In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.

[Q]: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Firefighters Special Operation Task 
Force Act''.

SEC. 2. GRANTS FOR FIREFIGHTING TASK FORCES.

    The Federal Fire Prevention and Control Act of 1974 (15 U.S.C. 2201 
et seq.) is amended by adding at the end the following new section:

``SEC. 37. ASSISTANCE FOR FIREFIGHTING TASK FORCES.

    ``(a) Definitions.--In this section:
            ``(1) Critical infrastructure.--The term `critical 
        infrastructure' has the meaning given that term in section 
        1016(e) of the Critical Infrastructures Protection Act of 2001 
        (42 U.S.C. 5195c(e)).
            ``(2) Firefighting personnel.--The term `firefighting 
        personnel' has the meaning given that term in section 33(a).
            ``(3) Incident response.--The term `incident response' 
        means a response by a task force or task force unit to--
                    ``(A) a terrorist attack, including such an attack 
                that utilizes a weapon of mass destruction;
                    ``(B) a release of a hazardous material;
                    ``(C) a natural disaster; or
                    ``(D) any other emergency for which a response by a 
                fire service is appropriate.
            ``(4) Member.--The term `member', with respect to a task 
        force, means a fire service that is a party to the cooperative 
        agreement establishing the task force.
            ``(5) Task force.--The term `task force' means 2 or more 
        fire services that collectively consist of at least 50 
        firefighting personnel, operating pursuant to a cooperative 
        agreement for the purpose of coordinating incident response 
        among such fire services.
    ``(b) Grant Authority.--The Administrator may award not more than 
100 grants for task forces each fiscal year for the purposes described 
in subsection (c).
    ``(c) Purposes.--A grant awarded under this section shall be used--
            ``(1) to provide salary and benefits to hire firefighting 
        personnel or rehire firefighting personnel who have been laid 
        off to provide services to the task force, including salary and 
        benefits;
            ``(2) to pay expenses related to the participation of 
        firefighting personnel in appropriate training courses;
            ``(3) to provide training related to incident response to 
        firefighting personnel;
            ``(4) to obtain appropriate equipment, including 
        firefighting vehicles or support systems for members of the 
        task force;
            ``(5) to improve the ability of a member of a task force to 
        communicate with a local police department or hospital, or with 
        any other appropriate governmental or private sector entity; 
        and
            ``(6) to ensure the compatibility and interoperability of 
        training and equipment with those obtained by other task 
        forces.
    ``(d) Application Guidance.--The Administrator shall make available 
to potential applicants for assistance under this section a description 
of a model task force configuration, which shall include--
            ``(1) an administrative unit, consisting of 2 chief 
        officers, 2 captains, and 2 lieutenants, to coordinate training 
        programs, logistics, and maintenance of equipment, which shall 
        operate at least 40 hours per week;
            ``(2) a command unit, consisting of 1 chief officer serving 
        as the task force commander and 1 firefighter serving as 
        communications coordinator, which shall operate at all times;
            ``(3) at least 1 hazardous materials company, consisting of 
        1 company officer and 5 firefighters, which shall operate at 
        all times;
            ``(4) at least 1 rescue company, consisting of 1 company 
        officer and 5 firefighters, which shall operate at all times; 
        and
            ``(5) 6 squad companies, each consisting of 1 company 
        officer and 5 firefighters, which shall operate at all times, 
        and which may serve, as appropriate, as a hazardous materials 
        company or rescue company as described in paragraphs (3) and 
        (4).
    ``(e) Application Requirements.--Each task force desiring 
assistance under this section shall submit an application to the 
Administrator at such time, in such manner, and accompanied by such 
information as the Administrator may reasonably require. In order to 
qualify for a grant, an applicant's proposal shall provide for--
            ``(1) prompt incident response;
            ``(2) a unified command system;
            ``(3) common training and equipment for task force members;
            ``(4) maximum coverage in the task force region, taking 
        into account population, business centers, vital 
        infrastructures, transportation corridors, and government 
        centers; and
            ``(5) preservation during the life of the grant of the 
        overall personnel level for each fire service, at least at the 
        level in effect at the time the application was submitted.
    ``(f) Selection Priority.--In selecting a task force to receive 
assistance under this section, the Administrator shall give priority to 
task forces that serve a geographic area that--
            ``(1) has a high population density; or
            ``(2) is located not more than 50 miles from--
                    ``(A) a facility that produces nuclear power;
                    ``(B) a large facility that produces, treats, or 
                refines chemicals or petroleum products;
                    ``(C) a business district of national significance; 
                or
                    ``(D) a location with one or more critical 
                infrastructures.
    ``(g) Matching Requirement.--The Administrator may provide 
assistance to a Task Force under this section for a fiscal year only if 
the task force agrees to obtain from non-Federal sources for such 
fiscal year at least 55 percent of the costs of the task force. The 
non-Federal contributions may be in-kind contributions, including 
personnel, personnel overtime, vehicles, equipment, administrative 
costs, fuel, maintenance, contractor services, and rental space.
    ``(h) Authorization of Appropriations.--There are authorized to be 
appropriated to the Administrator to carry out this section such sums 
as may be necessary for each of the fiscal years 2008 through 2016.''.
[A]: Firefighters Special Operation Task Force Act - Amends the Federal Fire Prevention and Control Act of 1974 to authorize the Administrator of the U.S. Fire Administration to award up to 100 grants for task forces (two or more fire services that collectively consist of at least 50 firefighting personnel, operating under a cooperative agreement to coordinate incident response) each fiscal year for: (1) salary and benefits to hire firefighting personnel; (2) training; (3) equipment or support systems; (4) communications between task force members and a local police department or hospital or with any other appropriate governmental or private sector entity; and (5) compatibility and interoperability of training and equipment.

Requires the Administrator to give priority to task forces serving geographic areas that have a high population density or that are located within 50 miles of: (1) a nuclear power facility; (2) a large facility that produces, treats, or refines chemicals or petroleum products; (3) a business district of national significance; or (4) a location with one or more critical infrastructures.

Requires grantees to obtain non-federal matching funds of at least 55% of the amount awarded by the Administrator for each fiscal year.


[Q]: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Security and Freedom Through 
Encryption (SAFE) Act''.

SEC. 2. SALE AND USE OF ENCRYPTION.

    (a) In General.--Part I of title 18, United States Code, is amended 
by inserting after chapter 121 the following new chapter:

        ``CHAPTER 122--ENCRYPTED WIRE AND ELECTRONIC INFORMATION

``2801. Definitions.
``2802. Freedom to use encryption.
``2803. Freedom to sell encryption.
``2804. Prohibition on mandatory key escrow.
``2805. Unlawful use of encryption in furtherance of a criminal act.
``Sec. 2801. Definitions
    ``As used in this chapter--
            ``(1) the terms `person', `State', `wire communication', 
        `electronic communication', `investigative or law enforcement 
        officer', `judge of competent jurisdiction', and `electronic 
        storage' have the meanings given those terms in section 2510 of 
        this title;
            ``(2) the terms `encrypt' and `encryption' refer to the 
        scrambling of wire or electronic information using mathematical 
        formulas or algorithms in order to preserve the 
        confidentiality, integrity, or authenticity of, and prevent 
        unauthorized recipients from accessing or altering, such 
        information;
            ``(3) the term `key' means the variable information used in 
        a mathematical formula, code, or algorithm, or any component 
        thereof, used to decrypt wire or electronic information that 
        has been encrypted; and
            ``(4) the term `United States person' means--
                    ``(A) any United States citizen;
                    ``(B) any other person organized under the laws of 
                any State, the District of Columbia, or any 
                commonwealth, territory, or possession of the United 
                States; and
                    ``(C) any person organized under the laws of any 
                foreign country who is owned or controlled by 
                individuals or persons described in subparagraphs (A) 
                and (B).
``Sec. 2802. Freedom to use encryption
    ``Subject to section 2805, it shall be lawful for any person within 
any State, and for any United States person in a foreign country, to 
use any encryption, regardless of the encryption algorithm selected, 
encryption key length chosen, or implementation technique or medium 
used.
``Sec. 2803. Freedom to sell encryption
    ``Subject to section 2805, it shall be lawful for any person within 
any State to sell in interstate commerce any encryption, regardless of 
the encryption algorithm selected, encryption key length chosen, or 
implementation technique or medium used.
``Sec. 2804. Prohibition on mandatory key escrow
    ``(a) Prohibition.--No person in lawful possession of a key to 
encrypted information may be required by Federal or State law to 
relinquish to another person control of that key.
    ``(b) Exception for Access for Law Enforcement Purposes.--
Subsection (a) shall not affect the authority of any investigative or 
law enforcement officer, acting under any law in effect on the 
effective date of this chapter, to gain access to encrypted 
information.
``Sec. 2805. Unlawful use of encryption in furtherance of a criminal 
              act
    ``Any person who willfully uses encryption in furtherance of the 
commission of a criminal offense for which the person may be prosecuted 
in a court of competent jurisdiction--
            ``(1) in the case of a first offense under this section, 
        shall be imprisoned for not more than 5 years, or fined in the 
        amount set forth in this title, or both; and
            ``(2) in the case of a second or subsequent offense under 
        this section, shall be imprisoned for not more than 10 years, 
        or fined in the amount set forth in this title, or both.''.
    (b) Conforming Amendment.--The table of chapters for part I of 
title 18, United States Code, is amended by inserting after the item 
relating to chapter 33 the following new item:

``122. Encrypted wire and electronic information............    2801''.

SEC. 3. EXPORTS OF ENCRYPTION.

    (a) Amendment to Export Administration Act of 1979.--Section 17 of 
the Export Administration Act of 1979 (50 U.S.C. App. 2416) is amended 
by adding at the end thereof the following new subsection:
    ``(g) Computers and Related Equipment.--
            ``(1) General rule.--Subject to paragraphs (2), (3), and 
        (4), the Secretary shall have exclusive authority to control 
        exports of all computer hardware, software, and technology for 
        information security (including encryption), except that which 
        is specifically designed or modified for military use, 
        including command, control, and intelligence applications.
            ``(2) Items not requiring licenses.--No validated license 
        may be required, except pursuant to the Trading With The Enemy 
        Act or the International Emergency Economic Powers Act (but 
        only to the estent that the authority of such Act is not 
        exercised to extend controls imposed under this Act), for the 
        export or reexport of--
                    ``(A) any software, including software with 
                encryption capabilities--
                            ``(i) that is generally available, as is, 
                        and is designed for installation by the 
                        purchaser; or
                            ``(ii) that is in the public domain for 
                        which copyright or other protection is not 
                        available under title 17, United States Code, 
                        or that is available to the public because it 
                        is generally accessible to the interested 
                        public in any form; or
                    ``(B) any computing device solely because it 
                incorporates or employs in any form software (including 
                software with encryption capabilities) exempted from 
                any requirement for a validated license under 
                subparagraph (A).
            ``(3) Software with encryption capabilities.--The Secretary 
        shall authorize the export or reexport of software with 
        encryption capabilities for nonmilitary end-uses in any country 
        to which exports of software of similar capability are 
        permitted for use by financial institutions not controlled in 
        fact by United States persons, unless there is substantial 
        evidence that such software will be--
                    ``(A) diverted to a military end-use or an end-use 
                supporting international terrorism;
                    ``(B) modified for military or terrorist end-use; 
                or
                    ``(C) reexported without any authorization by the 
                United States that may be required under this Act.
            ``(4) Hardware with encryption capabilities.--The Secretary 
        shall authorize the export or reexport of computer hardware 
        with encryption capabilities if the Secretary determines that a 
        product offering comparable security is commercially available 
        outside the United States from a foreign supplier, without 
        effective restrictions.
            ``(5) Definitions.--As used in this subsection--
                    ``(A) the term `encryption' means the scrambling of 
                wire or electronic information using mathematical 
                formulas or algorithms in order to preserve the 
                confidentiality, integrity, or authenticity of, and 
                prevent unauthorized recipients from accessing or 
                altering, such information;
                    ``(B) the term `generally available' means, in the 
                case of software (including software with encryption 
                capabilities), software that is offered for sale, 
                license, or transfer to any person without restriction, 
                whether or not for consideration, including, but not 
                limited to, over-the-counter retail sales, mail order 
                transactions, phone order transactions, electronic 
                distribution, or sale on approval;
                    ``(C) the term `as is' means, in the case of 
                software (including software with encryption 
                capabilities), a software program that is not designed, 
                developed, or tailored by the software publisher for 
                specific purchasers, except that such purchasers may 
                supply certain installation parameters needed by the 
                software program to function properly with the 
                purchaser's system and may customize the software 
                program by choosing among options contained in the 
                software program;
                    ``(D) the term `is designed for installation by the 
                purchaser' means, in the case of software (including 
                software with encryption capabilities) that--
                            ``(i) the software publisher intends for 
                        the purchaser (including any licensee or 
                        transferee), who may not be the actual program 
                        user, to install the software program on a 
                        computing device and has supplied the necessary 
                        instructions to do so, except that the 
                        publisher may also provide telephone help line 
                        services for software installation, electronic 
                        transmission, or basic operations; and
                            ``(ii) the software program is designed for 
                        installation by the purchaser without further 
                        substantial support by the supplier;
                    ``(E) the term `computing device' means a device 
                which incorporates one or more microprocessor-based 
                central processing units that can accept, store, 
                process, or provide output of data; and
                    ``(F) the term `computer hardware', when used in 
                conjunction with information security, includes, but is 
                not limited to, computer systems, equipment, 
                application-specific assemblies, modules, and 
                integrated circuits.''.
    (b) Continuation of Export Administration Act.--For purposes of 
carrying out the amendment made by subsection (a), the Export 
Administration Act of 1979 shall be deemed to be in effect.
[A]: Security and Freedom Through Encryption (SAFE) Act - Amends the Federal criminal code to permit any person within any State, and any U.S. person in a foreign country, to use any encryption regardless of the encryption algorithm selected, encryption key length chosen, or implementation technique or medium used, with an exception for the unlawful use of encryption in furtherance of a criminal act. 
Allows any person within any State to sell in interstate commerce any encryption. 
Specifies that no person in lawful possession of a key to encrypted information may be required by Federal or State law to relinquish to another person control of that key, with an exception for access for law enforcement purposes. 
Sets penalties for the willful use of encryption in furtherance of the commission of a criminal offense. 
(Sec. 3) Amends the Export Administration Act of 1979 to grant the Secretary of Commerce exclusive authority to control exports of all hardware, software, and technology for information security (including encryption), except that which is specifically designed or modified for military use. 
Prohibits requiring any validated license (with limited exceptions pursuant to the Trading With The Enemy Act or the International Emergency Economic Powers Act) for the export or reexport of any:  (1) software, including software with encryption capabilities that is generally available as is and that is designed for installation by the purchaser, or that is in the public domain for which copyright or other protection is not available or is available to the public because it is generally accessible to the public in any form; or (2) computing device solely because it incorporates or employs in any form software (including software with encryption capabilities) exempted from any requirement for a validated license under this section. 
Directs the Secretary to authorize the export or reexport of:  (1) software with encryption capabilities for nonmilitary end-uses in any country to which exports of software of similar capability are permitted for use by financial institutions not controlled in fact by U.S. persons, unless there is substantial evidence that such software will be diverted to a military end-use or an end-use supporting international terrorism, modified for military or terrorist end-use, or reexported without any U.S. authorization that may be required under the Act; and (2) computer hardware with encryption capabilities if the Secretary determines that a product offering comparable security is commercially available outside the United States from a foreign supplier without effective restrictions.


[Q]: SECTION 1. SHORT TITLE. 

    This Act may be cited as the ``Rural Hospital Relief Act of 1999''.

SEC. 2. ELIMINATING UNINTENDED REDUCTION IN CONVERSION FACTOR FOR 
              MEDICARE OPD PPS.

    (a) Calculation of Base Amounts.--Section 1833(t)(3)(A)(ii) of the 
Social Security Act (42 U.S.C. 1395l(t)(3)(A)(ii)) is amended--
            (1) by striking ``copayments estimated to be paid under 
        this subsection'' and inserting ``coinsurance that would be 
        paid under this part'';and
            (2) by striking ``1999,'' and inserting ``1999 if this 
        subsection did not apply and''.
    (b) Effective Date.--The amendment made by subsection (a) shall 
take effect as if included in the provision of the Balanced Budget Act 
of 1997 to which the amendment relates at the time such provision 
became law.

SEC. 3. LIMITING REDUCTIONS IN FEDERAL PAYMENTS UNDER OPD PPS.

    (a) In General.--Section 4523 of the Balanced Budget Act of 1997 is 
amended by adding at the end the following:
    ``(e) Temporary Limit on Reductions in Federal Payments.--
            ``(1) In general.--Notwithstanding section 1833(t) of the 
        Social Security Act (42 U.S.C. 1395l(t)), as added by 
        subsection (a), the amount that is paid from the Federal 
        Supplementary Medical Insurance Trust Fund for covered OPD 
        Services furnished by a hospital in a rural area during a 
        calendar year (or portion thereof) specified in paragraph 
        (2)(A) may not be less than the applicable percentage of the 
        case mix adjusted average amount that would have been payable 
        to such hospital for such services (including cost-sharing) if 
        the prospective payment system established under such section 
        did not apply. Such average amount may be determined on a 
        prospective basis using the Secretary's best estimate of the 
        reasonable costs incurred in furnishing covered OPD services or 
        on a retrospective basis using cost reports submitted by such a 
        hospital.
            ``(2) Definitions.--For purposes of paragraph (1)--
                    ``(A) subject to paragraph (3), the term 
                `applicable percentage' means--
                            ``(i) with respect to covered OPD services 
                        furnished during the first full calendar year 
                        (and any portion of the immediately preceding 
                        calendar year) for which the prospective 
                        payment system established under section 
                        1833(t) of such Act is in effect--
                                    ``(I) 100 percent for hospitals in 
                                rural areas with less than 50 beds; and
                                    ``(II) 95 percent for hospitals not 
                                described in subclause (I);
                            ``(ii) with respect to the second full 
                        calendar year for which such system is in 
                        effect--
                                    ``(I) 98 percent for hospitals in 
                                rural areas with less than 50 beds; and
                                    ``(II) 90 percent for hospitals not 
                                described in subclause (I);
                            ``(iii) with respect to the third full 
                        calendar year for which such system is in 
                        effect--
                                    ``(I) 95 percent for hospitals in 
                                rural areas with less than 50 beds; and
                                    ``(II) 85 percent for hospitals not 
                                described in subclause (I); and
                    ``(B) the term `covered OPD services' has the 
                meaning given that term in section 1833(t)(1)(B) of 
                such Act.
            ``(3) Application to certain hospitals.--In the case of 
        hospitals described in section 1833(t)(8) of such Act, the 
        `applicable percentage' for a calendar year (or portion 
        thereof) shall be the same applicable percentage that applies 
        to covered OPD services furnished by hospitals that are not 
        described in such section during such calendar year (or portion 
        thereof).
            ``(4) Rule of construction.--Nothing in this subsection 
        shall be construed as affecting the amount of cost-sharing paid 
        by individuals enrolled under part B of title XVIII of the 
        Social Security Act for covered OPD services.''.
    (b) Conforming Amendment.--Section 1833(t)(1)(A) of the Social 
Security Act (42 U.S.C. 1395l(t)(1)(A)) is amended by inserting 
``except as provided in section 4523(e) of the Balanced Budget Act of 
1997,'' after ``1999,''.
    (c) Effective Date.--The amendments made by this section shall 
become effective as if included in the enactment of the Balanced Budget 
Act of 1997.

SEC. 4. EXCLUDING CERTAIN AMBULANCE SERVICES FROM SNF PPS.

    (a) In General.--Section 1888(e)(2)(A)(ii) of the Social Security 
Act (42 U.S.C. 1395yy(e)(2)(A)(ii)) is amended by inserting ``ambulance 
and transport services furnished to patients requiring outpatient 
dialysis services,'' after ``section 1861(s)(2),''.
    (b) Effective Date.--The amendment made by subsection (a) shall 
apply to services furnished on or after January 1, 2000.

SEC. 5. STANDARDS FOR, AND TREATMENT OF, CRITICAL ACCESS HOSPITALS.

    (a) In General.--
            (1) Limitations on beds and los.--Section 
        1820(c)(2)(B)(iii) of the Social Security Act (42 U.S.C. 1395i-
        4(c)(2)(B)(iii)) is amended by striking ``to exceed 96 hours'' 
        and inserting ``to exceed, on average, 96 hours per patient''.
            (2) Payment.--
                    (A) Part a.--Section 1814(l) of the Social Security 
                Act (42 U.S.C. 1395f(l) is amended by adding at the end 
                the following: ``In the case of a critical access 
                hospital that is located in a health professional 
                shortage area, the amount otherwise payable under the 
                preceding sentence shall be increased by 5 percentage 
                points.''.
                    (B) Part b.--Section 1834(g) of the Social Security 
                Act (42 U.S.C. 1395m(g)) is amended by adding at the 
                end the following: ``In the case of a critical access 
                hospital that is located in a health professional 
                shortage area, the amount otherwise payable under the 
                preceding sentence shall be increased by 5 percentage 
                points.''.
            (3) Permitting maintenance of distinct part geriatric 
        psychiatric unit.--Section 1820(f) of the Social Security Act 
        (42 U.S.C. 1395i-4(f)) is amended--
                    (A) by inserting ``and certain distinct part 
                units'' after ``swing beds'';
                    (B) by inserting ``(1)'' after ``beds.--'', and
                    (C) by adding at the end the following:
    ``(2) Nothing in this section shall be construed to prohibit a 
State from designating or the Secretary from certifying a facility as a 
critical access hospital solely because the facility maintains a 
distinct part psychiatric unit for geriatric patients.''.
    (b) Criteria for Designation.--Section 1820(c)(2)(B)(i) of the 
Social Security Act (42 U.S.C. 1395i-4(c)(2)(B)(i)) is amended by 
striking ``is a'' and all that follows through ``hospital and''.
    (c) Effective Date.--The amendments made by this section shall 
apply to services furnished on or after October 1, 1999.

SEC. 6. EXCLUSION OF SWING-BED DAYS FROM SNF PPS.

    (a) Exclusion From SNF PPS.--Section 1888(e)(7) of the Social 
Security Act (42 U.S.C. 1395yy(e)(7)) is amended to read as follows:
            ``(7) Exclusion.--The prospective payment system 
        established under this subsection shall not apply to services 
        provided by a hospital under an agreement described in section 
        1883.''.
    (b) Effective Date.--The amendments made by this section shall 
apply to services furnished on or after October 1, 1999.

SEC. 7. RESTORATION OF MEDICARE PAYMENTS FOR BAD DEBT.

    (a) In General.--Section 1861(v)(1)(T)(iii) of the Social Security 
Act (42 U.S.C. 1395x(v)(1)(T)(iii)) is amended by striking ``45'' and 
inserting ``10''.
    (b) Effective Date.--The amendment made by subsection (a) shall 
take effect as if included in the provision of the Balanced Budget Act 
of 1997 to which the amendment relates at the time such provision 
became law.

SEC. 8. TEMPORARY EXEMPTION OF RURAL HEALTH CLINICS FROM PRODUCTIVITY 
              STANDARDS.

    (a) In General.--Section 1833(f) of the Social Security Act (42 
U.S.C. 1395l(f)) is amended--
            (1) by redesignating paragraphs (1) and (2) as 
        subparagraphs (A) and (B), respectively;
            (2) by inserting ``(1)'' after ``(f)''; and
            (3) by adding at the end the following:
    ``(2) The Secretary may not apply productivity guidelines in 
determining the reasonable costs of rural health clinics for services 
furnished in calendar year 1998, 1999, 2000, or 2001.''.

SEC. 9. INFLATION UPDATES FOR RURAL PROVIDERS.

    (a) Hospitals.--
            (1) PPS.--Subclauses (XV) and (XVI) of section 
        1886(b)(3)(B)(i) of the Social Security Act (42 U.S.C. 
        1395ww(b)(3)(B)(i)) are each amended by striking ``all areas'' 
        and inserting ``urban areas, and the market basket percentage 
        increase for hospitals in rural areas''.
            (2) PPS-exempt.--Section 1886(b)(3)
        (B)(ii)(VII) of the Social Security Act (42 U.S.C. 
        1395ww(b)(3)(B)(ii)(VlI)) is amended to read as follows:
            ``(VII) for fiscal years 1999 through 2002, is the market 
        basket percentage increase for hospitals in rural areas, and 
        the applicable update factor specified under clause (vi) for 
        the fiscal year for hospitals in urban areas; and''.
    (b) Skilled Nursing Facilities.--Subclauses (I) and (II) of section 
1888(e)(4)(E)(ii) of the Social Security Act (42 U.S.C. 
1395yy(e)(4)(E)(ii)) are each amended by inserting ``for skilled 
nursing facilities in urban areas, and by the skilled nursing facility 
market basket percentage change for such year for skilled nursing 
facilities in rural areas'' after ``point''.

SEC. 10. EMERGENCY REQUIREMENT.

    The entire amount necessary to carry out this Act and the 
amendments made by this Act shall be available only to the extent that 
an official budget request for the entire amount, that includes 
designation of the entire amount of the request as an emergency 
requirement as defined in the Balanced Budget and Emergency Deficit 
Control Act of 1985, as amended, is transmitted by the President to the 
Congress: Provided, That the entire amount is designated by the 
Congress as an emergency requirement pursuant to section 251(b)(2)(A) 
of such Act.
[A]:
Amends the Balanced Budget Act of 1997 to establish a temporary limit on reductions in Federal payments for covered OPD services furnished by a hospital in a rural area during a calendar year.
Provides that the entire amount necessary to carry out this Act and the amendments made by it shall be available only to the extent that an official budget request for the entire amount, that includes designation of the entire amount of the request as an emergency requirement under the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm- Rudman-Hollings Act), as amended, is transmitted by the President to Congress, if that entire amount is designated by Congress as an emergency requirement.