Rural Community Hospital Demonstration Program Reauthorization
Officially: “Rural Community Hospital Demonstration Program Reauthorization” Read the full text
What it does
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1Short title
This section would let the Act be officially called the Rural Community Hospital Demonstration Program Reauthorization.
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1. Short title This Act may be cited as the Rural Community Hospital Demonstration Program Reauthorization .
2Five-year extension of the rural community hospital demonstration program
This section would extend the rural community hospital demonstration program created under section 410A of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003. It would change the program's extension period from 15 years to 20 years, adding 5 more years to the program. To keep the law consistent with that change, it would also update every place in subsection (g) of section 410A that refers to the 15-year extension period so each one instead refers to the 20-year extension period, including the subsection's own heading, which would change from Fifteen-Year to Twenty-Year. This includes references in paragraphs (1) through (6) of that subsection, and in paragraph (1) it covers both the phrase additional 15-year and the phrase 15-year extension period. It would also relabel the heading of subparagraph (B) within paragraph (5) from Additional extension to CAA, 2021 extension. It would add a new subparagraph (C) to paragraph (5) stating that during the fourth 5-year period of the 20-year extension period, the Secretary must apply the same rules that paragraph (4) applies to certain rural community hospitals to a further group of rural community hospitals: those not covered by paragraph (4) that took part in the demonstration program at any time between December 30, 2024, and January 1, 2027. The Secretary would have to treat this further group of hospitals in a manner similar to how paragraph (4) treats the hospitals it already covers.
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2. Five-year extension of the rural community hospital demonstration program (a) In general Subsection (a)(5) of section 410A of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 ( Public Law 108–173 ; 42 U.S.C. 1395ww note), is amended by striking 15-year extension period and inserting 20-year extension period . (b) Conforming amendments for extension (1) Extension of demonstration period Subsection (g) of such section 410A is amended— (A) in the subsection heading, by striking Fifteen-Year and inserting Twenty-Year ; (B) in paragraph (1)— (i) by striking additional 15-year and inserting additional 20-year ; and (ii) by striking 15-year extension period and inserting 20-year extension period ; (C) in paragraph (2), by striking 15-year extension period and inserting 20-year extension period ; (D) in paragraph (3), by striking 15-year extension period and inserting 20-year extension period ; (E) in paragraph (4), by striking 15-year extension period each place it appears and inserting 20-year extension period ; (F) in paragraph (5), by striking 15-year extension period each place it appears and inserting 20-year extension period ; and (G) in subparagraph (A) of paragraph (6), by striking 15-year extension period and inserting 20-year extension period . (2) Rule for hospitals that are not original participants in the demonstration Paragraph (5) of subsection (g) of such section 410A is amended— (A) in subparagraph (B), by striking Additional extension and inserting CAA, 2021 extension ; and (B) by adding at the end the following new subparagraph: (C) Additional extension During the fourth 5 years of the 20-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 at any time during the period beginning on December 30, 2024, and ending on January 1, 2027, in a similar manner as such provisions apply to rural community hospitals described in paragraph (4). .
Where it is
In the Senate.