PUBLIC LAW 106-113—APPENDIX F 113 STAT. 1501A-371 "(iii) as of the effective date of such designation, meets the criteria for designation under subparagraph (B).". (d) ELECTION OF COST-BASED PAYMENT OPTION FOR OUTPATIENT CRITICAL ACCESS HOSPITAL SERVICES. — (1) IN GENERAL.—Section 1834(g) (42 U.S.C. 1395m(g)) is amended to read as follows: " (g) PAYMENT FOR OUTPATIENT CRITICAL ACCESS HOSPITAL SERVICES. — "(1) IN GENERAL. — The amount of payment for outpatient critical access hospital services of a critical access hospital is the reasonable costs of the hospital in providing such services, unless the hospital makes the election under paragraph (2). "(2) ELECTION OF COST-BASED HC>SPITAL OUTPATIENT SERVICE PAYMENT PLUS FEE SCHEDULE FOR PROFESSIONAL SERV- ICES.—^A critical access hospital may elect to be paid for outpatient critical access hospital services amounts equal to the sum of the following, less the amount that such hospital may charge as described in section 1866(a)(2)(A): "(A) FACILITY FEE. — With respect to facility services, not including any services for which payment may be made under subparagraph (B), the reasonable costs of the critical access hospital in providing such services. "(B) FEE SCHEDULE FOR PROFESSIONAL SERVICES.— With respect to professional services otherwise included within outpatient critical access hospital services, such amounts as would otherwise be paid under this part if such services were not included in outpatient critical access hospital services. "(3) DISREGARDING CHARGES. —The pa:»anent amounts under this subsection shall be determined without regard to the amount of the customary or other charge.". (2) EFFECTIVE DATE. —The amendment made by subsection (a) shall apply for cost reporting periods beginning on or after October 1, 2000. (e) ELIMINATION OF COINSURANCE FOR (DLINICAL DIAGNOSTIC LABORATORY TESTS FURNISHED BY A CRITICAL ACCESS HOSPITAL ON AN OUTPATIENT BASIS. — (1) IN GENERAL.— Paragraphs (l)(D)(i) and (2)(D)(i) of section 1833(a) (42 U.S.C. 13951(a)) are each amended by inserting "or which are furnished on an outpatient basis by a critical access hospital" after "on an assignment-related basis". (2) EFFECTIVE DATE.—The amendments made by paragraph (1) shall apply to services furnished on or after the date of the enactment of this Act. (f) PARTICIPATION IN SWING BED PROGR/^M. -Section 1883 (42 U.S.C. 1395tt) is amended— (1) in subsection (a)(1), by striking "(other than a hospital which has in effect a waiver under sutiparagraph (A) of the last sentence of section 1861(e))"; and (2) in subsection (c), by striking ", or during which there is in effect for the hospital a waiver under subparagraph (A) of the last sentence of section 1861(e)".
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