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116TH CONGRESS
1ST SESSION H. R. 2990
To amend title XVIII of the Social Security Act to permit States to designate
without any mileage limitations facilities that are located in rural areas
as critical access hospitals, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
MAY 23, 2019
Mr. GREEN of Tennessee (for himself and Mr. THOMPSON of Mississippi) in-
troduced the following bill; which was referred to the Committee on Ways
and Means
A BILL
To amend title XVIII of the Social Security Act to permit
States to designate without any mileage limitations facili-
ties that are located in rural areas as critical access
hospitals, and for other purposes.
Be it enacted by the Senate and House of Representa-
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tives of the United States of America in Congress assembled,
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SECTION 1. SHORT TITLE.
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This Act may be cited as the ‘‘Rural Health Care
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Access Act of 2019’’.
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•HR 2990 IH
SEC. 2. MEDICARE RURAL HOSPITAL FLEXIBILITY PRO-
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GRAM.
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(a) IN GENERAL.—Section 1820 of the Social Secu-
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rity Act (42 U.S.C. 1395i–4) is amended—
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(1) in subsection (c)(2)(B)(i)—
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(A) by striking ‘‘, and that—’’ and insert-
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ing a semicolon; and
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(B) by striking subclauses (I) and (II);
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and
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(2) in subsection (h)(3), by inserting ‘‘made be-
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fore the date of the enactment of the Rural Health
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Care Access Act of 2019’’ after ‘‘any redesignation’’.
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(b) EFFECTIVE DATE.—The amendment made by
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subsection (a)(1) shall apply with respect to any designa-
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tion or redesignation made on or after the date of the en-
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actment of this Act.
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