II 118th CONGRESS 1st Session S. 3091 IN THE SENATE OF THE UNITED STATES October 19, 2023 Ms. Murkowski (for herself and Mr. Sullivan ) introduced the following bill; which was read twice and referred to the Committee on Finance A BILL To amend title XVIII of the Social Security Act to permit certain clinics to qualify as a rural emergency hospital under the Medicare program.

1. Short title This Act may be cited as the Rural Inclusion Act . 2. Permitting certain clinics to qualify as a Medicare rural emergency hospital (a) In general Section 1861(kkk) of the Social Security Act ( 42 U.S.C. 1395x(kkk) ) is amended— (1) in paragraph (3)— (A) in subparagraph (A), by striking or at the end; (B) in subparagraph (B), by striking the period at the end and inserting ; or ; and (C) by adding at the end the following new subparagraph: (C) was a Federally qualified health center (as defined in subsection (aa)(4)) that formerly participated in the frontier extended stay clinic demonstration under section 434 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003. ; and (2) in subparagraph (4)(B)(i), by inserting or, in the case of a facility described in paragraph (3)(C), as a Federally qualified health center, after 1886(d)(1)(B)), . (b) Effective date The amendments made by this section shall take effect on the date of enactment of this Act.