To provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2021.

I 116TH CONGRESS 1ST SESSION H. R. 3431 To provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2021. IN THE HOUSE OF REPRESENTATIVES JUNE 24, 2019 Mrs. AXNE (for herself and Mr. SMITH of Nebraska) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be sub- sequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned A BILL To provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2021. Be it enacted by the Senate and House of Representa- 1 tives of the United States of America in Congress assembled, 2 VerDate Sep 11 2014 04:42 Jun 28, 2019 Jkt 089200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H3431.IH H3431 kjohnson on DSK79L0C42 with BILLS 2 •HR 3431 IH SECTION 1. EXTENSION OF ENFORCEMENT INSTRUCTION 1 ON SUPERVISION REQUIREMENTS FOR OUT- 2 PATIENT THERAPEUTIC SERVICES IN CRIT- 3 ICAL ACCESS AND SMALL RURAL HOSPITALS 4 THROUGH 2021. 5 Section 1 of Public Law 113–198, as amended by sec- 6 tion 1 of Public Law 114–112, section 16004 of Public 7 Law 114–255, and section 51007 of Public Law 115–123, 8 is amended— 9 (1) in the section heading, by striking ‘‘2017’’ 10 and inserting ‘‘2021’’; and 11 (2) by striking ‘‘and 2017’’ and inserting ‘‘, 12 2017, 2020, and 2021’’. 13 Æ VerDate Sep 11 2014 04:42 Jun 28, 2019 Jkt 089200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6301 E:\BILLS\H3431.IH H3431 kjohnson on DSK79L0C42 with BILLS