<?xml version="1.0" encoding="UTF-8" standalone="no"?><?xml-stylesheet type="text/css" href="uslm.css"?><statuteCompilation xmlns="http://schemas.gpo.gov/xml/uslm" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:gpo="http://www.gpo.gov/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" style="-uslm-dtd:statute" xml:lang="en" xsi:schemaLocation="http://schemas.gpo.gov/xml/uslm https://www.govinfo.gov/schemas/xml/uslm/uslm-2.0.10.xsd">
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        <dc:title>Public Law 117-7</dc:title>
        <citableAs>Public Law 117–7</citableAs>
        <citableAsShortTitle>Public Law 117-7</citableAsShortTitle>
        <docNumber>7</docNumber>
        <currentThroughPublicLaw>117–7</currentThroughPublicLaw>
        <dc:type>Statute Compilation</dc:type>
        <dc:creator>United States House of Representatives</dc:creator>
        <dc:creator>Office of the Legislative Counsel</dc:creator>
        <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>
        <processedBy>GPO Statute Compilations USLM converter, version 20210527.1</processedBy>
        <processedDate>2022-01-30</processedDate>
        <containsShortTitle>Public Law 117-7</containsShortTitle>
        <property role="fileId">16354</property>
        <congress>117</congress>
        <approvedDate>2021-04-14</approvedDate>
    </meta>
    <preface style="-uslm-dtd:compilation-act-form">
        <property role="compShortTitle" style="-uslm-dtd:comp-short-title">Public Law 117-7</property>
        <citationNote style="-uslm-dtd:public-law">[(<citableAs>Public Law 117–7</citableAs>)]</citationNote>
        <editionNote style="-uslm-dtd:updated-through-note">[This law has not been amended]</editionNote>
        <explanationNote style="-uslm-dtd:explanatory-note"><b>[</b>Currency: This publication is a compilation of the text of Public Law 117–7. It was last amended by the public law listed in the As Amended Through note above and below at the bottom of each page of the pdf version and reflects current law through the date of the enactment of the public law listed at https://www.govinfo.gov/app/collection/comps/<b>]</b></explanationNote>
        <explanationNote style="-uslm-dtd:explanatory-note"><b>[</b>Note: While this publication does  not represent an official version of any Federal statute, substantial efforts have been made to ensure the accuracy of its contents. The official version of Federal law is found in the United States Statutes at Large and in the United States Code. The legal effect to be given to the Statutes at Large and the United States Code is established by statute (1 U.S.C. 112, 204).<b>]</b></explanationNote>
    </preface>
    <main style="-uslm-dtd:legis-body"><longTitle><docTitle style="-uslm-dtd:legis-type">AN ACT</docTitle><officialTitle style="-uslm-dtd:official-title">To prevent across-the-board direct spending cuts, and for other purposes.</officialTitle></longTitle><enactingFormula style="-uslm-dtd:enacting-clause">Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,</enactingFormula>
        <section identifier="/us/sComp/117/7/s1" style="-uslm-dtd:section" styleType="OLC">
            <num style="-uslm-dtd:enum" value="1">SECTION 1. </num><heading style="-uslm-dtd:header">EXTENSION OF TEMPORARY SUSPENSION OF MEDICARE SEQUESTRATION. </heading>
            <subsection identifier="/us/sComp/117/7/s1/a" style="-uslm-dtd:subsection" styleType="OLC">
                <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Extension.—</heading>
                <paragraph identifier="/us/sComp/117/7/s1/a/1" style="-uslm-dtd:paragraph" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">Section 3709(a) of division A of the CARES Act (2 U.S.C. 901a note) is amended by striking “<quotedText style="-uslm-dtd:quote">March 31, 2021</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">December 31, 2021</quotedText>”. </content>
                </paragraph>
                <paragraph identifier="/us/sComp/117/7/s1/a/2" style="-uslm-dtd:paragraph" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="2">(2) </num><editorialNote role="uscRef" style="-uslm-dtd:usc-reference"><b>[</b><ref href="/us/usc/t2/s901a">2 U.S.C. 901a note</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">Effective date.—</heading><content style="-uslm-dtd:text">The amendment made by paragraph (1) shall take effect as if enacted as part of the CARES Act (Public Law 116-136). </content>
                </paragraph>
            </subsection>
            <subsection identifier="/us/sComp/117/7/s1/b" style="-uslm-dtd:subsection" styleType="OLC">
                <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Offset.—</heading><chapeau style="-uslm-dtd:text">Section 251A(6)(C) of the Balanced Budget and Emergency Deficit Control Act of 1985 (2 U.S.C. 901a(6)(C)) is amended— </chapeau>
                <paragraph identifier="/us/sComp/117/7/s1/b/1" style="-uslm-dtd:paragraph" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">in clause (i)— </chapeau>
                    <subparagraph identifier="/us/sComp/117/7/s1/b/1/A" style="-uslm-dtd:subparagraph" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">first 6 months</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">first 5 ½ months</quotedText>”; </content>
                    </subparagraph>
                    <subparagraph identifier="/us/sComp/117/7/s1/b/1/B" style="-uslm-dtd:subparagraph" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">4.0 percent</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">2.0 percent</quotedText>”; and </content>
                    </subparagraph>
                    <subparagraph identifier="/us/sComp/117/7/s1/b/1/C" style="-uslm-dtd:subparagraph" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">and</quotedText>” at the end; </content>
                    </subparagraph>
                </paragraph>
                <paragraph identifier="/us/sComp/117/7/s1/b/2" style="-uslm-dtd:paragraph" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">in clause (ii)— </chapeau>
                    <subparagraph identifier="/us/sComp/117/7/s1/b/2/A" style="-uslm-dtd:subparagraph" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">second 6 months</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">6-month period beginning on the day after the last day of the period described in clause (i)</quotedText>”; and </content>
                    </subparagraph>
                    <subparagraph identifier="/us/sComp/117/7/s1/b/2/B" style="-uslm-dtd:subparagraph" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">0.0 percent.</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">4.0 percent; and</quotedText>”; and </content>
                    </subparagraph>
                </paragraph>
                <paragraph identifier="/us/sComp/117/7/s1/b/3" style="-uslm-dtd:paragraph" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">by adding at the end the following: <quotedContent style="-uslm-dtd:quoted-block">
                    <subsection style="-uslm-dtd:subsection" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="iii">“(iii) </num><content style="-uslm-dtd:text">with respect to the remaining ½ month in which such order is so effective for such fiscal year, the payment reduction shall be 0.0 percent. ”</content>
                    </subsection></quotedContent>.</content>
                </paragraph>
            </subsection>
        </section>
        <section identifier="/us/sComp/117/7/s2" style="-uslm-dtd:section" styleType="OLC">
            <num style="-uslm-dtd:enum" value="2">SEC. 2. </num><heading style="-uslm-dtd:header">TECHNICAL CORRECTIONS. </heading>
            <subsection identifier="/us/sComp/117/7/s2/a" style="-uslm-dtd:subsection" styleType="OLC">
                <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Rural Health Clinic Payments.—</heading>
                <paragraph identifier="/us/sComp/117/7/s2/a/1" style="-uslm-dtd:paragraph" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">Section 1833(f)(3) of the Social Security Act (42 U.S.C. 1395l(f)(3)) is amended— </chapeau>
                    <subparagraph identifier="/us/sComp/117/7/s2/a/1/A" style="-uslm-dtd:subparagraph" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="A">(A) </num><chapeau style="-uslm-dtd:text">in subparagraph (A)— </chapeau>
                        <clause identifier="/us/sComp/117/7/s2/a/1/A/i" style="-uslm-dtd:clause" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">in clause (i), by striking subclauses (I) and (II) and inserting the following: <quotedContent style="-uslm-dtd:quoted-block">
                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="I">“(I) </num><chapeau style="-uslm-dtd:text">with respect to a rural health clinic that had a per visit payment amount established for services furnished in 2020—</chapeau>
                                <item style="-uslm-dtd:item" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="aa">“(aa) </num><content style="-uslm-dtd:text">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 </content>
                                </item>
                                <item style="-uslm-dtd:item" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="bb">“(bb) </num><content style="-uslm-dtd:text">the limit described in paragraph (2)(A); and </content>
                                </item>
                            </subclause>
                            <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="II">“(II) </num><chapeau style="-uslm-dtd:text">with respect to a rural health clinic that did not have a per visit payment amount established for services furnished in 2020— </chapeau>
                                <item style="-uslm-dtd:item" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="aa">“(aa) </num><content style="-uslm-dtd:text">the per visit payment amount applicable to such rural health clinic for rural health clinic services furnished in 2021; or </content>
                                </item>
                                <item style="-uslm-dtd:item" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="bb">“(bb) </num><content style="-uslm-dtd:text">the limit described in paragraph (2)(A); and ”</content>
                                </item>
                            </subclause></quotedContent>; and</content>
                        </clause>
                        <clause identifier="/us/sComp/117/7/s2/a/1/A/ii" style="-uslm-dtd:clause" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">in clause (ii)(I), by striking “<quotedText style="-uslm-dtd:quote">under clause (i)(I)</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">under subclause (I) or (II) of clause (i), as applicable,</quotedText>”; and </content>
                        </clause>
                    </subparagraph>
                    <subparagraph identifier="/us/sComp/117/7/s2/a/1/B" style="-uslm-dtd:subparagraph" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by striking subparagraph (B) and inserting the following: <quotedContent style="-uslm-dtd:quoted-block">
                        <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="B">“(B) </num><chapeau style="-uslm-dtd:text">A rural health clinic described in this subparagraph is a rural health clinic that— </chapeau>
                            <clause style="-uslm-dtd:clause" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">as of December 31, 2020, was in a hospital with less than 50 beds and after such date such hospital continues to have less than 50 beds (not taking into account any increase in the number of beds pursuant to a waiver under subsection (b)(1)(A) of section 1135 during the emergency period described in subsection (g)(1)(B) of such section); and </content>
                            </clause>
                            <clause style="-uslm-dtd:clause" styleType="OLC">
                                <num style="-uslm-dtd:enum" value="ii">“(ii)</num><subclause class="inline" style="-uslm-dtd:subclause" styleType="OLC"><num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">as of December 31, 2020, was enrolled under section 1866(j) (including temporary enrollment during such emergency period for such emergency period); or </content></subclause>
                                <subclause style="-uslm-dtd:subclause" styleType="OLC">
                                    <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">submitted an application for enrollment under section 1866(j) (or a request for such a temporary enrollment for such emergency period) that was received not later than December 31, 2020. ”</content>
                                </subclause>
                            </clause>
                        </subparagraph></quotedContent>.</content>
                    </subparagraph>
                </paragraph>
                <paragraph identifier="/us/sComp/117/7/s2/a/2" style="-uslm-dtd:paragraph" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="2">(2) </num><editorialNote role="uscRef" style="-uslm-dtd:usc-reference"><b>[</b><ref href="/us/usc/t42/s1395l">42 U.S.C. 1395l note</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">Effective date.—</heading><content style="-uslm-dtd:text">The amendments made by this subsection shall take effect as if included in the enactment of the Consolidated Appropriations Act, 2021 (Public Law 116-260). </content>
                </paragraph>
            </subsection>
            <subsection identifier="/us/sComp/117/7/s2/b" style="-uslm-dtd:subsection" styleType="OLC">
                <num style="-uslm-dtd:enum" value="b">(b) </num><editorialNote role="uscRef" style="-uslm-dtd:usc-reference"><b>[</b><ref href="/us/usc/t42/s1396r-4">42 U.S.C. 1396r-4 note</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">Additional Amount for Certain Hospitals With High Disproportionate Share.—</heading><content style="-uslm-dtd:text">Effective as if included in the enactment of section 203(a) of title II of division CC of Public Law 116-260, subsection (g) of section 1923 of the Social Security Act (42 U.S.C. 1396r-4), as amended by such section, is amended by adding at the end the following: <quotedContent style="-uslm-dtd:quoted-block">
                <paragraph style="-uslm-dtd:paragraph" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="3">“(3) </num><heading style="-uslm-dtd:header">Continued application of grandfathered transition rule.—</heading><content style="-uslm-dtd:text">Notwithstanding paragraph (2) of this subsection (as in effect on October 1, 2021), paragraph (2) of this subsection (as in effect on September 30, 2021, and as applied under section 4721(e) of the Balanced Budget Act of 1997, and amended by section 607 of the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 (Public Law 106-113)) shall apply in determining whether a payment adjustment for a hospital in a State referenced in section 4721(e) of the Balanced Budget Act of 1997 during a State fiscal year shall be considered consistent with subsection (c). ”</content>
                </paragraph></quotedContent>.</content>
            </subsection>
        </section>
    </main>
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