Sens. John Thune (R-SD), Maria Cantwell (D-WA), Jerry Moran (R-KS) and Jon Tester (D-MT) have introduced S. 1461, bipartisan legislation to extend through calendar year 2015 the enforcement delay on direct supervision requirements for outpatient therapeutic services provided in critical access hospitals and rural prospective payment system hospitals with 100 or fewer beds. Since S. 1461 applies only to CY 2015, AHA continues to urge Congress to also enact the AHA-supported Protecting Access to Rural Therapy Services Act (S. 257/H.R. 1611), which would adopt a default standard of “general supervision” for outpatient therapeutic services, among other provisions.