124 STAT. 418 PUBLIC LAW 111–148—MAR. 23, 2010 110–275) is amended by striking ‘‘December 31, 2009’’ and inserting ‘‘December 31, 2009, and during the period beginning on April 1, 2010, and ending on January 1, 2011’’. (c) SUPER RURAL AMBULANCE.—Section 1834(l)(12)(A) of the Social Security Act (42 U.S.C. 1395m(l)(12)(A)) is amended by striking ‘‘2010’’ and inserting ‘‘2010, and on or after April 1, 2010, and before January 1, 2011’’. SEC. 3106. EXTENSION OF CERTAIN PAYMENT RULES FOR LONG -TERM CARE HOSPITAL SERVICES AND OF MORATORIUM ON THE ESTABLISHMENT OF CERTAIN HOSPITALS AND FACILITIES. (a) EXTENSION OF CERTAIN PAYMENT RULES.—Section 114(c) of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (42 U.S.C. 1395ww note), as amended by section 4302(a) of the Amer- ican Recovery and Reinvestment Act (Public Law 111–5), is further amended by striking ‘‘3-year period’’ each place it appears and inserting ‘‘4-year period’’. (b) EXTENSION OF MORATORIUM.—Section 114(d)(1) of such Act (42 U.S.C. 1395ww note), in the matter preceding subparagraph (A), is amended by striking ‘‘3-year period’’ and inserting ‘‘4-year period’’. SEC. 3107. EXTENSION OF PHYSICIAN FEE SCHEDULE MENTAL HEALTH ADD-ON. Section 138(a)(1) of the Medicare Improvements for Patients and Providers Act of 2008 (Public Law 110–275) is amended by striking ‘‘December 31, 2009’’ and inserting ‘‘December 31, 2010’’. SEC. 3108. PERMITTING PHYSICIAN ASSISTANTS TO ORDER POST-HOS- PITAL EXTENDED CARE SERVICES. (a) ORDERING POST-HOSPITAL EXTENDED CARE SERVICES.— (1) IN GENERAL.—Section 1814(a)(2) of the Social Security Act (42 U.S.C. 1395f(a)(2)), in the matter preceding subpara- graph (A), is amended by striking ‘‘or clinical nurse specialist’’ and inserting ‘‘, a clinical nurse specialist, or a physician assist- ant (as those terms are defined in section 1861(aa)(5))’’ after ‘‘nurse practitioner’’. (2) CONFORMING AMENDMENT.—Section 1814(a) of the Social Security Act (42 U.S.C. 1395f(a)) is amended, in the second sentence, by striking ‘‘or clinical nurse specialist’’ and inserting ‘‘clinical nurse specialist, or physician assistant’’ after ‘‘nurse practitioner,’’. (b) EFFECTIVE DATE.—The amendments made by this section shall apply to items and services furnished on or after January 1, 2011. SEC. 3109. EXEMPTION OF CERTAIN PHARMACIES FROM ACCREDITA- TION REQUIREMENTS. (a) IN GENERAL.—Section 1834(a)(20) of the Social Security Act (42 U.S.C. 1395m(a)(20)), as added by section 154(b)(1)(A) of the Medicare Improvements for Patients and Providers Act of 2008 (Public Law 100–275), is amended— (1) in subparagraph (F)(i)— (A) by inserting ‘‘and subparagraph (G)’’ after ‘‘clause (ii)’’; and (B) by inserting ‘‘, except that the Secretary shall not require a pharmacy to have submitted to the Secretary 42 USC 1395f note. 42 USC 1395w–4 note.
