II 

Calendar No. 181 

114TH CONGRESS 

1ST SESSION S. 607 

[Report No. 114–102] 

To amend title XVIII of the Social Security Act to provide for a fiveyear extension of the rural community hospital demonstration program, 

and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

FEBRUARY 27, 2015 

Mr. GRASSLEY (for himself, Mr. BENNET, Ms. MURKOWSKI, Mr. MORAN, Mr. 

UDALL, Mr. SULLIVAN, Mr. THUNE, Mr. WICKER, Mr. ROBERTS, Mrs. 

ERNST, Mr. FRANKEN, Mr. COCHRAN, Mr. GARDNER, Mrs. FISCHER, 

and Mr. ROUNDS) introduced the following bill; which was read twice and 

referred to the Committee on Finance 

JULY 30, 2015 

Reported by Mr. HATCH, with an amendment and an amendment to the title 

[Strike out all after the enacting clause and insert the part printed in italic] 

A BILL 

To amend title XVIII of the Social Security Act to provide 

for a five-year extension of the rural community hospital 

demonstration program, and for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 


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1 SECTION 1. SHORT TITLE. 

2 This Act may be cited as the ‘‘Rural Community Hos3 pital Demonstration Extension Act of 2015’’. 

4 SEC. 2. FIVE-YEAR EXTENSION OF THE RURAL COMMUNITY 

5 HOSPITAL DEMONSTRATION PROGRAM. 

6 (a) EXTENSION.—Section 410A of the Medicare Pre7 scription Drug, Improvement, and Modernization Act of 

8 2003 (Public Law 108–173; 42 U.S.C. 1395ww note), as 

9 amended by sections 3123 and 10313 of the Patient Pro10 tection and Affordable Care Act (Public Law 111–148), 

11 is amended— 

12 (1) in subsection (a)(5), by striking ‘‘5-year ex13 tension period’’ and inserting ‘‘10-year extension pe14 riod’’; and 

15 (2) in subsection (g)— 

16 (A) in the subsection heading, by striking 

17 ‘‘FIVE-YEAR’’ and inserting ‘‘TEN-YEAR’’; 

18 (B) in paragraph (1), by striking ‘‘addi19 tional 5-year’’ and inserting ‘‘additional 10- 

20 year’’; and 

21 (C) by striking ‘‘5-year extension period’’ 

22 and inserting ‘‘10-year extension period’’ each 

23 place it appears . 

24 (b) CHANGE IN TIMING FOR REPORT.—Subsection 

25 (e) of such section 410A is amended by striking ‘‘Not later 


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1 than 6 months after the completion’’ and inserting ‘‘Not 

2 later than 2 years prior to the completion’’. 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Rural Community Hos5 pital Demonstration Extension Act of 2015’’. 

6 SEC. 2. FIVE-YEAR EXTENSION OF THE MEDICARE RURAL 

7 COMMUNITY HOSPITAL DEMONSTRATION 

8 PROGRAM. 

9 (a) EXTENSION.—Section 410A of the Medicare Pre10 scription Drug, Improvement, and Modernization Act of 

11 2003 (Public Law 108–173; 42 U.S.C. 1395ww note), as 

12 amended by sections 3123 and 10313 of the Patient Protec13 tion and Affordable Care Act (Public Law 111–148), is 

14 amended— 

15 (1) in subsection (a)(5), by striking ‘‘5-year ex16 tension period’’ and inserting ‘‘10-year extension pe17 riod’’; and 

18 (2) in subsection (g)— 

19 (A) in the subsection heading, by striking 

20 ‘‘FIVE-YEAR’’ and inserting ‘‘TEN-YEAR’’; 

21 (B) in paragraph (1), by striking ‘‘addi22 tional 5-year’’ and inserting ‘‘additional 10- 

23 year’’; 


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•S 607 RS

1 (C) by striking ‘‘5-year extension period’’ 

2 and inserting ‘‘10-year extension period’’ each 

3 place it appears; 

4 (D) in paragraph (3), by adding at the end 

5 the following new sentence: ‘‘Notwithstanding the 

6 preceding sentence, after the date of the enact7 ment of this sentence, only hospitals described in 

8 paragraph (4) or (5) may participate in dem9 onstration program under this section.’’ 

10 (E) in paragraph (4)(B)— 

11 (i) in the matter preceding clause (i), 

12 by inserting ‘‘each 5-year period in’’ after 

13 ‘‘hospital during’’; and 

14 (ii) in clause (i), by inserting ‘‘each 

15 applicable 5-year period in’’ after ‘‘the first 

16 day of’’; and 

17 (F) by adding at the end the following new 

18 paragraph: 

19 ‘‘(5) OTHER HOSPITALS IN DEMONSTRATION

20 PROGRAM.—During the second 5 years of the 10-year 

21 extension period, the Secretary shall apply the provi22 sions of paragraph (4) to rural community hospitals 

23 that are not described in paragraph (4) but are par24 ticipating in the demonstration program under this 

25 section as of December 30, 2014, in a similar manner 


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1 as such provisions apply to rural community hos2 pitals described in paragraph (4).’’. 

3 (b) CHANGE IN TIMING FOR REPORT.—Subsection (e) 

4 of such section 410A is amended by striking ‘‘Not later than 

5 6 months after the completion’’ and inserting ‘‘Not later 

6 than August 1, 2018’’. 

Amend the title so as to read: ‘‘A bill to provide for 

a five-year extension of the Medicare rural community 

hospital demonstration program.’’. 


tkelley on DSK3SPTVN1PROD with BILLS
Calendar No. 181 

114TH CONGRESS 

1ST SESSION S. 607 

[Report No. 114–102] 

A BILL 

To amend title XVIII of the Social Security Act to 

for other purposes. community hospital demonstration program, and provide for a five-year extension of the rural 

JULY 30, 2015 

Reported with an amendment and an amendment to the 

title 


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