I 118th CONGRESS 1st Session H. R. 5093 IN THE HOUSE OF REPRESENTATIVES July 28, 2023 Mr. Waltz (for himself, Mr. Bacon , and Mr. Rutherford ) introduced the following bill; which was referred to the Committee on Ways and Means A BILL To amend title XVIII of the Social Security Act to preserve sole community hospital determinations made by the Secretary of Health and Human Services, and for other purposes.

1. Short title This Act may be cited as the Patient Accessibility and Access To Community Healthcare Act or the PAATCH Act . 2. Preservation of sole community hospital determinations made by the Secretary of Health and Human Services Section 1886(d)(5)(D)(iii) of the Social Security Act ( 42 U.S.C. 1395ww(d)(5)(D)(iii) ) is amended— (1) in subclause (II), by striking at the end or ; (2) in subclause (III), by striking the period at the end and inserting , or ; and (3) by adding at the end the following new subclause: (IV) for the 5-year period beginning on the date of the enactment of this subclause, that met either of the requirements specified in subclauses (I) through (III) (as in effect on the date of the enactment of this subclause) on or before March 13, 2020. .