; (2) in the subparagraph (Y), by striking at the end the period and inserting a comma; and (3) by inserting after subparagraph (Y) the following new subparagraph: (Z) in the case of a rural emergency medical center, to meet requirements applicable to critical access hospitals under this title, other than— (i) requirements relating to a Medicare rural hospital flexibility program under section 1820(c), including state designation of a facility as a critical access hospital and criteria for such designation under paragraph (2) of such section; (ii) requirements relating to critical access hospitals and rural health networks under section 1820(d); (iii) certification by the Secretary as a critical access hospital under section 1820(e); (iv) requirements relating to the provision of inpatient hospital services or acute care beds by a hospital or critical access hospital under this section, including under— (I) paragraph (1)(G) of this subsection (relating to certain payment restrictions for inpatient hospital services); and (II) paragraph (1)(T) of this subsection (relating to data submission requirements for inpatient hospital services for purposes of the low-volume adjustment); and (v) such others provisions of law or regulation, including provisions under Part B and Part E, as the Secretary may specify. . (c) Treatment as telehealth originating site Section 1834(m)(4)(C)(ii) of the Social Security Act ( 42 U.S.C. 1395m(m)(4)(C)(ii) ) is amended by adding at the end the following new subclause: (IX) A rural emergency medical center (as defined in section 1861(jjj)(1)). . (d) Waiver of distance requirement for replacement CAHs; subsequent redesignation of rural emergency medical center as CAHs Section 1820(c)(2) of the Social Security Act ( 42 U.S.C. 1395i–4(c)(2) ) is amended— (1) in subparagraph (B)(i)(I), by inserting subject to subparagraph (F), before is located