E)(PANSION OF DUG PAYMENT WINDOW.

SEC. 4003. E)(PANSION OF DUG PAYMENT WINDOW. (a) In General.—The first sentence of section 1886(a)(4) (42 U.S.C. 1395ww(a)(4)) is amended by striking the period and inserting the following: and includes the costs of all services for which payment may be made under this title that are provided by the hospital (or by an entity wholly owned or operated by the hospital) to the patient during the 3 days immediately preceding the date of the patient’s admission if such services are diagnostic services (including clinical 104 STAT. 1388–39diagnostic laboratory tests) or are other services related to the admission (as defined by the Secretary).”. (b) Effective Date.—The amendment made by subsection (a) shall apply— (1) in the case of any services provided during the day immediately preceding the date of a patient’s admission (without regard to whether the services are related to the admission), to services furnished on or after the date of the enactment of this Act and before October 1, 1991; (2) in the case of diagnostic services (including clinical diagnostic laboratory tests), to services furnished on or after January 1, 1991; and (3) in the case of any other services, to services furnished on or after October 1, 1991. (c) Issuance of Interim Final Regulation.—The Secretary of Health and Human Services shall issue such regulations (on an interim or other basis) as may be necessary to implement this section.