I 

117TH CONGRESS 

1ST SESSION H. R. 1885 

To amend title XVIII of the Social Security Act to adjust certain rural 

health clinic payments under the Medicare program. 

IN THE HOUSE OF REPRESENTATIVES 

MARCH 12, 2021 

Mr. KIND (for himself, Mr. LAHOOD, Ms. SCHRIER, Mr. GRIFFITH, Mr. 

COSTA, and Mrs. WALORSKI) 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 adjust 

certain rural health clinic payments under the Medicare 

program. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Rural and Underserved 

5 Small Hospital Protection Act of 2021’’ or the ‘‘RUSH 

6 Protection Act of 2021’’. 


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1 SEC. 2. RURAL HEALTH CLINIC PAYMENTS. 

2 (a) IN GENERAL.—Section 1833(f)(3) of the Social 

3 Security Act (42 U.S.C. 1395l(f)(3)) is amended— 

4 (1) in subparagraph (A)— 

5 (A) in clause (i), by striking subclauses (I) 

6 and (II) and inserting the following: 

7 ‘‘(I) with respect to a rural health 

8 clinic that had a per visit payment amount 

9 established for services furnished in 

10 2020— 

11 ‘‘(aa) the per visit payment 

12 amount applicable to such rural 

13 health clinic for rural health clinic 

14 services furnished in 2020, increased 

15 by the percentage increase in the MEI 

16 applicable to primary care services 

17 furnished as of the first day of 2021; 

18 or 

19 ‘‘(bb) the limit described in para20 graph (2)(A); and 

21 ‘‘(II) with respect to a rural health 

22 clinic that did not have a per visit payment 

23 amount established for services furnished 

24 in 2020— 

25 ‘‘(aa) the per visit payment 

26 amount applicable to such rural 


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1 health clinic for rural health clinic 

2 services furnished in 2021; or 

3 ‘‘(bb) the limit described in para4 graph (2)(A); and’’; and 

5 (B) in clause (ii)(I), by striking ‘‘under 

6 clause (i)(I)’’ and inserting ‘‘under subclause 

7 (I) or (II) of clause (i), as applicable,’’; and 

8 (2) in subparagraph (B)— 

9 (A) in the matter preceding clause (i), by 

10 striking ‘‘2019, was’’ and inserting ‘‘2020’’; 

11 (B) in clause (i), by inserting ‘‘was’’ after 

12 ‘‘(i)’’; and 

13 (C) by striking clause (ii) and inserting the 

14 following: 

15 ‘‘(ii)(I) was enrolled under section 1866(j) 

16 (including temporary enrollment during the 

17 emergency period described in section 

18 1135(g)(1)(B) for such period); or 

19 ‘‘(II) submitted an application for enroll20 ment under section 1866(j) (or requested such 

21 a temporary enrollment for such period) that 

22 was received not later than December 31, 

23 2020.’’. 

24 (b) EFFECTIVE DATE.—The amendments made by 

25 this section shall take effect as if included in the enactVerDate Sep 11 2014 23:03 May 12, 2021 Jkt 019200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H1885.IH H1885

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1 ment of the Consolidated Appropriations Act, 2021 (Pub2 lic Law 116–260). 

Æ 


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