IB 
Union Calendar No. 452 
114TH CONGRESS 
2D SESSION 
H. R. 4111 
[Report No. 114–582] 
To include skilled nursing facilities as a type of health care provider under 
section 254(h) of the Communications Act of 1934. 
IN THE HOUSE OF REPRESENTATIVES 
NOVEMBER 19, 2015 
Mr. LANCE (for himself, Mr. CRAMER, and Mr. LOEBSACK) introduced the 
following bill; which was referred to the Committee on Energy and Commerce 
MAY 23, 2016 
Reported with an amendment, committed to the Committee of the Whole 
House on the State of the Union, and ordered to be printed 
[Strike out all after the enacting clause and insert the part printed in italic] 
[For text of introduced bill, see copy of bill as introduced on November 19, 2015] 
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A BILL 
To include skilled nursing facilities as a type of health care 
provider under section 254(h) of the Communications 
Act of 1934. 
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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 Health Care 
Connectivity Act of 2016’’. 
SEC. 2. TELECOMMUNICATIONS SERVICES FOR SKILLED 
NURSING FACILITIES. 
(a) IN GENERAL.—Section 254(h)(7)(B) of the Com-
munications Act of 1934 (47 U.S.C. 254(h)(7)(B)) is 
amended— 
(1) in clause (vi), by striking ‘‘and’’ at the end; 
(2) by redesignating clause (vii) as clause (viii); 
(3) by inserting after clause (vi) the following: 
‘‘(vii) skilled nursing facilities (as de-
fined in section 1819(a) of the Social Secu-
rity Act (42 U.S.C. 1395i–3(a))); and’’; and 
(4) in clause (viii), as redesignated, by striking 
‘‘clauses (i) through (vi)’’ and inserting ‘‘clauses (i) 
through (vii)’’. 
(b) SAVINGS CLAUSE.—Nothing in subsection (a) shall 
be construed to affect the aggregate annual cap on Federal 
universal service support for health care providers under 
section 54.675 of title 47, Code of Federal Regulations, or 
any successor regulation. 
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(c) EFFECTIVE DATE.—The amendments made by sub-
section (a) shall apply beginning on the date that is 180 
days after the date of the enactment of this Act. 
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Union Calendar No. 452 
114TH CONGRESS 
2D SESSION 
H. R. 4111 
[Report No. 114–582] 
A BILL 
To include skilled nursing facilities as a type of 
health care provider under section 254(h) of the 
Communications Act of 1934. 
MAY 23, 2016 
Reported with an amendment, committed to the Com-
mittee of the Whole House on the State of the Union, 
and ordered to be printed 
VerDate Sep 11 2014 
00:40 May 24, 2016
Jkt 059200
PO 00000
Frm 00006
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