipm5t &     
res\rces necess>y = provid+ ! s]vices & 
activities describ$ 9 subsection 7b71   
su* z laboratories1 x-ray ma*9es1 &     

c>diac monitors2  7,b7 hir+ additional  
provid]s to provide ! s]vices & c>ry out
 ! activities describ$ 9 subsection 7b71
 su* z physician int]ns1 resid5ts1 nurse
 practition]s1 physician assi/ants1 &   
nurse midwives1 :i* hir+ may be ?r\gh a 
p>tn]%ip describ$ 9 p>agraph 7#b77;,a72 
&  7,c7 provid+ outrea* to ! community  
reg>d+ ! s]vices & activities ( ! rural 
heal? dep>tm5t z support$ "u ?is        
section4  7#b7 ,limitations  7,a7       
,p>tn]%ips ,n m ?an #c p]c5t ( ! funds  
aw>d$ ?r\gh a grant "u ?is section = a  
ye> may be us$ t[>ds ! rural heal?      
dep>tm5t ent]+ into a p>tn]%ip ) an     
academic m$ical c5t] to assi/ ) ! hir+  
describ$ 9 p>agraph 7#a77;,b74  7,b7    
,community outrea* ,= ea* ( ! fir/ #b   
ye>s ( a grant aw>d$ "u ?is section1 n m
 ?an #c p]c5t ( ! funds may be us$ by ! 
rural heal? dep>tm5t receiv+ ! grant = !
 outrea* describ$ 9 p>agraph 7#a77;,c74 
7f7 ,au?orization ( appropriations ,!re 
are au?oriz$ to be appropriat$ to c>ry  
out ?is section #be1jjj1jjj = ea* (     

fiscal ye>s #bjbg ?r\gh #bjca4  4