; and (B) an additional amount determined appropriate by the Secretary. . (b) Conditions of participation Section 1866(a)(1) of the Social Security Act ( 42 U.S.C. 1395cc(a)(1) ) is amended— (1) in subparagraph (X), by striking at the end and ; (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 access 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 access center (as defined in section 1861(kkk)(1)). . (d) Conforming amendment Section 1861(u) of the Social Security Act ( 42 U.S.C. 1395x(u) ) is amended by inserting rural emergency access center, after critical access hospital, .