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[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 9001 Introduced in House (IH)]

<DOC>

118th CONGRESS
  2d Session
                                H. R. 9001

   To amend title XVIII of the Social Security Act to revise certain 
    physician self-referral exemptions relating to physician-owned 
                               hospitals.

_______________________________________________________________________

                    IN THE HOUSE OF REPRESENTATIVES

                             July 11, 2024

 Mr. Burgess (for himself, Mr. Cardenas, Mr. Griffith, and Mr. Vicente 
Gonzalez of Texas) 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 subsequently determined by the 
  Speaker, in each case for consideration of such provisions as fall 
           within the jurisdiction of the committee concerned

_______________________________________________________________________

                                 A BILL

 
   To amend title XVIII of the Social Security Act to revise certain 
    physician self-referral exemptions relating to physician-owned 
                               hospitals.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Physician Led and Rural Access to 
Quality Care Act''.

SEC. 2. REVISING CERTAIN PHYSICIAN SELF-REFERRAL EXEMPTIONS RELATING TO 
              PHYSICIAN-OWNED HOSPITALS.

    (a) In General.--Section 1877 of the Social Security Act (42 U.S.C. 
1395nn) is amended--
            (1) in subsection (d)--
                    (A) in paragraph (2)(C), by inserting ``(other than 
                a covered rural hospital (as defined in subsection 
                (h)))'' after ``a hospital''; and
                    (B) in paragraph (3)(D), by inserting ``in the case 
                of a hospital other than a covered rural hospital (as 
                defined in subsection (h)),'' before ``the hospital''; 
                and
            (2) in subsection (h), by adding at the end the following 
        new paragraph:
            ``(8) Covered rural hospital.--The term `covered rural 
        hospital' means a hospital that--
                    ``(A) is located in a rural area (as defined in 
                section 1886(d)(2)(D)); and
                    ``(B) as of the date that such hospital enrolls 
                under this title, is located more than a 35-mile drive 
                (or, in the case of mountainous terrain or in areas 
                with only secondary roads available, a 15-mile drive) 
                from a hospital or a critical access hospital.''.
    (b) Allowing for Expansion of Existing Physician-Owned Hospitals.--
Section 1877(i) of the Social Security Act (42 U.S.C. 1395nn(i)) is 
amended--
            (1) in paragraph (1)(B), by striking ``in paragraph (3)'' 
        and inserting ``in paragraph (3) or (7)''; and
            (2) by adding at the end the following new paragraph:
            ``(7) Sunset of expansion prohibition.--The requirement 
        described in paragraph (1)(B) shall not apply beginning on the 
        date of the enactment of this paragraph.''.
                                 <all>
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