FIVE-YEAR EXTENSION OF THE RURAL COMMUNITY HOSPITAL DEMONSTRATION PROGRAM.

SEC. 128. FIVE-YEAR EXTENSION OF THE RURAL COMMUNITY HOSPITAL DEMONSTRATION PROGRAM. (a) Extension.— (1) In general.—Subsection (a)(5) of section 410A of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (Public Law 108-173; 42 U.S.C. 1395ww note), is amended by striking “10-year extension period” and inserting “15-year extension period”. (2) Conforming amendments for extension.— (A) Extension of demonstration period.—Subsection (g) of such section 410A is amended— (i) in the subsection heading, by striking “Ten-Year” and inserting “Fifteen-Year”; (ii) in paragraph (1)— (I) by striking “additional 10-year” and inserting “additional 15-year”; and (II) by striking “10-year extension period” and inserting “15-year extension period”; (iii) in paragraph (2), by striking “10-year extension period” and inserting “15-year extension period”; (iv) in paragraph (3), by striking “10-year extension period” and inserting “15-year extension period”; (v) in paragraph (4), by striking “10-year extension period” each place it appears and inserting “15-year extension period”; (vi) in paragraph (5), by striking “10-year extension period” and inserting “15-year extension period”; and (vii) in subparagraph (A) of paragraph (6), by striking “10-year extension period” and inserting “15-year extension period”. (B) Rule for hospitals that are not original participants in the demonstration.—Paragraph (5) of subsection (g) of such section 410A is amended— (i) by striking “program.—During” and inserting“ program.— “(A) CURES act extension.—During” ; and (ii) by adding at the end the following new subparagraph: “(B) Additional extension.—During the third 5 years of the 15-year extension period, the Secretary shall apply the provisions of paragraph (4) to rural community hospitals that are not described in paragraph (4) but are participating in the demonstration program under this section as of December 30, 2019, in a similar manner as such provisions apply to rural community hospitals described in paragraph (4).” . (b) Clarifying Technical Amendments.—Such section 410A, as amended by subsection (a), is further amended— (1) in subsection (a)(1), by inserting “of Health and Human Services” after “Secretary”; (2) in subsection (f)(1)(A)(iv) by inserting “of the Social Security Act (42 U.S.C. 1395i-4)” after “section 1820”; and (3) in subsection (g)— (A) in the heading of paragraph (4), by striking “Hospitals in demonstration program on date of enactment” and inserting “Hospitals participating in the demonstration program during the initial 5-year period”; and (B) in paragraph (6)(A), by striking “not later than 120 days after the date of the enactment of this paragraph” and inserting “not later than April 12, 2017”.