117 
from the left margin and inserting ‘‘(i) IN
GEN-
ERAL.—’’ before ‘‘A telecommunications’’; 
(2) by inserting ‘‘deployment of reasonable infra-
structure and’’ after ‘‘including’’ in the first sentence 
of paragraph (1)(A)(i), as designated by paragraph 
(1) of this subsection; 
(3) by striking ‘‘service.’’ in paragraph (1)(A)(i), 
as designated by paragraph (1) of this subsection, and 
inserting ‘‘service, and to receive reimbursement 
promptly of any amount in excess of such obligations 
to participate in universal service mechanisms.’’; 
(4) by adding at the end of paragraph (1)(A) the 
following: 
‘‘(ii) LIMITATION.—The discount re-
quired under clause (i) shall be available 
only to a public or nonprofit health care 
provider located in a rural area. 
‘‘(iii) DEFINITION.—For purposes of 
this subparagraph, the term ‘rural area’ 
means— 
‘‘(I) any incorporated or unincor-
porated area in the United States, or 
in the territories or insular possessions 
of the United States that has not more 
than 20,000 inhabitants based on the 
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bajohnson on PROD1PC77 with BILLS
118 
most recent available population statis-
tics published in the most recent decen-
nial census issued by the Census Bu-
reau; 
‘‘(II) any area located outside the 
boundaries of any incorporated or un-
incorporated city, county, or borough 
that has more than 20,000 inhabitants 
based on the most recent available pop-
ulation statistics published in the most 
recent decennial census issued by the 
Census Bureau; or 
‘‘(III) any area that qualified as 
a rural area under the rules of the 
Commission in effect on December 1, 
2004.’’; 
(5) by striking ‘‘and’’ in paragraph (7)(B)(vi); 
and 
(6) by striking paragraph (7)(B)(vii) and insert-
ing the following: 
‘‘(vii) not-for-profit nursing homes or 
skilled nursing facilities; 
‘‘(viii) critical access hospitals; 
‘‘(ix) emergency medical services facili-
ties; 
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119 
‘‘(x) hospice providers; 
‘‘(xi) rural dialysis facilities; 
‘‘(xii) tribal health clinics; 
‘‘(xiii) not-for-profit dental offices; 
‘‘(xiv) school health clinics; 
‘‘(xv) residential treatment facilities; 
‘‘(xvi) rural pharmacies; 
‘‘(xvii) consortia of health care pro-
viders consisting of 1 or more entities de-
scribed in clauses (i) through (xv); and 
‘‘(xviii) any other entity the Commis-
sion determines— 
‘‘(I) eligible to receive discounted 
telecommunications 
service 
under 
paragraph (1)(A); and 
‘‘(II) 
essential 
to 
the 
public 
health.’’. 
(b) SCHOOLS, LIBRARIES, RURAL HEALTH CARE, 
LIFE-LINE, LINK-UP, AND TOLL LIMITATION HOLD HARM-
LESS.—Except as provided in subsections (h)(1)(A), 
(h)(7)(B), and (h)(7)(J) of section 254 of the Communica-
tions Act of 1934 (47 U.S.C. 254), as amended by subsection 
(a)— 
(1) nothing in this Act (or the amendments 
made by this Act) shall be construed as limiting, 
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