,,ii  #aaith ,,congress  #ast ,session  
,s4 #eeb  ,,in ,,the ,,senate ,,of ,,the
 ,,united ,,states  ,february #ab1      
#bjbe,mr4 ,sullivan 7for himself and    
,mr4 ,schatz7 introduced the following  
bill2 which was read twice and referred 
to the ,committee on ,finance  ,a ,,bill
  ,to amend title ,,xviii of the ,social
 ,security ,act to provide for the      
treatment of critical access hospital   
services furnished by a critical access 
hospital located in a noncontiguous     
,state4  #a4 ,short title ,this ,act may
 be cited as the ,comprehensive         
,reimbursement ,initiative ,targeting   
,investment and ,care in rural          
,locations or the ,,critical ,act4  #b4 
,treatment of critical access hospitals 
located in a noncontiguous ,state  7a7  
,inpatient critical access hospital     
services ,section #ahad7l77#a7 of the   
,social ,security ,act 7#db ,u4,s4,c4   
#acie;f7l77#a77 is amended by inserting 
7or1 in the case of inpatient critical  
access hospital services furnished on or

 after ,january #a1 #bjbf1 by a critical
 access hospital that is located in a   
noncontiguous ,state1 #aje percent7     
after #aja percent4  7b7 ,outpatient    
critical access hospital services       
,section #ahcd7;g77#a7 of the ,social   
,security ,act 7#db ,u4,s4,c4           
#aciem7g77#a77 is amended by inserting  
7or1 in the case of outpatient critical 
access hospital services furnished on or
 after ,january #a1 #bjbf1 by a critical
 access hospital that is located in a   
noncontiguous ,state1 #aje percent7     
after #aja percent4  7c7 ,ambulance     
services ,section #ahcd7l77#h7 of the   
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7l77#h77 is amended by inserting  
7or1 in the case of ambulance services  
furnished on or after ,january #a1      
#bjbf1 by a critical access hospital    
that is located in a noncontiguous      
,state or by an entity that is owned and
 operated by a critical access hospital 
that is located in a noncontiguous      
,state1 #aje percent7 after #aja        

percent4  7d7 ,skilled nursing facility 
services ,section #ahhc7;a77#c7 of the  
,social ,security ,act 7#db ,u4,s4,c4   
#aciett7a77#c77 is amended by inserting 
7or1 in the case of covered skilled     
nursing facility services furnished on  
or after ,january #a1 #bjbf1 under an   
agreement under this section by a       
critical access hospital that is located
 in a noncontiguous ,state1 #aje        
percent7 after #aja percent4