PUBLIC LAW 106-554—APPENDIX F 114 STAT. 2763A-565 "(A) To require coverage through a skilled nursing facility that is not otherwise qualified to provide benefits under part A for medicare beneficiaries not enrolled in a Medicare+Choice plan. "(B) To prevent a skilled nursing facility from refusing to accept, or imposing conditions upon the acceptance of, an enrollee for the receipt of post-hospital extended care services. "(4) DEFINITIONS.— In this subsection: "(A) HOME SKILLED NURSING FACILITY.— The term 'home skilled nursing facility' means, with respect to an enrollee who is entitled to receive post-hospital extended care services under a Medicare+Choice plan, any of the following skilled nursing facilities: "(i) SNF RESIDENCE AT TIME OF ADMISSION. — The skilled nursing facility in which the enrollee resided at the time of admission to the hospital preceding the receipt of such post-hospital extended care services. " (ii) SNF IN CONTINUING CARE RETIREMENT COMMU- NITY. — ^A skilled nursing facility that is providing such services through a continuing care retirement community (as defined in subparagraph (B)) which provided residence to the enrollee at the time of such admission. " (iii) SNF RESIDENCE OF SPOUSE AT TIME OF DIS- CHARGE.— The skilled nursing facility in which the spouse of the enrollee is residing at the time of discharge from such hospital. " (B) CONTINUING CARE RETIREMENT COMMUNITY. —The term 'continuing care retirement community' means, with respect to an enrollee in a Medicare+Choice plan, an arrangement under which housing and health-related services are provided (or arranged) through an organization for the enrollee under an agreement that is effective for the life of the enrollee or for a specified period.". (b) EFFECTIVE DATE.— The amendment made by subsection (a) shall apply with respect to contracts entered into or renewed on or after the date of the enactment of this Act. (c) MEDPAC STUDY.— (1) STUDY.— The Medicare Payment Advisory Commission shall conduct a study analyzing the effects of the amendment made by subsection (a) on Medicare+Choice organizations. In conducting such study, the Commission shall examine the effects (if any) such amendment has had— (A) on the scope of additional benefits provided under the Medicare+Choice program; (B) on the administrative and other costs incurred by Medicare+Choice organizations; and (C) on the contractual relationships between such organizations and skilled nursing facilities. (2) REPORT. — Not later than 2 years after the date of the enactment of this Act, the Commission shall submit to Congress a report on the study conducted under paragraph (1).
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