Extending Medicare-dependent hospital and Medicare low-volume hospital payments

(a) MDH extension (1) Extension of payment methodology Section 1886(d)(5)(G) of the Social Security Act (42 U.S.C. 1395ww(d)(5)(G)) is amended— (A) in clause (i), by striking April 1, 2025 and inserting October 1, 2031; and (B) in clause (ii)(II), by striking April 1, 2025 and inserting October 1, 2031. (2) Conforming amendments (A) Extension of target amount Section 1886(b)(3)(D) of the Social Security Act (42 U.S.C. 1395ww(b)(3)(D)) is amended— (i) in the matter preceding clause (i), by striking April 1, 2025 and inserting October 1, 2031; and (ii) in clause (iv), by striking fiscal year 2024 and the portion of fiscal year 2025 beginning on October 1, 2024, and ending on March 31, 2025 and inserting fiscal year 2031. (B) Permitting hospitals to decline reclassification Section 13501(e)(2) of the Omnibus Budget Reconciliation Act of 1993 (42 U.S.C. 1395ww note) is amended by striking fiscal year 2024, or the portion of fiscal year 2025 beginning on October 1, 2024, and ending on March 31, 2025 and inserting fiscal year 2031. (b) LVH extension Section 1886(d)(12) of the Social Security Act (42 U.S.C. 1395ww(d)(12)) is amended— (1) in subparagraph (C)(i)— (A) in the matter preceding subclause (I), by striking through 2024 and the portion of fiscal year 2025 beginning on October 1, 2024, and ending on March 31, 2025 and inserting through 2031; (B) in subclause (III), by striking through 2024 and the portion of fiscal year 2025 beginning on October 1, 2024, and ending on March 31, 2025 and inserting through 2031; and (C) in subclause (IV), by striking the portion of fiscal year 2025 beginning on April 1, 2025, and ending on September 30, 2025, and fiscal year 2026 and inserting fiscal year 2032; and (2) in subparagraph (D)— (A) in the matter preceding clause (i), by striking through 2024 or during the portion of fiscal year 2025 beginning on October 1, 2024, and ending on March 31, 2025 and inserting through 2031; and (B) in clause (ii), by striking through 2024 and the portion of fiscal year 2025 beginning on October 1, 2024, and ending on March 31, 2025 and inserting through 2031.