‘‘(2) SPECIFIED
EMERGENCY
SERVICES.—The 
term ‘specified emergency services’ means emergency 
services (as defined in section 2799A–1(a)(3)(C)(i) 
of the Public Health Service Act) other than a serv-
ice identified, as of the date of the enactment of the 
Emergency Care Improvement Act, by any of 
HCPCS evaluation and service management service 
codes 99281 through 99282.’’. 
(c) APPLICATION OF EMTALA.—Section 1867(e) of 
the Social Security Act (42 U.S.C. 1395dd(e)) is amend-
ed— 
(1) in paragraph (2), by— 
(A) inserting ‘‘other than a freestanding 
emergency 
center 
(as 
defined 
in 
section 
1861(nnn))’’ after ‘‘a hospital’’; and 
(B) inserting ‘‘or a freestanding emergency 
center (as so defined) participating under this 
title’’ before the period at the end; and 
(2) in paragraph (5), by inserting at the end 
the following new sentence: ‘‘Beginning on the date 
of the enactment of the Emergency Care Improve-
ment Act, such term also includes a freestanding 
emergency center (as defined in section 1861(nnn)), 
and any reference to a hospital that has a hospital 
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emergency department includes such a freestanding 
emergency center.’’. 
(d) 
PAYMENT
UNDER
MEDICARE.—Section 
1833(a)(2) of the Social Security Act (42 U.S.C. 
1395l(a)(2)) is amended— 
(1) in subparagraph (G)(ii), by striking ‘‘and’’ 
at the end; 
(2) in subparagraph (H), by striking the 
comma at the end and inserting ‘‘; and’’; and 
(3) by inserting after subparagraph (H) the fol-
lowing new subparagraph: 
‘‘(I) with respect to specified emergency 
services furnished by a freestanding emergency 
center (as such terms are defined in section 
1861(nnn)), the amount that would have been 
determined under subsection (t) if such services 
had been covered OPD services,’’. 
(e) 
COVERAGE
UNDER
MEDICAID.—Section 
1905(a)(2) of the Social Security Act (42 U.S.C. 
1396d(a)(2)) is amended— 
(1) in subparagraph (B), by striking ‘‘and’’ at 
the end; and 
(2) by inserting before the semicolon at the end 
the following: ‘‘, and (D) specified emergency serv-
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ices furnished by freestanding emergency centers (as 
such terms are defined in section 1861(nnn))’’. 
(f) EXCLUSION FROM PROHIBITION ON PHYSICIAN 
SELF-REFERRAL.—Section 1877(b) of the Social Security 
Act (42 U.S.C. 1395nn(b)) is amended by adding at the 
end the following new paragraph: 
‘‘(6) FREESTANDING EMERGENCY CENTERS.— 
In the case of laboratory services and imaging serv-
ices furnished by a freestanding emergency center in 
connection with specified emergency services (as 
such terms are defined in section 1861(nnn)).’’. 
(g) EFFECTIVE DATE.—The amendments made by 
this Act shall apply with respect to items and services fur-
nished on or after the date of the enactment of this Act. 
Æ 
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