[Congressional Record Volume 170, Number 121 (Thursday, July 25, 2024)]
[Senate]
[Pages S5521-S5522]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 3174. Mr. OSSOFF submitted an amendment intended to be proposed by 
him to the bill S. 4638, to authorize appropriations for fiscal year 
2025 for military activities of the Department of Defense, for military 
construction, and for defense activities of the Department of Energy, 
to prescribe military personnel strengths for such fiscal year, and for 
other purposes; which was ordered to lie on the table; as follows:

       At the end of subtitle H of title X, add the following:

     SEC. 1095. RURAL EMERGENCY HOSPITAL FIX.

       (a) In General.--
       (1) Rural emergency hospital fix.--Section 1861(kkk)(3) of 
     the Social Security Act

[[Page S5522]]

     (42 U.S.C. 1395x(kkk)(3)) is amended, in the matter preceding 
     subparagraph (A), by inserting ``October 1, 2020, or'' after 
     ``as of''.
       (2) Implementation.--Notwithstanding any other provision of 
     law, the Secretary of Health and Human Services may implement 
     the amendment made by paragraph (1) by program instruction or 
     otherwise.
       (b) Offset.--
       (1) Extending the adjustment to the calculation of hospice 
     cap amounts under the medicare program.--Section 
     1814(i)(2)(B) of the Social Security Act (42 U.S.C. 
     1395f(i)(2)(B)) is amended--
       (A) in clause (ii), by striking ``2033'' and inserting 
     ``2034''; and
       (B) in clause (iii), by striking ``2033'' and inserting 
     ``2034''.
       (2) Medicare improvement fund.--Section 1898(b)(1) of the 
     Social Security Act (42 U.S.C. 1395iii(b)(1)) is amended by 
     striking ``$0'' and inserting ``$227,000,000''.
                                 ______