    [United States Statutes at Large, Volume 128, 113th Congress, 2nd Session]
    [From the U.S. Government Publishing Office, www.gpo.gov]

    Public Law 113-198
    113th Congress

    An Act

    To provide for the extension of the enforcement instruction on
    supervision requirements for outpatient therapeutic services in critical
    access and small rural hospitals through 2014. <>

    Be it enacted by the Senate and House of Representatives of the
    United States of America in Congress assembled,
    SECTION 1. EXTENSION OF ENFORCEMENT INSTRUCTION ON SUPERVISION
    REQUIREMENTS FOR OUTPATIENT
    THERAPEUTIC SERVICES IN CRITICAL
    ACCESS AND SMALL RURAL HOSPITALS
    THROUGH 2014.

    The <> Secretary of Health and Human Services
    shall continue to apply through calendar year 2014 the enforcement
    instruction described in the notice of the Centers for Medicare &
    Medicaid Services entitled ``Enforcement Instruction on Supervision
    Requirements for Outpatient Therapeutic Services in Critical Access and
    Small Rural Hospitals for CY 2013'', dated November 1, 2012 (providing
    for an exception to the restatement and clarification under the final
    rulemaking changes to the Medicare hospital outpatient prospective
    payment system and calendar year 2009 payment rates (published in the
    Federal Register on November 18, 2008, 73 Fed. Reg. 68702 through 68704)
    with respect to requirements for direct supervision by physicians for
    therapeutic hospital outpatient services).

    Approved December 4, 2014.

    LEGISLATIVE HISTORY--H.R. 4067 (S. 1954):
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    HOUSE REPORTS: No. 113-582, Pt. 1 (Comm. on Energy and Commerce).
    CONGRESSIONAL RECORD, Vol. 160 (2014):
    Sept. 9, considered and passed House.
    Nov. 20, considered and passed Senate.