II 
Calendar No. 465 
111TH CONGRESS 
2D SESSION 
H. R. 5712 
IN THE SENATE OF THE UNITED STATES 
JULY 15, 2010 
Received and read the first time 
JULY 19, 2010 
Read the second time and placed on the calendar 
AN ACT 
To provide for certain clarifications and extensions under 
Medicare, Medicaid, and the Children’s Health Insurance 
Program. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Veterans’, Seniors’, 
and Children’s Health Technical Corrections Act of 
2010’’. 
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SEC. 2. CLARIFICATION OF EFFECTIVE DATE OF PART B 
SPECIAL ENROLLMENT PERIOD FOR DIS-
ABLED TRICARE BENEFICIARIES. 
Effective as if included in the enactment of Public 
Law 111–148, section 3110(a)(2) of such Act is amended 
to read as follows: 
‘‘(2) EFFECTIVE DATE.—The amendment made 
by paragraph (1) shall apply to elections made on 
and after the date of the enactment of this Act.’’. 
SEC. 3. REPEAL OF DELAY OF RUG–IV. 
Effective as if included in the enactment of Public 
Law 111–148, section 10325 of such Act is repealed. 
SEC. 4. CLARIFICATION FOR AFFILIATED HOSPITALS FOR 
DISTRIBUTION OF ADDITIONAL RESIDENCY 
POSITIONS. 
Effective as if included in the enactment of section 
5503(a) of Public Law 111–148, section 1886(h)(8) of the 
Social Security Act (42 U.S.C. 1395ww(h)(8)), as added 
by such section 5503(a), is amended by adding at the end 
the following new subparagraph: 
‘‘(I) AFFILIATION.—The provisions of this 
paragraph shall be applied to hospitals which 
are members of the same affiliated group (as 
defined by the Secretary under paragraph 
(4)(H)(ii)) and the reference resident level for 
each such hospital shall be the reference resi-
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dent level with respect to the cost reporting pe-
riod that results in the smallest difference be-
tween the reference resident level and the other-
wise applicable resident limit.’’. 
SEC. 5. CONTINUED INCLUSION OF ORPHAN DRUGS IN DEF-
INITION OF COVERED OUTPATIENT DRUGS 
WITH RESPECT TO CHILDREN’S HOSPITALS 
UNDER THE 340B DRUG DISCOUNT PROGRAM. 
(a) DEFINITION OF COVERED OUTPATIENT DRUG.— 
(1) AMENDMENT.—Subsection (e) of section 
340B of the Public Health Service Act (42 U.S.C. 
256b) is amended by striking ‘‘covered entities de-
scribed in subparagraph (M)’’ and inserting ‘‘cov-
ered entities described in subparagraph (M) (other 
than a children’s hospital described in subparagraph 
(M))’’. 
(2) EFFECTIVE DATE.—The amendment made 
by paragraph (1) shall take effect as if included in 
the enactment of section 2302 of the Health Care 
and Education Reconciliation Act of 2010 (Public 
Law 111–152). 
(b) TECHNICAL AMENDMENT.—Subparagraph (B) of 
section 1927(a)(5) of the Social Security Act (42 U.S.C. 
1396r–8(a)(5)) is amended by striking ‘‘and a children’s 
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