1. Short title; table of contents (a) Short title This Act may be cited as the HEARTS and Rural Relief Act . (b) Table of contents The table of contents for this Act is as follows: Sec. 1. Short title; table of contents. Sec. 2. Health Equity and Access for Returning Troops and Servicemembers and Rural Relief Act of 2019. Sec. 3. Ambulatory surgical center payment transparency. Sec. 4. Exclusion of complex rehabilitative manual wheelchairs from Medicare competitive acquisition program; non-application of Medicare fee schedule adjustments for certain wheelchair accessories and cushions. Sec. 5. Extension of enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2021. 2. Health Equity and Access for Returning Troops and Servicemembers and Rural Relief Act of 2019 (a) Modification of requirement for certain former members of the Armed Forces To enroll in Medicare Part B To be eligible for TRICARE for Life (1) TRICARE eligibility (A) In general Subsection (d) of section 1086 of title 10, United States Code, is amended by adding at the end the following new paragraph: (6) (A) The requirement in paragraph (2)(A) to enroll in the supplementary medical insurance program under part B of title XVIII of the Social Security Act ( 42 U.S.C. 1395j et seq.) shall not apply to a person described in subparagraph (B) during any month in which such person is not entitled to a benefit described in subparagraph (A) of section 226(b)(2) of the Social Security Act ( 42 U.S.C. 426(b)(2) ) if such person has received the counseling and information under subparagraph (C). (B) A person described in this subparagraph is a person— (i) who is under 65 years of age; (ii) who is entitled to hospital insurance benefits under part A of title XVIII of the Social Security Act pursuant to subparagraph (A) or (C) of section 226(b)(2) of such Act ( 42 U.S.C. 426(b)(2) )