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<bill bill-stage="Introduced-in-House" dms-id="H91005332503146A7ACDB023F0824927E" public-private="public" key="H" bill-type="olc"><metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
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<dc:title>116 HR 1885 IH: Rural and Underserved Small Hospital Protection Act of 2021</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2021-03-12</dc:date>
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<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">I</distribution-code><congress display="yes">117th CONGRESS</congress><session display="yes">1st Session</session><legis-num display="yes">H. R. 1885</legis-num><current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber><action display="yes"><action-date date="20210312">March 12, 2021</action-date><action-desc><sponsor name-id="K000188">Mr. Kind</sponsor> (for himself, <cosponsor name-id="L000585">Mr. LaHood</cosponsor>, <cosponsor name-id="S001216">Ms. Schrier</cosponsor>, <cosponsor name-id="G000568">Mr. Griffith</cosponsor>, <cosponsor name-id="C001059">Mr. Costa</cosponsor>, and <cosponsor name-id="W000813">Mrs. Walorski</cosponsor>) introduced the following bill; which was referred to the <committee-name committee-id="HIF00">Committee on Energy and Commerce</committee-name>, and in addition to the Committee on <committee-name committee-id="HWM00">Ways and Means</committee-name>, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned</action-desc></action><legis-type>A BILL</legis-type><official-title display="yes">To amend title XVIII of the Social Security Act to adjust certain rural health clinic payments under the Medicare program.</official-title></form><legis-body id="H46AE4F89DB564CB3A1C07EC84C374C11" style="OLC"><section id="H74011F12D38644D88668BB478A3249B0" 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 and Underserved Small Hospital Protection Act of 2021</short-title></quote> or the <quote><short-title>RUSH Protection Act of 2021</short-title></quote>. </text></section><section id="H00B59CCE1DC242C8987F36EDDCB5D248" section-type="subsequent-section"><enum>2.</enum><header>Rural health clinic payments</header><subsection id="HB243418642CD4663A2A18703F96BAA24"><enum>(a)</enum><header>In general</header><text>Section 1833(f)(3) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395l">42 U.S.C. 1395l(f)(3)</external-xref>) is amended—</text><paragraph id="H210B35E7D25E4DCA92F21802900C9D28"><enum>(1)</enum><text>in subparagraph (A)—</text><subparagraph id="H48FAC318BB624E49963E62FB438DD9BB"><enum>(A)</enum><text>in clause (i), by striking subclauses (I) and (II) and inserting the following:</text><quoted-block id="H12E0DA2F71E3481B81A184BA509BDA81" style="OLC"><subclause id="H4D74498CCC174B1D9DB8164000F425DE" indent="up1"><enum>(I)</enum><text>with respect to a rural health clinic that had a per visit payment amount established for services furnished in 2020—</text><item id="H0F667FA14CA0453AB1364CE70176423D"><enum>(aa)</enum><text>the per visit payment amount applicable to such rural health clinic for rural health clinic services furnished in 2020, increased by the percentage increase in the MEI applicable to primary care services furnished as of the first day of 2021; or</text></item><item id="H7803EBE13D044B7C8A65FA2305CF5D1E"><enum>(bb)</enum><text>the limit described in paragraph (2)(A); and</text></item></subclause><subclause id="HE7494E13E87040CE96BD7DE7CC8AEA27" indent="up1"><enum>(II)</enum><text>with respect to a rural health clinic that did not have a per visit payment amount established for services furnished in 2020—</text><item id="H5A1111024AD64E11994AC9E1A1366CE2"><enum>(aa)</enum><text>the per visit payment amount applicable to such rural health clinic for rural health clinic services furnished in 2021; or</text></item><item id="HF305B696D03F4657842F87F7680CB285"><enum>(bb)</enum><text>the limit described in paragraph (2)(A); and</text></item></subclause><after-quoted-block>; and</after-quoted-block></quoted-block></subparagraph><subparagraph id="HCFF4D5A1016F47089D3B9EB8E23D7690"><enum>(B)</enum><text>in clause (ii)(I), by striking <quote>under clause (i)(I)</quote> and inserting <quote>under subclause (I) or (II) of clause (i), as applicable,</quote>; and</text></subparagraph></paragraph><paragraph id="H177B33C6A29E4F25A86E7C01591990ED"><enum>(2)</enum><text>in subparagraph (B)—</text><subparagraph id="HE370B917DAD742DEB3AF05071237B285"><enum>(A)</enum><text>in the matter preceding clause (i), by striking <quote>2019, was</quote> and inserting <quote>2020</quote>;</text></subparagraph><subparagraph id="HF6253655C0384A14BA9C0DA7913FC09E"><enum>(B)</enum><text>in clause (i), by inserting <quote>was</quote> after <quote>(i)</quote>; and</text></subparagraph><subparagraph id="H2A871B384C16431EB44C672CBA58A205"><enum>(C)</enum><text>by striking clause (ii) and inserting the following:</text><quoted-block id="H755A4C620107437DAAD8979D6E2F8E5C" style="OLC"><clause id="H9F9E2E968C8A42F9B92450DE8FA7A70C" indent="up1"><enum>(ii)</enum><subclause commented="no" display-inline="yes-display-inline" id="H8ADA09E1F7D4443890C564AEDBCA2754"><enum>(I)</enum><text>was enrolled under section 1866(j) (including temporary enrollment during the emergency period described in section 1135(g)(1)(B) for such period); or</text></subclause><subclause id="HC768613D14DC46C9A77411780E1F9D43" indent="up1"><enum>(II)</enum><text>submitted an application for enrollment under section 1866(j) (or requested such a temporary enrollment for such period) that was received not later than December 31, 2020.</text></subclause></clause><after-quoted-block>.</after-quoted-block></quoted-block></subparagraph></paragraph></subsection><subsection id="H096AD716F921436CB684BD1DF6C62B53"><enum>(b)</enum><header>Effective date</header><text>The amendments made by this section shall take effect as if included in the enactment of the Consolidated Appropriations Act, 2021 (<external-xref legal-doc="public-law" parsable-cite="pl/116/260">Public Law 116–260</external-xref>).</text></subsection></section></legis-body></bill> 

