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<bill bill-stage="Introduced-in-Senate" dms-id="A1" public-private="public"><metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
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<dc:title>115 S872 IS: Rural Hospital Access Act of 2017</dc:title>
<dc:publisher>U.S. Senate</dc:publisher>
<dc:date>2017-04-06</dc:date>
<dc:format>text/xml</dc:format>
<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
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<distribution-code display="yes">II</distribution-code><congress>115th CONGRESS</congress><session>1st Session</session><legis-num>S. 872</legis-num><current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber><action><action-date date="20170406" legis-day="20170404">April 6 (legislative day, April 4), 2017</action-date><action-desc><sponsor name-id="S153">Mr. Grassley</sponsor> (for himself, <cosponsor name-id="S270">Mr. Schumer</cosponsor>, <cosponsor name-id="S284">Ms. Stabenow</cosponsor>, <cosponsor name-id="S372">Mrs. Capito</cosponsor>, <cosponsor name-id="S312">Mrs. McCaskill</cosponsor>, <cosponsor name-id="S354">Ms. Baldwin</cosponsor>, <cosponsor name-id="S057">Mr. Leahy</cosponsor>, <cosponsor name-id="S330">Mr. Bennet</cosponsor>, <cosponsor name-id="S197">Mr. McCain</cosponsor>, and <cosponsor name-id="S377">Mr. Gardner</cosponsor>) introduced the following bill; which was read twice and referred to the <committee-name committee-id="SSFI00">Committee on Finance</committee-name></action-desc></action><legis-type>A BILL</legis-type><official-title>To amend title XVIII of the Social Security Act to make permanent the extension of the
			 Medicare-dependent hospital (MDH) program and the increased payments under
			 the Medicare low-volume hospital program.</official-title></form>
	<legis-body display-enacting-clause="yes-display-enacting-clause" id="H2FA2B67B143E4CFFA1451740A7A2D5D2" style="OLC">
 <section id="HAC682D40E8534CA1B64A47810C073E7E" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Rural Hospital Access Act of 2017</short-title></quote>.</text> </section><section id="H6E9049BC45F547A29C5C6E3FCE8F98F1"><enum>2.</enum><header>Extension of the Medicare-dependent hospital (MDH) program</header> <subsection id="H9A966832E7CC4C0795A0EDE14584060C"><enum>(a)</enum><header>Extension of payment methodology</header><text>Section 1886(d)(5)(G) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395ww">42 U.S.C. 1395ww(d)(5)(G)</external-xref>) is amended—</text>
 <paragraph id="HE2B80B66CFFD4606B64E039E767E4A5C"><enum>(1)</enum><text display-inline="yes-display-inline">in clause (i), by striking <quote>, and before October 1, 2017</quote>; and</text> </paragraph><paragraph id="HE7B271EF95FF4147BDA083CFAB273EAB"><enum>(2)</enum><text>in clause (ii)(II), by striking <quote>, and before October 1, 2017</quote>.</text>
				</paragraph></subsection><subsection id="HDD6940B06FE641EFA97A5D58AAFE6314"><enum>(b)</enum><header>Conforming amendments</header>
 <paragraph id="H50B20B409C314C338238EEA166B26F6B"><enum>(1)</enum><header>Extension of target amount</header><text>Section 1886(b)(3)(D) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395ww">42 U.S.C. 1395ww(b)(3)(D)</external-xref>) is amended—</text> <subparagraph id="H7FF64D923460493D8314074984F4A9DE"><enum>(A)</enum><text>in the matter preceding clause (i), by striking <quote>, and before October 1, 2017</quote>; and</text>
 </subparagraph><subparagraph id="H237E65DF38504DE5B670216B0BB7CD1E"><enum>(B)</enum><text display-inline="yes-display-inline">in clause (iv), by striking <quote>through fiscal year 2017</quote> and inserting <quote>or a subsequent fiscal year</quote>.</text> </subparagraph></paragraph><paragraph id="H32EB5FDDD9CE46FA81384D9C1FE1673F"><enum>(2)</enum><header>Permitting hospitals to decline reclassification</header><text display-inline="yes-display-inline">Section 13501(e)(2) of the Omnibus Budget Reconciliation Act of 1993 (<external-xref legal-doc="usc" parsable-cite="usc/42/1395ww">42 U.S.C. 1395ww</external-xref> note) is amended by striking <quote>fiscal year 2000 through fiscal year 2017</quote> and inserting <quote>a subsequent fiscal year</quote>.</text>
 </paragraph></subsection></section><section id="H9790B7B605994C9FB91900DFC0811FB8"><enum>3.</enum><header>Extension of the increased payments under the Medicare Low-Volume Hospital Program</header><text display-inline="no-display-inline">Section 1886(d)(12) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395ww">42 U.S.C. 1395ww(d)(12)</external-xref>) is amended—</text> <paragraph id="H5718D7F3F20E4721BAB148489D89885A"><enum>(1)</enum><text display-inline="yes-display-inline">in subparagraph (B)—</text>
 <subparagraph id="idE6EDADAD7A044BC784A96005F9E98BE0"><enum>(A)</enum><text display-inline="yes-display-inline">in the heading, by inserting <quote><header-in-text level="subparagraph" style="OLC">for fiscal years 2005 through 2010</header-in-text></quote> after <quote><header-in-text level="subparagraph" style="OLC">increase</header-in-text></quote>; and</text> </subparagraph><subparagraph id="id1252437560374FD7B02D5AE49725CB64"><enum>(B)</enum><text display-inline="yes-display-inline">in the matter preceding clause (i), by striking <quote>and for discharges occurring in fiscal year 2018 and subsequent fiscal years</quote>;</text>
 </subparagraph></paragraph><paragraph id="HC53344B34DE24A24A189F32B8BA56462"><enum>(2)</enum><text>in subparagraph (C)(i)—</text> <subparagraph id="H1BAAF07AD0B347A4BCDCB3287880503D"><enum>(A)</enum><text>by striking <quote>fiscal years 2011 through 2017</quote> each place it appears and inserting <quote>fiscal year 2011 and each subsequent year</quote>; and</text>
 </subparagraph><subparagraph id="H9A5FD9865CC34EA0B6162087CB25DF41"><enum>(B)</enum><text>by striking <quote>or portion of fiscal year</quote>; and</text> </subparagraph></paragraph><paragraph id="H855CB9932EDC4C4F86C2C66E721549E0"><enum>(3)</enum><text display-inline="yes-display-inline">in subparagraph (D)—</text>
 <subparagraph id="id2BFBCE3C54014A909E8C0CB4CFF8141C"><enum>(A)</enum><text>in the heading, by striking <quote><header-in-text level="subparagraph" style="OLC">Temporary applicable percentage increase</header-in-text></quote> and inserting <quote><header-in-text level="subparagraph" style="OLC">Applicable percentage increase beginning with fiscal year 2011</header-in-text></quote>;</text> </subparagraph><subparagraph id="HC173988C9AD44879A9CE19E126B66720"><enum>(B)</enum><text>by striking <quote>fiscal years 2011 through 2017,</quote> and inserting <quote>fiscal year 2011 and each subsequent fiscal year</quote>; and</text>
 </subparagraph><subparagraph id="HBB3E779D3346491E99D6BC0B1EE52A65"><enum>(C)</enum><text>by striking <quote>or the portion of fiscal year</quote> each place it appears.</text></subparagraph></paragraph></section></legis-body></bill> 

