<?xml version="1.0"?>
<?xml-stylesheet type="text/xsl" href="billres.xsl"?>
<!DOCTYPE bill PUBLIC "-//US Congress//DTDs/bill.dtd//EN" "bill.dtd">
<bill bill-stage="Reported-in-Senate" bill-type="olc" public-print="no" public-private="public" stage-count="1" star-print="no-star-print"><metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
<dublinCore>
<dc:title>114 S607 RS: Rural Community Hospital Demonstration Extension Act of 2015</dc:title>
<dc:publisher>U.S. Senate</dc:publisher>
<dc:date>2015-02-27</dc:date>
<dc:format>text/xml</dc:format>
<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
</dublinCore>
</metadata>
<form display="yes">
<distribution-code display="yes">II</distribution-code><calendar>Calendar No. 181</calendar><congress>114th CONGRESS</congress><session>1st Session</session><legis-num display="yes">S. 607</legis-num><associated-doc role="report">[Report No. 114–102]</associated-doc><current-chamber display="yes">IN THE SENATE OF THE UNITED STATES</current-chamber><action display="yes"><action-date date="20150227">February 27, 2015</action-date><action-desc><sponsor name-id="S153">Mr. Grassley</sponsor> (for himself, <cosponsor name-id="S330">Mr. Bennet</cosponsor>, <cosponsor name-id="S288">Ms. Murkowski</cosponsor>, <cosponsor name-id="S347">Mr. Moran</cosponsor>, <cosponsor name-id="S326">Mr. Udall</cosponsor>, <cosponsor name-id="S383">Mr. Sullivan</cosponsor>, <cosponsor name-id="S303">Mr. Thune</cosponsor>, <cosponsor name-id="S318">Mr. Wicker</cosponsor>, <cosponsor name-id="S260">Mr. Roberts</cosponsor>, <cosponsor name-id="S376">Mrs. Ernst</cosponsor>, <cosponsor name-id="S332">Mr. Franken</cosponsor>, <cosponsor name-id="S136">Mr. Cochran</cosponsor>, <cosponsor name-id="S377">Mr. Gardner</cosponsor>, <cosponsor name-id="S357">Mrs. Fischer</cosponsor>, and <cosponsor name-id="S381">Mr. Rounds</cosponsor>) introduced the following bill; which was read twice and referred to the <committee-name added-display-style="italic" committee-id="SSFI00" deleted-display-style="strikethrough">Committee on Finance</committee-name></action-desc></action><action stage="Reported-in-Senate"><action-date>July 30, 2015</action-date><action-desc>Reported by <sponsor name-id="S118">Mr. Hatch</sponsor>, with an amendment and an amendment to the title</action-desc><action-instruction>Strike out all after the enacting clause and insert the part printed in italic</action-instruction></action><legis-type display="yes">A BILL</legis-type><official-title display="yes">To amend title XVIII of the Social Security Act to provide for a five-year extension of the rural
			 community hospital demonstration program, and for other purposes.</official-title></form>
	<legis-body display-enacting-clause="yes-display-enacting-clause" id="H882523199EDC46A3B2CB9AEA9D63CC45" style="OLC">
 <section changed="deleted" commented="no" committee-id="SSFI00" display-inline="no-display-inline" id="HB357778009BD44498126468937919BFC" reported-display-style="strikethrough" section-type="section-one"><enum>1.</enum><header display-inline="yes-display-inline">Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Rural Community Hospital Demonstration Extension Act of 2015</short-title></quote>.</text> </section><section changed="deleted" commented="no" committee-id="SSFI00" display-inline="no-display-inline" id="HB20DE7FFFAD4472EBF3839C899A40A06" reported-display-style="strikethrough" section-type="subsequent-section"><enum>2.</enum><header display-inline="yes-display-inline">Five-year extension of the rural community hospital demonstration program</header> <subsection commented="no" display-inline="no-display-inline" id="H8F18F2051E034AC6872182BCDDD16790"><enum>(a)</enum><header display-inline="yes-display-inline">Extension</header><text display-inline="yes-display-inline">Section 410A of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (<external-xref legal-doc="public-law" parsable-cite="pl/108/173">Public Law 108–173</external-xref>; <external-xref legal-doc="usc" parsable-cite="usc/42/1395ww">42 U.S.C. 1395ww</external-xref> note), as amended by sections 3123 and 10313 of the Patient Protection and Affordable Care Act (<external-xref legal-doc="public-law" parsable-cite="pl/111/148">Public Law 111–148</external-xref>), is amended—</text>
 <paragraph commented="no" display-inline="no-display-inline" id="HA9FFAC1074D74B8C9D706E52C57D939C"><enum>(1)</enum><text display-inline="yes-display-inline">in subsection (a)(5), by striking <quote>5-year extension period</quote> and inserting <quote>10-year extension period</quote>; and</text> </paragraph><paragraph commented="no" display-inline="no-display-inline" id="H44E3BA8A2F6349AC89682D20C1A8BDE5"><enum>(2)</enum><text display-inline="yes-display-inline">in subsection (g)—</text>
 <subparagraph commented="no" display-inline="no-display-inline" id="H90721F823EF043F0A74E1F18D2285715"><enum>(A)</enum><text display-inline="yes-display-inline">in the subsection heading, by striking <quote><header-in-text level="subsection" style="OLC">Five-Year</header-in-text></quote> and inserting <quote><header-in-text level="subsection" style="OLC">Ten-Year</header-in-text></quote>;</text> </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HBC80F2792A914577842F6EEF65CB8DFC"><enum>(B)</enum><text display-inline="yes-display-inline">in paragraph (1), by striking <quote>additional 5-year</quote> and inserting <quote>additional 10-year</quote>; and</text>
 </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H3FA2EAA2164943D99B56189676AE2223"><enum>(C)</enum><text display-inline="yes-display-inline">by striking <quote>5-year extension period</quote> and inserting <quote>10-year extension period</quote> each place it appears .</text> </subparagraph></paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="HF01865831E714AA7A9E1B6EFF62330D3"><enum>(b)</enum><header display-inline="yes-display-inline">Change in timing for report</header><text display-inline="yes-display-inline">Subsection (e) of such section 410A is amended by striking <quote>Not later than 6 months after the completion</quote> and inserting <quote>Not later than 2 years prior to the completion</quote>.</text></subsection></section></legis-body>
	<legis-body display-enacting-clause="no-display-enacting-clause" style="OLC">
 <section changed="added" commented="no" committee-id="SSFI00" display-inline="no-display-inline" id="idf19ee63a-3228-4806-b6d1-608f982ac701" reported-display-style="italic" section-type="section-one"><enum>1.</enum><header display-inline="yes-display-inline">Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Rural Community Hospital Demonstration Extension Act of 2015</short-title></quote>.</text> </section><section changed="added" commented="no" committee-id="SSFI00" display-inline="no-display-inline" id="id515bcc27-0b15-44f9-b84b-96bcb6060456" reported-display-style="italic" section-type="subsequent-section"><enum>2.</enum><header display-inline="yes-display-inline">Five-year extension of the Medicare rural community hospital demonstration program</header> <subsection commented="no" display-inline="no-display-inline" id="idffebf276-831c-4234-80f4-e365cc1091e4"><enum>(a)</enum><header display-inline="yes-display-inline">Extension</header><text display-inline="yes-display-inline">Section 410A of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (<external-xref legal-doc="public-law" parsable-cite="pl/108/173">Public Law 108–173</external-xref>; <external-xref legal-doc="usc" parsable-cite="usc/42/1395ww">42 U.S.C. 1395ww</external-xref> note), as amended by sections 3123 and 10313 of the Patient Protection and Affordable Care Act (<external-xref legal-doc="public-law" parsable-cite="pl/111/148">Public Law 111–148</external-xref>), is amended—</text>
 <paragraph commented="no" display-inline="no-display-inline" id="id18ee7f4c-1b73-483d-b827-595e3286d80c"><enum>(1)</enum><text display-inline="yes-display-inline">in subsection (a)(5), by striking <quote>5-year extension period</quote> and inserting <quote>10-year extension period</quote>; and</text> </paragraph><paragraph commented="no" display-inline="no-display-inline" id="id34738218-c6bf-4b32-a7f7-87054d8ddad7"><enum>(2)</enum><text display-inline="yes-display-inline">in subsection (g)—</text>
 <subparagraph commented="no" display-inline="no-display-inline" id="id6fbf59f0-605b-45c6-acd8-623ae9cb497a"><enum>(A)</enum><text display-inline="yes-display-inline">in the subsection heading, by striking <quote><header-in-text level="subsection" style="OLC">Five-Year</header-in-text></quote> and inserting <quote><header-in-text level="subsection" style="OLC">Ten-Year</header-in-text></quote>;</text> </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idbe8b2260-430a-4f4b-a2f3-c9ee425d9727"><enum>(B)</enum><text display-inline="yes-display-inline">in paragraph (1), by striking <quote>additional 5-year</quote> and inserting <quote>additional 10-year</quote>;</text>
 </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id380063a1-89d4-4f0f-b4d5-c8bd941c9a2b"><enum>(C)</enum><text display-inline="yes-display-inline">by striking <quote>5-year extension period</quote> and inserting <quote>10-year extension period</quote> each place it appears;</text> </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id6515A1908D33421884F5613E80EF25B0"><enum>(D)</enum><text>in paragraph (3), by adding at the end the following new sentence: <quote>Notwithstanding the preceding sentence, after the date of the enactment of this sentence, only hospitals described in paragraph (4) or (5) may participate in demonstration program under this section.</quote></text>
 </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idDE7437EE67204017874D7B43864D5187"><enum>(E)</enum><text display-inline="yes-display-inline">in paragraph (4)(B)—</text> <clause commented="no" display-inline="no-display-inline" id="id422C6C432716485D849DFE7424524F57"><enum>(i)</enum><text display-inline="yes-display-inline">in the matter preceding clause (i), by inserting <quote>each 5-year period in</quote> after <quote>hospital during</quote>; and</text>
 </clause><clause id="id99c00bf232b0489ba89791d16f0a07b2"><enum>(ii)</enum><text>in clause (i), by inserting <quote>each applicable 5-year period in</quote> after <quote>the first day of</quote>; and</text> </clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idF60ED3251E8B428B9BCB3C7F0B5EE32E"><enum>(F)</enum><text>by adding at the end the following new paragraph:</text>
						<quoted-block changed="added" committee-id="SSFI00" display-inline="no-display-inline" id="id25CFE5F4DC9D4D4395037FF37096F343" reported-display-style="italic" style="OLC">
 <paragraph commented="no" display-inline="no-display-inline" id="idBF02406C44D44CA19A2F30FEA5E922E7"><enum>(5)</enum><header>Other hospitals in demonstration program</header><text>During the second 5 years of the 10-year extension period, the Secretary shall apply the provisions of paragraph (4) to rural community hospitals that are not described in paragraph (4) but are participating in the demonstration program under this section as of December 30, 2014, in a similar manner as such provisions apply to rural community hospitals described in paragraph (4).</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
 </subparagraph></paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="ide94e9914-2e62-4578-9b64-e71c8f0e9994"><enum>(b)</enum><header display-inline="yes-display-inline">Change in timing for report</header><text display-inline="yes-display-inline">Subsection (e) of such section 410A is amended by striking <quote>Not later than 6 months after the completion</quote> and inserting <quote>Not later than August 1, 2018</quote>.</text></subsection></section></legis-body><official-title-amendment>Amend the title so as to read: <quote>A bill to provide for a five-year extension of the Medicare rural community hospital demonstration program.</quote>.</official-title-amendment><endorsement><action-date>July 30, 2015</action-date><action-desc>Reported with an amendment and an amendment to the title</action-desc></endorsement></bill> 

