Page:United States Statutes at Large Volume 124.djvu/970

 124 STAT. 944 PUBLIC LAW 111–148—MAR. 23, 2010 than 30 rural community hospitals may participate in the dem- onstration 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 sec- tion as of the last day of the initial 5-year period, the Sec- retary— ‘‘(A) shall provide for the continued participation of such rural community hospital in the demonstration pro- gram 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 sub- section (b) to the rural community hospital for covered inpatient hospital services furnished by the hospital during such 5-year extension period, shall substitute, under para- graph (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.—Subsection (a)(5) of section 410A of the Medicare Prescription Drug, Improvement, and Mod- ernization Act of 2003 (Public Law 108–173; 117 Stat. 2272), as amended by section 3123(b) of this Act, is amended by striking ‘‘1-year extension’’ and inserting ‘‘5-year extension’’. SEC. 10314. ADJUSTMENT TO LOW -VOLUME HOSPITAL PROVISION. Section 1886(d)(12) of the Social Security Act (42 U.S.C. 1395ww(d)(12), as amended by section 3125, is amended— (1) in subparagraph (C)(i), by striking ‘‘1,500 discharges’’ and inserting ‘‘1,600 discharges’’; and (2) in subparagraph (D), by striking ‘‘1,500 discharges’’ and inserting ‘‘1,600 discharges’’. SEC. 10315. REVISIONS TO HOME HEALTH CARE PROVISIONS. (a) REBASING.—Section 1895(b)(3)(A)(iii) of the Social Security Act, as added by section 3131, is amended— (1) in the clause heading, by striking ‘‘2013’’ and inserting ‘‘2014’’; (2) in subclause (I), by striking ‘‘2013’’ and inserting ‘‘2014’’; and (3) in subclause (II), by striking ‘‘2016’’ and inserting ‘‘2017’’. (b) REVISION OF HOME HEALTH STUDY AND REPORT.—Section 3131(d) is amended to read as follows: ‘‘(d) STUDY AND REPORT ON THE DEVELOPMENT OF HOME HEALTH PAYMENT REVISIONS IN ORDER TO ENSURE ACCESS TO CARE AND PAYMENT FOR SEVERITY OF ILLNESS.— ‘‘(1) IN GENERAL.—The Secretary of Health and Human Services (in this section referred to as the ‘Secretary’) shall conduct a study on home health agency costs involved with 42 USC 1395fff note. 42 USC 1395fff.