Swing beds

Section 1861(kkk)(6) of the Social Security Act (42 U.S.C. 1395x(kkk)(6)), as amended by section 3, is amended— (1) in subparagraph (D), by striking and at the end; (2) in subparagraph (E), by striking the period at the end and inserting; and; and (3) by adding at the end the following new subparagraph: (F) may enter into an agreement with the Secretary under which its facilities may be used for the furnishing of services of the type which, if furnished by a skilled nursing facility would constitute extended care services. Payment to a rural emergency hospital for services furnished under such an agreement shall be based upon the reasonable cost of the services as determined under section 1883(a)(2)(B) (if such section were applied by submitting rural emergency hospital for hospital and inpatient hospital in clauses (ii) and (iii), respectively, of such section)..