S.Amdt. 3187

SA 3187. Mr. WYDEN (for himself and Mr. Crapo) 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
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 828, between lines 3 and 4, insert the following:

SEC. 3130. MEDICARE CRITICAL ACCESS HOSPITAL PROVISIONS.

(a) Flexibility in the Manner in Which Beds Are Counted for
Purposes of Determining Whether a Hospital May Be Designated
as a Critical Access Hospital Under the Medicare Program.--
(1) In general.--Section 1820(c)(2)(B) of the Social
Security Act (42 U.S.C. 1395i-4(c)(2)(B)) is amended--
(A) in clause (iii), by inserting ``(or 20, as determined
on an annual, average basis)'' after ``25''; and
(B) by adding at the end the following flush sentence:

``In determining the number of beds for purposes of clause
(iii), only beds that are occupied shall be counted.''.
(2) Effective date.--The amendments made by this subsection
take effect on January 1, 2010.
(b) Critical Access Hospital Inpatient Bed Limitation
Exemption for Beds Provided to Certain Veterans.--
(1) In general.--Section 1820(c) of the Social Security Act
(42 U.S.C. 1395i-4(c)) is amended by adding at the end the
following new paragraph:
``(3) Exemption from bed limitation.--For purposes of this
section, no acute care inpatient bed shall be counted against
any numerical limitation specified under this section for
such a bed (or for inpatient bed days with respect to such a
bed) if the bed is provided for an individual who is a
veteran and the Department of Veterans Affairs referred the
individual for care in the hospital or is coordinating such
care with other care being provided by such Department.''.
(2) Effective date.--The amendment made by paragraph (1)
shall apply to cost reporting periods beginning on or after
the date of the enactment of this Act
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