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 re-
ferred to the Committee on Energy and Commerce, and in addition to 
the Committee on Ways and Means, for a period to be subsequently de-
termined 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. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Rural and Underserved 
Small Hospital Protection Act of 2021’’ or the ‘‘RUSH 
Protection Act of 2021’’. 
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SEC. 2. RURAL HEALTH CLINIC PAYMENTS. 
(a) IN GENERAL.—Section 1833(f)(3) of the Social 
Security Act (42 U.S.C. 1395l(f)(3)) is amended— 
(1) in subparagraph (A)— 
(A) in clause (i), by striking subclauses (I) 
and (II) and inserting the following: 
‘‘(I) with respect to a rural health 
clinic that had a per visit payment amount 
established 
for 
services 
furnished 
in 
2020— 
‘‘(aa) 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 
‘‘(bb) the limit described in para-
graph (2)(A); and 
‘‘(II) with respect to a rural health 
clinic that did not have a per visit payment 
amount established for services furnished 
in 2020— 
‘‘(aa) the per visit payment 
amount applicable to such rural 
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health clinic for rural health clinic 
services furnished in 2021; or 
‘‘(bb) the limit described in para-
graph (2)(A); and’’; and 
(B) in clause (ii)(I), by striking ‘‘under 
clause (i)(I)’’ and inserting ‘‘under subclause 
(I) or (II) of clause (i), as applicable,’’; and 
(2) in subparagraph (B)— 
(A) in the matter preceding clause (i), by 
striking ‘‘2019, was’’ and inserting ‘‘2020’’; 
(B) in clause (i), by inserting ‘‘was’’ after 
‘‘(i)’’; and 
(C) by striking clause (ii) and inserting the 
following: 
‘‘(ii)(I) was enrolled under section 1866(j) 
(including temporary enrollment during the 
emergency 
period 
described 
in 
section 
1135(g)(1)(B) for such period); or 
‘‘(II) submitted an application for enroll-
ment under section 1866(j) (or requested such 
a temporary enrollment for such period) that 
was received not later than December 31, 
2020.’’. 
(b) EFFECTIVE DATE.—The amendments made by 
this section shall take effect as if included in the enact-
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ment of the Consolidated Appropriations Act, 2021 (Pub-
lic Law 116–260). 
Æ 
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