IMPROVING RURAL HEALTH CLINIC PAYMENTS.

SEC. 130. IMPROVING RURAL HEALTH CLINIC PAYMENTS. Section 1833(f) of the Social Security Act (42 U.S.C. 1395l(f)) is amended— (1) in paragraph (2)— (A) by inserting “(before April 1, 2021)” after “in a subsequent year”; and (B) by striking “this subsection” and inserting “this paragraph”; (2) by redesignating paragraphs (1) and (2) as subparagraphs (A) and (B), respectively; (3) in the matter preceding subparagraph (A), as redesignated by paragraph (2)— (A) by inserting “(1)” after “(f)”; and (B) by inserting “prior to April 1, 2021” after “services provided”; and (4) by adding at the end the following new paragraphs: “(2) In establishing limits under subsection (a) on payment for rural health clinic services furnished on or after April 1, 2021, by a rural health clinic (other than a rural health clinic described in paragraph (3)(B)), the Secretary shall establish such limit, for services provided— “(A) in 2021, after March 31, at $100 per visit; “(B) in 2022, at $113 per visit; “(C) in 2023, at $126 per visit; “(D) in 2024, at $139 per visit; “(E) in 2025, at $152 per visit; “(F) in 2026, at $165 per visit; “(G) in 2027, at $178 per visit; “(H) in 2028, at $190 per visit; and “(I) in a subsequent year, at the limit established under this paragraph for the previous year increased by the percentage increase in the MEI applicable to primary care services furnished as of the first day of such subsequent year. “(3)(A) In establishing limits under subsection (a) on payment for rural health clinic services furnished on or after April 1, 2021, by a rural health clinic described in subparagraph (B), the Secretary shall establish such limit, with respect to each such rural health clinic, for services provided— “(i) in 2021, after March 31, at an amount equal to the greater of— “(I) the per visit payment amount applicable to such rural health clinic for rural health clinic services furnished in 2020, increased by the percentage increase in the MEI applicable to primary care services furnished as of the first day of 2021; or “(II) the limit described in paragraph (2)(A); and “(ii) in a subsequent year, at an amount equal to the greater of— “(I) the amount established under clause (i)(I) or this subclause for the previous year with respect to such rural health clinic, increased by the percentage increase in the MEI applicable to primary care services furnished as of the first day of such subsequent year; or “(II) the limit established under paragraph (2) for such subsequent year. “(B) A rural health clinic described in this subparagraph is a rural health clinic that, as of December 31, 2019, was— “(i) in a hospital with less than 50 beds; and “(ii) enrolled under section 1866(j).” .