[Congressional Bills 111th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3806 Introduced in House (IH)]

111th CONGRESS
  1st Session
                                H. R. 3806

To amend the Medicare Prescription Drug, Improvement, and Modernization 
Act of 2003 to extend and expand the Medicare rural community hospital 
                         demonstration program.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            October 14, 2009

 Mr. Moran of Kansas introduced the following bill; which was referred 
                   to the Committee on Ways and Means

_______________________________________________________________________

                                 A BILL


 
To amend the Medicare Prescription Drug, Improvement, and Modernization 
Act of 2003 to extend and expand the Medicare rural community hospital 
                         demonstration program.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Enhanced Rural Health Care Extension 
Act of 2009''.

SEC. 2. EXTENSION AND EXPANSION OF THE MEDICARE RURAL COMMUNITY 
              HOSPITAL DEMONSTRATION PROGRAM.

    (a) Selection of Demonstration Areas.--Section 410A(a)(2) of the 
Medicare Prescription Drug, Improvement, and Modernization Act of 2003 
(Public Law 108-173; 42 U.S.C. 1395ww note) is amended to read as 
follows:
            ``(2) Demonstration areas.--The demonstration program shall 
        be conducted in rural areas selected by the Secretary in the 15 
        States with the lowest population densities, as determined by 
        the Secretary using the Statistical Abstract of the United 
        States: 2009 (published by the Bureau of the Census).''.
    (b) Selection of Hospitals.--Section 410A(a)(4) of such Act is 
amended by striking ``15'' and inserting ``30''.
    (c) Duration.--Section 410A(a)(5) of such Act is amended by 
striking ``5-year'' and inserting ``10-year''.
    (d) Reports.--Section 410A(e) of such Act is amended to read as 
follows:
    ``(e) Reports.--The Secretary shall submit to Congress--
            ``(1) within 6 months after the date of the enactment of 
        the Enhanced Rural Health Care Extension Act of 2009, an 
        interim report on the operation of the demonstration program 
        under this section; and
            ``(2) within 6 months after the completion of the 
        demonstration program, a final report on the operation of such 
        program.
Each report under this subsection shall include recommendations for 
such legislation and administrative action as the Secretary determines 
to be appropriate.''.
    (e) Exception for Certain Rural Community Hospitals.--If, on the 
date of the enactment of this Act, a rural community hospital (as 
defined in section 410A(f)(1) of the Medicare Prescription Drug, 
Improvement, and Modernization Act of 2003 (Public Law 108-173; 42 
U.S.C. 1395ww note)) is participating in the rural community hospital 
demonstration program established under section 410A of such Act and is 
located within a State that is not identified by the Secretary of 
Health and Human Services under section 410A(a)(2) of such Act (as 
amended by this section), the Secretary shall provide for the continued 
participation of such hospital in such demonstration program.
    (f) Technical Amendments.--Section 410A of such Act is amended--
            (1) in subsection (b)--
                    (A) in paragraph (1)(B)(ii), by striking ``2)'' and 
                inserting ``2))''; and
                    (B) in paragraph (2)--
                            (i) in subparagraph (A), by inserting 
                        ``cost'' before ``reporting period''; and
                            (ii) in subparagraph (B), by inserting 
                        ``cost'' before ``reporting period'' the first 
                        place it appears; and
            (2) in subsection (f)(1)--
                    (A) in subparagraph (A)(ii), by striking 
                ``paragraph (2)'' and inserting ``subparagraph (B)''; 
                and
                    (B) in subparagraph (B), by striking ``paragraph 
                (1)(B)'' and inserting ``subparagraph (A)(ii)''.
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