S.Amdt. 3174

SA 3174. Mr. OSSOFF submitted an amendment intended to be proposed by
him to the bill S. 4638, to authorize appropriations for fiscal year
2025 for military activities of the Department of Defense, for military
construction, and for defense activities of the Department of Energy,
to prescribe military personnel strengths for such fiscal year, and for
other purposes; which was ordered to lie on the table; as follows:

At the end of subtitle H of title X, add the following:

SEC. 1095. RURAL EMERGENCY HOSPITAL FIX.

(a) In General.--
(1) Rural emergency hospital fix.--Section 1861(kkk)(3) of
the Social Security Act

[[Page S5522]]

(42 U.S.C. 1395x(kkk)(3)) is amended, in the matter preceding
subparagraph (A), by inserting ``October 1, 2020, or'' after
``as of''.
(2) Implementation.--Notwithstanding any other provision of
law, the Secretary of Health and Human Services may implement
the amendment made by paragraph (1) by program instruction or
otherwise.
(b) Offset.--
(1) Extending the adjustment to the calculation of hospice
cap amounts under the medicare program.--Section
1814(i)(2)(B) of the Social Security Act (42 U.S.C.
1395f(i)(2)(B)) is amended--
(A) in clause (ii), by striking ``2033'' and inserting
``2034''; and
(B) in clause (iii), by striking ``2033'' and inserting
``2034''.
(2) Medicare improvement fund.--Section 1898(b)(1) of the
Social Security Act (42 U.S.C. 1395iii(b)(1)) is amended by
striking ``$0'' and inserting ``$227,000,000''.
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