PUBLIC LAW 101-239—DEC. 19, 1989 103 STAT. 2153 care hospital, as defined in section 1861(mmXl)," after " 1861(aaX2)". N (iv) The third sentence of section 1865(a) of such Act (42 U.S.C. 1395bb(a)) is amended by striking "or 1861(ddX2)" and inserting "1861(ddX2), or 1861(mmXl)". (D) CONFORMING AMENDMENTS,—<i) Section 1128A(b)(l) of such Act (42 U.S.C. 1320a-7a(b)(l)) is amended by striking "hospital" each place it appears and inserting "hospital or a rural primary care hospital". "^ (ii) Section 1128B(c) of such Act (42 U.S.C. 1320a-7b(c)) is amended by inserting "rural primary care hospital," after "hospital,". (iii) Section 1134 ofsuch Act (42 U.S.C.1320b-4) is amend- 3 ed by striking "hospitals" each place it appears and insert- '•' ing "hospitals or rural primary care hospitals". (iv) Section 1138(a)(l) of such Act (42 U.S.C. 1320b-8(a)(l)) is amended by striking "hospital" each place it appears in the matter preceding clause (i) of subparagraph (A) and inserting "hospital or rural primary care hospital". (v) Section 1164(e) of such Act (42 U.S.C. 1320c-13(e)) is amended by inserting "rural primary care hospitals," after "hospitals,". (vi) Section 1816(c)(2)(C) of such Act (42 U.S.C. 1395h(c)(2)(C)) is amended by inserting "rural primary care hospital," after "hospital,". (vii) Section 1833 of such Act (42 U.S.C. 13951) is amended— (I) in subsection (h)(5)(A)(iii), by striking "hospital," each place it appears and inserting "hospital or rural primary care hospital,"; (II) in subsection (i)(l)(A), by inserting ", rural pri- mary care hospital," after "1832(a)(2)(F)(i))"; Gil) in subjection (i)(3)(A), by inserting "or rural primary care hospital services" after "facility services"; (IV) in subsection (1)(5)(A), by inserting "rural pri- mary care hospital," after "hospital," each place it appears; and (V) in subsection (1)(5)(C), by striking "hospital" each place it appears and inserting "hospital or rural pri- / mary care hospital". (viii) Section 1835(c) of such Act (42 U.S.C. 1395n(c)) is amended by adding at the end the following: "A rural primary care hospital shall be considered a hospital for purposes of this subsection.". (ix) Section 1842(b)(6)(A)(ii) of such Act (42 U.S.C. 1395u(b)(6)(A)(ii)) is amended by inserting "rural primary care hospital," after "hospital,". (x) Section 1861 of such Act (42 U.S.C. 1395x) is amended— (I) in subsection (e), by adding at the end the following: "The term 'hospital' does not include, unless the context otherwise requires, a rural primary care hospital (as defined in section 1861(mmXl)). ". (II) in subsection (w)(D, by inserting "rural primary care hospital," after "hospital,", and
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