[Congressional Bills 114th Congress]
[From the U.S. Government Publishing Office]
[S. 607 Reported in Senate (RS)]

                                                       Calendar No. 181
114th CONGRESS
  1st Session
                                 S. 607

                          [Report No. 114-102]

 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.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                           February 27, 2015

 Mr. Grassley (for himself, Mr. Bennet, Ms. Murkowski, Mr. Moran, Mr. 
 Udall, Mr. Sullivan, Mr. Thune, Mr. Wicker, Mr. Roberts, Mrs. Ernst, 
 Mr. Franken, Mr. Cochran, Mr. Gardner, Mrs. Fischer, and Mr. Rounds) 
introduced the following bill; which was read twice and referred to the 
                          Committee on Finance

                             July 30, 2015

 Reported by Mr. Hatch, with an amendment and an amendment to the title
 [Strike out all after the enacting clause and insert the part printed 
                               in italic]

_______________________________________________________________________

                                 A BILL


 
 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.

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

<DELETED>SECTION 1. SHORT TITLE.</DELETED>

<DELETED>    This Act may be cited as the ``Rural Community Hospital 
Demonstration Extension Act of 2015''.</DELETED>

<DELETED>SEC. 2. FIVE-YEAR EXTENSION OF THE RURAL COMMUNITY HOSPITAL 
              DEMONSTRATION PROGRAM.</DELETED>

<DELETED>    (a) Extension.--Section 410A of the Medicare Prescription 
Drug, Improvement, and Modernization Act of 2003 (Public Law 108-173; 
42 U.S.C. 1395ww note), as amended by sections 3123 and 10313 of the 
Patient Protection and Affordable Care Act (Public Law 111-148), is 
amended--</DELETED>
        <DELETED>    (1) in subsection (a)(5), by striking ``5-year 
        extension period'' and inserting ``10-year extension period''; 
        and</DELETED>
        <DELETED>    (2) in subsection (g)--</DELETED>
                <DELETED>    (A) in the subsection heading, by striking 
                ``Five-Year'' and inserting ``Ten-Year'';</DELETED>
                <DELETED>    (B) in paragraph (1), by striking 
                ``additional 5-year'' and inserting ``additional 10-
                year''; and</DELETED>
                <DELETED>    (C) by striking ``5-year extension 
                period'' and inserting ``10-year extension period'' 
                each place it appears .</DELETED>
<DELETED>    (b) Change in Timing for Report.--Subsection (e) of such 
section 410A is amended by striking ``Not later than 6 months after the 
completion'' and inserting ``Not later than 2 years prior to the 
completion''.</DELETED>

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Rural Community Hospital 
Demonstration Extension Act of 2015''.

SEC. 2. FIVE-YEAR EXTENSION OF THE MEDICARE RURAL COMMUNITY HOSPITAL 
              DEMONSTRATION PROGRAM.

    (a) Extension.--Section 410A of the Medicare Prescription Drug, 
Improvement, and Modernization Act of 2003 (Public Law 108-173; 42 
U.S.C. 1395ww note), as amended by sections 3123 and 10313 of the 
Patient Protection and Affordable Care Act (Public Law 111-148), is 
amended--
            (1) in subsection (a)(5), by striking ``5-year extension 
        period'' and inserting ``10-year extension period''; and
            (2) in subsection (g)--
                    (A) in the subsection heading, by striking ``Five-
                Year'' and inserting ``Ten-Year'';
                    (B) in paragraph (1), by striking ``additional 5-
                year'' and inserting ``additional 10-year'';
                    (C) by striking ``5-year extension period'' and 
                inserting ``10-year extension period'' each place it 
                appears;
                    (D) in paragraph (3), by adding at the end the 
                following new sentence: ``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.''
                    (E) in paragraph (4)(B)--
                            (i) in the matter preceding clause (i), by 
                        inserting ``each 5-year period in'' after 
                        ``hospital during''; and
                            (ii) in clause (i), by inserting ``each 
                        applicable 5-year period in'' after ``the first 
                        day of''; and
                    (F) by adding at the end the following new 
                paragraph:
            ``(5) Other hospitals in demonstration program.--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).''.
    (b) Change in Timing for Report.--Subsection (e) of such section 
410A is amended by striking ``Not later than 6 months after the 
completion'' and inserting ``Not later than August 1, 2018''.
            Amend the title so as to read: ``A bill to provide for a 
        five-year extension of the Medicare rural community hospital 
        demonstration program.''.
                                                       Calendar No. 181

114th CONGRESS

  1st Session

                                 S. 607

                          [Report No. 114-102]

_______________________________________________________________________

                                 A BILL

 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.

_______________________________________________________________________

                             July 30, 2015

        Reported with an amendment and an amendment to the title