Page:United States Statutes at Large Volume 111 Part 1.djvu/398

 Ill STAT. 374 PUBLIC LAW 105-33—AUG. 5, 1997 (A) in subsection (a)(8), by striking "72" and inserting "96"; and (B) by amending subsection (1) to read as follows: "Payment for Inpatient Critical Access Hospital Services "(1) The amount of payment under this part for inpatient critical access hospital services is the reasonable costs of the critical access hospital in providing such services.". (4) PAYMENT CONTINUED TO DESIGNATED EACHS.—Section 1886(d)(5)(D) of the Social Security Act (42 U.S.C. 1395ww(d)(5)(D)) is amended— (A) in clause (iii)(III), by inserting "as in effect on September 30, 1997" before the period at the end; and (B) in clause (v)— (i) by inserting "as in effect on September 30, 1997" after "1820(i)(l)"; and (ii) by striking "1820(g)" and inserting "1820(d)". (5) PART B PAYMENT.— Section 1834(g) of the Social Security Act (42 U.S.C. 1395m(g)) is amended to read as follows: "(g) PAYMENT FOR OUTPATIENT CRITICAL ACCESS HOSPITAL SERVICES.— The amount of payment under this part for outpatient critical access hospital services is the reasonable costs of the critical access hospital in providing such services.". 42 USC 1395i-4 (6) TRANSITION FOR MAF.— note. (A) IN GENERAL. —The Secretary of Health and Human Services shall provide for an appropriate transition for a facility that, as of the date of the enactment of this Act, operated as a limited service rural hospital under a demonstration described in section 4008(i)(l) of the Omnibus Budget Reconcihation Act of 1990 (42 U.S.C. 1395b- 1 note) from such demonstration to the program established under subsection (a). At the conclusion of the transition period described in subparagraph (B), the Secretary shall end such demonstration. (B) TRANSITION PERIOD DESCRIBED.— (i) INITIAL PERIOD.—Subject to clause (ii), the transition period described in this subparagraph is the period beginning on the date of the enactment of this Act and ending on October 1, 1998. (ii) EXTENSION.—I f the Secretary determines that the transition is not complete as of October 1, 1998, the Secretary shall provide for an appropriate extension of the transition period. 42 USC I395f (d) EFFECTIVE DATE. —The amendments made by this section note. shall apply to services furnished on or after October 1, 1997. SEC. 4202. PROHIBITING DENIAL OF REQUEST BY RURAL REFERRAL CENTERS FOR RECLASSIFICATION ON BASIS OF COM- PARABILITY OF WAGES. (a) IN GENERAL.— Section 1886(d)(10)(D) (42 U.S.C. 1395ww(d)(10)(D)) is amended— (1) by redesignating clause (iii) as clause (iv); and (2) by inserting after clause (ii) the following new clause: "(iii) Under the guidelines published by the Secretary under clause (i), in the case of a hospital which has ever been classified by the Secretary as a rural referral center under paragraph (5)(C), the Board may not reject the application of the hospital under

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