; and ; (B) in paragraph (9), by striking the period at the end and inserting ; and ; and (C) by inserting after paragraph (9) the following: (10) in the case of qualified outpatient services, the amounts described in section 1834(r). . (4) Effective date The amendments made by this subsection shall apply to items and services furnished on or after the first day of the first calendar year beginning more than 1 year after the date of the enactment of this Act. (d) Reports The Secretary of Health and Human Services shall submit to Congress three reports on the impact of community outpatient hospitals on the availability of health care and health outcomes in rural areas (as defined in section 1886(d)(2)(D) of the Social Security Act ( 42 U.S.C. 1395ww(d)(2)(D) )) as follows: (1) Initial report An initial report approximately 2 years after the date of the enactment of this Act. (2) Interim report An interim report approximately 5 years after the date of the enactment of this Act. (3) Final report A final report approximately 10 years after the date of the enactment of this Act. 402. Grant funding to assist rural hospitals Section 330A of the Public Health Service Act ( 42 U.S.C. 254c ) is amended— (1) in subsection (b)— (A) in paragraph (1), by striking Director specified in subsection (d) and inserting Director of the Office of Rural Health Policy of the Health Resources and Services Administration ; and (B) by adding at the end the following: (6) Eligible rural hospital The term eligible rural hospital means— (A) a hospital (as defined in section 1861(e) of the Social Security Act) that— (i) has fewer than 50 beds; and (ii) is located in a rural area (as defined in section 1886(d)(2)(D) of such Act) or treated as being located in a rural area pursuant to section 1886(d)(8)(E) of such Act; (B) a community outpatient hospital (as defined in section 1861(iii) of such Act); or (C) a critical access hospital (as defined in section 1861(mm) of such Act).