S.Amdt. 3077

SA 3077. Mr. DURBIN submitted an amendment intended to be proposed to
amendment SA 2786 proposed by Mr. Reid (for himself, Mr. Baucus, Mr.
Dodd, and Mr. Harkin) to the bill H.R. 3590, to amend the Internal
Revenue Code of 1986 to modify the first-time

[[Page S12741]]

homebuyers credit in the case of members of the Armed Forces and
certain other Federal employees, and for other purposes; which was
ordered to lie on the table; as follows:

On page 816, after line 20, add the following:

SEC. 3115. MEDICARE PASS-THROUGH PAYMENTS FOR CRNA SERVICES.

(a) Treatment of Critical Access Hospitals as Rural in
Determining Eligibility for CRNA Pass-Through Payments.--
Section 9320(k) of the Omnibus Budget Reconciliation Act of
1986 (42 U.S.C. 1395k note), as added by section 608(c)(2) of
the Family Support Act of 1988 and amended by section 6132 of
the Omnibus Budget Reconciliation Act of 1989, is amended by
adding at the end the following:
``(3) Any facility that qualifies as a critical access
hospital (as defined in section 1861(mm)(1) of the Social
Security Act) shall be treated as being located in a rural
area for purposes of paragraph (1) regardless of any
geographic reclassification of the facility, including such a
reclassification of the county in which the facility is
located as an urban county (also popularly known as a Lugar
county) under section 1886(d)(8)(B) of the Social Security
Act (42 U.S.C. 1395ww(d)(8)(B)).''.
(b) Treatment of Standby and On-Call Costs.--Such section
9320(k), as amended by subsection (a), is further amended by
adding at the end the following:
``(4) In determining the reasonable costs incurred by a
hospital or critical access hospital for the services of a
certified registered nurse anesthetist under this subsection,
the Secretary shall include standby costs and on-call costs
incurred by the hospital or critical access hospital,
respectively, with respect to such nurse anesthetist.''.
(c) Effective Dates.--
(1) Treatment of cahs as rural in determining crna pass-
through eligibility.--The amendment made by subsection (a)
shall apply to calendar years beginning on or after the date
of the enactment of this Act (regardless of whether the
geographic reclassification of a critical access hospital
occurred before, on, or after such date).
(2) Inclusion of standby costs and on-call costs in
determining reasonable costs of crna services.--The amendment
made by subsection (b) shall apply to costs incurred in cost
reporting periods beginning in fiscal years after fiscal year
2003.
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