PHYSICIAN OWNERSHIP-REFERRAL.

SEC. 1106. PHYSICIAN OWNERSHIP-REFERRAL. Section 1877(i) of the Social Security Act (42 U.S.C. 1395nn(i)), as added by section 6001(a)(3) of the Patient Protection and Affordable Care Act and as amended by section 10601(a) of such Act, is amended— (1) in paragraph (1)(A)(i), by striking “August 1, 2010” and inserting “December 31, 2010”; and (2) in paragraph (3)— (A) in subparagraph (A)(i), by striking “an applicable hospital (as defined in subparagraph (E))” and inserting “a hospital that is an applicable hospital (as defined in subparagraph (E)) or is a high Medicaid facility described in subparagraph (F)”; (B) in subparagraph (C)(iii), by inserting after “date of enactment of this subsection” the following: “(or, in the case of a hospital that did not have a provider agreement in effect as of such date but does have such an agreement in effect on December 31, 2010, the effective date of such provider agreement)”; (C) by redesignating subparagraphs (F) through (H) as subparagraphs (G) through (I), respectively; and (D) by inserting after subparagraph (E) the following new subparagraph: “(F) High medicaid facility described.—A high Medicaid facility described in this subparagraph is a hospital that— “(i) is not the sole hospital in a county; “(ii) with respect to each of the 3 most recent years for which data are available, has an annual percent of total inpatient admissions that represent inpatient admissions under title XIX that is estimated to be greater than such percent with respect to such admissions for any other hospital located in the county in which the hospital is located; and “(iii) meets the conditions described in subparagraph (E)(iii).” .