Sunset

Not later than 9 years after the date of enactment of this Act, the Secretary shall establish a mechanism and provide guidance and technical assistance under which any facility that was designated as a critical access hospital pursuant to a certification by a State under section 1820(c)(2)(B)(i)(III) of the Social Security Act, as added by section 2(a), may transition within 1 year to one of the following payment models: (1) Such new model or models recommended by the Medicare Payment Advisory Commission in the report submitted under section 3. (2) The prospective payment model (or models) under which the facility received payment under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) prior to being designated pursuant to such certifcation. (3) Payment as a rural emergency hospital under section 1834(x) of the Social Security Act (42 U.S.C. 1395m(x)).