TECHNICAL CHANGES TO MEDICARE LTCH AMENDMENTS.

SEC. 112. TECHNICAL CHANGES TO MEDICARE LTCH AMENDMENTS. (a) In general.—Subclauses (I) and (II) of section 1886(m)(6)(C)(iv) of the Social Security Act (42 U.S.C. 1395ww(m)(6)(C)(iv)) are each amended by striking “discharges” and inserting “Medicare fee-for-service discharges”. (b) MMSEA Correction.—Section 114(d) of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (42 U.S.C. 1395ww note), as amended by sections 3106(b) and 10312(b) of Public Law 111-148 and by section 1206(b)(2) of the Pathway for SGR Reform Act of 2013 (division B of Public Law 113-67), is amended— (1) in paragraph (1), in the matter preceding subparagraph (A), by striking “January 1, 2015,” and inserting “on the date of the enactment of paragraph (7) of this subsection”; (2) in paragraph (6), by striking “January 1, 2015,” and inserting “on the date of the enactment of paragraph (7) of this subsection”; and (3) by adding at the end the following new paragraph: “(7) Additional exception for certain long-term care hospitals.—The moratorium under paragraph (1)(A) shall not apply to a long-term care hospital that— “(A) began its qualifying period for payment as a long-term care hospital under section 412.23(e) of title 42, Code of Federal Regulations, on or before the date of enactment of this paragraph; “(B) has a binding written agreement as of the date of the enactment of this paragraph with an outside, unrelated party for the actual construction, renovation, lease, or demolition for a long-term care hospital, and has expended, before such date of enactment, at least 10 percent of the estimated cost of the project (or, if less, $2,500,000); or “(C) has obtained an approved certificate of need in a State where one is required on or before such date of enactment.” . (c) Additional Amendments.—Section 1206(a) of the Pathway for SGR Reform Act of 2013 (division B of Public Law 113-67) is amended— (1) in paragraph (2)(A), by striking “Assessment” and inserting “Advisory”; and (2) [42 U.S.C. 1395ww note] in paragraph (3)(B), by striking “shall not apply to a hospital that is classified as of December 10, 2013, as a subsection (d) hospital (as defined in section 1886(d)(1)(B) of the Social Security Act, 42 U.S.C. 1395ww(d)(1)(B))” and inserting “shall only apply to a hospital that is classified as of December 10, 2013, as a long-term care hospital (as defined in section 1861(ccc) of the Social Security Act, 42 U.S.C. 1395x(ccc))”. (d) [42 U.S.C. 1395ww note] Effective date.—The amendments made by this section are effective as of the date of the enactment of this Act.