(2) 
HOSPICE
PROGRAMS.—Section 
1861(dd)(2)(B)(i)(III) of such Act (42 U.S.C. 
1395x(dd)(2)(B)(i)(III)) is amended by inserting ‘‘or 
one marriage and family therapist (as defined in 
subsection (ccc)(2))’’ after ‘‘social worker’’. 
(c) AUTHORIZATION
OF MARRIAGE
AND FAMILY 
THERAPISTS TO DEVELOP DISCHARGE PLANS FOR POST- 
HOSPITAL SERVICES.—Section 1861(ee)(2)(G) of the So-
cial Security Act (42 U.S.C. 1395x(ee)(2)(G)) is amended 
by inserting ‘‘marriage and family therapist (as defined 
in subsection (ccc)(2)),’’ after ‘‘social worker,’’. 
(d) EFFECTIVE DATE.—The amendments made by 
this section shall apply with respect to services furnished 
on or after January 1, 2007. 
SEC. 202. PERMANENT TREATMENT OF CERTAIN PHYSI-
CIAN PATHOLOGY SERVICES UNDER MEDI-
CARE. 
Section 1848(i) of the Social Security Act (42 U.S.C. 
1395w–4(i)) is amended by adding at the end the fol-
lowing new paragraph: 
‘‘(4) TREATMENT OF CERTAIN PHYSICIAN PA-
THOLOGY SERVICES.— 
‘‘(A) IN GENERAL.—With respect to serv-
ices furnished on or after January 1, 2007, if 
an independent laboratory furnishes the tech-
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nical component of a physician pathology serv-
ice to a fee-for-service medicare beneficiary who 
is an inpatient or outpatient of a covered hos-
pital, the Secretary shall treat such component 
as a service for which payment shall be made 
to the laboratory under this section and not as 
an inpatient hospital service for which payment 
is made to the hospital under section 1886(d) 
or as a hospital outpatient service for which 
payment is made to the hospital under section 
1833(t). 
‘‘(B) DEFINITIONS.—In this paragraph: 
‘‘(i) COVERED HOSPITAL.— 
‘‘(I) IN
GENERAL.—The term 
‘covered hospital’ means, with respect 
to an inpatient or outpatient, a hos-
pital that had an arrangement with 
an independent laboratory that was in 
effect as of July 22, 1999, under 
which a laboratory furnished the tech-
nical component of physician pathol-
ogy services to fee-for-service medi-
care beneficiaries who were hospital 
inpatients or outpatients, respectively, 
and submitted claims for payment for 
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such component to a carrier with a 
contract under section 1842 and not 
to the hospital. 
‘‘(II) CHANGE
IN
OWNERSHIP 
DOES
NOT
AFFECT
DETERMINA-
TION.—A change in ownership with 
respect to a hospital on or after the 
date referred to in subclause (I) shall 
not affect the determination of wheth-
er such hospital is a covered hospital 
for purposes of such subclause. 
‘‘(ii) 
FEE-FOR-SERVICE
MEDICARE 
BENEFICIARY.—The term ‘fee-for-service 
medicare beneficiary’ means an individual 
who is entitled to (or enrolled for) benefits 
under part A, or enrolled under this part, 
or both, but who is not enrolled in any of 
the following: 
‘‘(I) A Medicare Advantage plan 
under part C. 
‘‘(II) A plan offered by an eligi-
ble organization under section 1876. 
‘‘(III) A program of all-inclusive 
care for the elderly (PACE) under 
section 1894. 
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‘‘(IV) A social health mainte-
nance organization (SHMO) dem-
onstration project established under 
section 4018(b) of the Omnibus 
Budget Reconciliation Act of 1987 
(Public Law 100–203). 
‘‘(C) REFERENCE.—For the provision re-
lated to the treatment of certain services fur-
nished prior to January 1, 2007, see section 
542 of the Medicare, Medicaid, and SCHIP 
Benefits Improvement and Protection Act of 
2000, as amended by section 732 of the Medi-
care Prescription Drug, Improvement, and 
Modernization Act of 2003.’’. 
SEC. 203. EXTENSION OF MEDICARE INCENTIVE PAYMENT 
PROGRAM FOR PHYSICIAN SCARCITY AREAS. 
Section 1833(u)(1) of the Social Security Act (42 
U.S.C. 1395l(u)(1)) is amended by striking ‘‘2008’’ and 
inserting ‘‘2011’’. 
SEC. 204. EXTENSION OF MEDICARE INCREASE PAYMENTS 
FOR 
GROUND 
AMBULANCE 
SERVICES 
IN 
RURAL AREAS. 
Section 1834(l)(13) of the Social Security Act (42 
U.S.C. 1395m(l)(13)) is amended— 
(1) in subparagraph (A)— 
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