1. Permitting 2-year phase-in of hospital wage index reclassification from rural to urban without requiring waiver of wage index increase
Section 1886(d)(13)(G) of the Social Security Act (42 U.S.C. 1395ww(d)(13)(G)) is amended—
by striking “(G) A hospital” and inserting “(G)(i) Except as provided in clause (ii), a hospital”; and
by adding at the end the following new clause:
“(ii) In the case of any hospital which is located in an area which, at any time after September 30, 2014, is reclassified from a rural to an urban area, such hospital shall not be required to waive the application of a wage index increase under this paragraph in order to be eligible for reclassification under paragraph (8)(E) (related to treating hospitals as being located in a rural area) for the first two fiscal years for which the reclassification from rural to urban is effective. The Secretary shall treat any hospital described in this clause that reclassifies as rural under paragraph (8)(E) during such two fiscal years as not having waived the application of the wage index increase under this paragraph.”