[Congressional Bills 111th Congress]
[From the U.S. Government Publishing Office]
[S. 2922 Introduced in Senate (IS)]
111th CONGRESS
1st Session
S. 2922
To amend the Medicare Prescription Drug, Improvement, and Modernization
Act of 2003 to extend the Rural Community Hospital Demonstration
Program.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
December 22, 2009
Mr. Hatch introduced the following bill; which was read twice and
referred to the Committee on Finance
_______________________________________________________________________
A BILL
To amend the Medicare Prescription Drug, Improvement, and Modernization
Act of 2003 to extend the 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 ``Rural Community Hospital
Demonstration Extension Act''.
SEC. 2. EXTENSION OF RURAL COMMUNITY HOSPITAL DEMONSTRATION PROGRAM.
(a) 5-year Extension.--Section 410A of the Medicare Prescription
Drug, Improvement, and Modernization Act of 2003 (Public Law 108-173;
117 Stat. 2272) is amended by adding at the end the following new
subsection:
``(g) 5-Year Extension of Demonstration Program.--
``(1) In general.--Subject to the succeeding provisions of
this subsection, the Secretary shall conduct the demonstration
program under this section for an additional 5-year period (in
this section referred to as the `5-year extension period') that
begins on the date immediately following the last day of the
initial 5-year period under subsection (a)(5).
``(2) Expansion of demonstration states.--Notwithstanding
subsection (a)(2), during the 5-year extension period, the
program shall be conducted in rural areas in any State.
``(3) Increase in maximum number of hospitals participating
in the demonstration program.--Notwithstanding subsection
(a)(4), during the 5-year extension period, not more than 30
rural community hospitals may participate in the demonstration
program under this section.
``(4) Hospitals in demonstration program on date of
enactment.--In the case of a rural community hospital that is
participating in the demonstration program under this section
as of the last day of the initial 5-year period, the
Secretary--
``(A) shall provide for the continued participation
of such rural community hospital in the demonstration
program during the 5-year extension period unless the
rural community hospital makes an election, in such
form and manner as the Secretary may specify, to
discontinue such participation; and
``(B) in calculating the amount of payment under
subsection (b) to the rural community hospital for
covered inpatient hospital services furnished by the
hospital during such 5-year extension period, shall
substitute, under paragraph (1)(A) of such subsection--
``(i) the reasonable costs of providing
such services for discharges occurring in the
first cost reporting period beginning on or
after the first day of the 5-year extension
period, for
``(ii) the reasonable costs of providing
such services for discharges occurring in the
first cost reporting period beginning on or
after the implementation of the demonstration
program.''.
(b) Conforming Amendments.--
(1) Duration.--Subsection (a)(5) of section 410A of the
Medicare Prescription Drug, Improvement, and Modernization Act
of 2003 (Public Law 108-173; 117 Stat. 2272) is amended by
inserting ``(in this section referred to as the `initial 5-year
period') and, as provided in subsection (g), for the 5-year
extension period'' after ``5-year period''.
(2) Additional report.--Subsection (e) of section 410A of
the Medicare Prescription Drug, Improvement, and Modernization
Act of 2003 (Public Law 108-173; 117 Stat. 2272) is amended to
read as follows:
``(e) Reports.--
``(1) Report on initial 5-year period.--Not later than 6
months after the last day of the initial 5-year period, the
Secretary shall submit to Congress a report on the conduct of
the demonstration program under this section during such
period, together with recommendations for such administrative
action as the Secretary determines to be appropriate.
``(2) Final report.--Not later than 6 months after the last
day of the 5-year extension period, the Secretary shall submit
to Congress a report on the demonstration program under this
section, together with recommendations for such administrative
action as the Secretary determines to be appropriate.''.
(c) Technical Amendments.--
(1) Subsection (b) of section 410A of the Medicare
Prescription Drug, Improvement, and Modernization Act of 2003
(Public Law 108-173; 117 Stat. 2272) is amended--
(A) in paragraph (1)(B)(ii), by striking ``2)'' and
inserting ``2))''; and
(B) in paragraph (2), by inserting ``cost'' before
``reporting period'' the first place such term appears
in each of subparagraphs (A) and (B).
(2) Subsection (f)(1) of section 410A of the Medicare
Prescription Drug, Improvement, and Modernization Act of 2003
(Public Law 108-173; 117 Stat. 2272) is amended--
(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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