II 

117TH CONGRESS 

1ST SESSION S. 935 

To amend title XVIII of the Social Security Act to make technical corrections 

to rural health clinic payments. 

IN THE SENATE OF THE UNITED STATES 

MARCH 23, 2021 

Mr. GRASSLEY (for himself, Ms. SMITH, Mr. BARRASSO, Ms. ERNST, and Mrs. 

CAPITO) introduced the following bill; which was read twice and referred 

to the Committee on Finance 

A BILL 

To amend title XVIII of the Social Security Act to make 

technical corrections to rural health clinic payments. 

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 Health Clinic 

5 Protection Act’’. 

6 SEC. 2. RURAL HEALTH CLINIC PAYMENTS. 

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

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

9 (1) in subparagraph (A)— 


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

2 and (II) and inserting the following: 

3 ‘‘(I) with respect to a rural 

4 health clinic that had a per visit pay5 ment amount established for services 

6 furnished in 2020— 

7 ‘‘(aa) the per visit payment 

8 amount applicable to such rural 

9 health clinic for rural health clin10 ic services furnished in 2020, in11 creased by the percentage in12 crease in the MEI applicable to 

13 primary care services furnished 

14 as of the first day of 2021; or 

15 ‘‘(bb) the limit described in 

16 paragraph (2)(A); and 

17 ‘‘(II) with respect to a rural 

18 health clinic that did not have a per 

19 visit payment amount established for 

20 services furnished in 2020— 

21 ‘‘(aa) the per visit payment 

22 amount applicable to such rural 

23 health clinic for rural health clin24 ic services furnished in 2021; or 


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1 ‘‘(bb) the limit described in 

2 paragraph (2)(A); and’’; and 

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

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

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

6 (2) by striking subparagraph (B) and inserting 

7 the following: 

8 ‘‘(B) A rural health clinic described in this subpara9 graph is a rural health clinic that— 

10 ‘‘(i) as of December 31, 2020, was in a hospital 

11 with less than 50 beds and after such date such hos12 pital continues to have less than 50 beds (not taking 

13 into account any increase in the number of beds pur14 suant to a waiver under subsection (b)(1)(A) of sec15 tion 1135 during the emergency period described in 

16 subsection (g)(1)(B) of such section); and 

17 ‘‘(ii)(I) as of December 31, 2020, was enrolled 

18 under section 1866(j) (including temporary enroll19 ment during such emergency period for such emer20 gency period); or 

21 ‘‘(II) submitted an application for enrollment 

22 under section 1866(j) (or a request for such a tem23 porary enrollment for such emergency period) that 

24 was received not later than December 31, 2020.’’. 


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

2 this section shall take effect as if included in the enact3 ment of the Consolidated Appropriations Act, 2021 (Pub4 lic Law 116–260). 

Æ 


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