; and (B) by striking or practitioner and inserting , practitioner, or rural health clinic ; (2) in paragraph (2)(A)— (A) by striking or practitioner and inserting practitioner, or rural health clinic ; and (B) by striking such physician or practitioner and inserting such physician, practitioner, or rural health clinic ; and (3) in paragraph (4)(A), by striking or practitioner and inserting practitioner, or rural health clinic . (b) Effective date The amendments made by this section shall apply to services furnished on or after the date of the enactment of this Act. 6. Including facilities located in certain areas (a) In general Section 1861(aa) of the Social Security Act ( 42 U.S.C. 1395x(aa) ) is amended, in the first sentence of the flush matter following paragraph (2), by inserting or in an area that has been designated by the chief executive officer of the State and certified by the Secretary as rural after Census) . (b) Effective date The amendment made by this section shall take effect on the date of the enactment of this Act. 7. Increasing reimbursement for rural health clinics Section 1833(f) of the Social Security Act ( 42 U.S.C. 1395l(f) ) is amended— (1) in paragraph (1), by striking , and at the end and inserting a semicolon; (2) in paragraph (2)— (A) by inserting (before 2020) after in a subsequent year ; and (B) by striking the period at the end and inserting a semicolon; and (3) by adding at the end the following new paragraphs: (3) in 2020, at $105 per visit; (4) in 2021, at $110 per visit; (5) in 2022, at $115 per visit; and (6) in a subsequent year, at the limit established under this subsection for the previous year increased by the percentage increase in the MEI (as so defined) applicable to primary care services (as so defined) furnished as of the first day of that year. .