II 118th CONGRESS 2d Session S. 4101 IN THE SENATE OF THE UNITED STATES April 10, 2024 Mr. Manchin (for himself, Mrs. Capito , Mr. Tester , and Mr. Barrasso ) 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 provide for the continued designation of hospitals that met mountainous terrain or secondary roads distance requirement as critical access hospitals and to modify distance requirements for ambulance services furnished by critical access hospitals.