Pub. L. 114-113, div. H, tit. II (as amended)

231.Section 1886(m)(6) of the Social Security Act (42 U.S.C. 1395ww(m)(6)) is amended—(1)in subparagraph (A)(i) by striking subparagraph (C) and inserting subparagraphs (C) and (E); and(2)by adding at the end the following new subparagraph:(E)Temporary exception for certain severe wound discharges from certain long-term care hospitals.—(i)In General.—In the case of a discharge occurring prior to January 1, 2017, subparagraph (A)(i) shall not apply (and payment shall be made to a long-term care hospital without regard to this paragraph) if such discharge—(I)is from a long-term care hospital that is—(aa)identified by the amendment made by section 4417(a) of the Balanced Budget Act of 1997 (42 U.S.C. 1395ww note, Public Law 105-33); and(bb)located in a rural area (as defined in subsection (d)(2)(D)) or treated as being so located pursuant to subsection (d)(8)(E); and(II)the individual discharged has a severe wound.(ii)Severe wound defined.—In this subparagraph, the term severe wound means a stage 3 wound, stage 4 wound, unstageable wound, non-healing surgical wound, infected wound, fistula, osteomyelitis, or wound with morbid obesity, as identified in the claim from the long-term care hospital..