as documented in the medical record. . IV Future of rural health care 401. Community outpatient hospital program (a) In general (1) Community outpatient hospital and qualified outpatient services defined Section 1861 of the Social Security Act ( 42 U.S.C. 1395x ) is amended— (A) in the last sentence of subsection (e), by inserting before the period at the end or a community outpatient hospital (as defined in subsection (iii)(1))