during the stay in the skilled nursing facility as part of the plan of care to allow the transition of such qualified individuals from the skilled nursing facility setting to the home and community. . (d) Payment exclusions Section 1834(a) of the Social Security Act ( 42 U.S.C. 1395m(a) ) is amended— (1) in paragraph (4), by adding at the end the following sentence For 2018 and subsequent years, the items covered by this paragraph shall not include complex rehabilitation technology items (as defined in section 1861(jjj)).