; (B) has in effect a transfer agreement with a level I or level II trauma center; and (C) meets such staff training and certification requirements as the Secretary may require. (5) A facility certified by the Secretary as a rural emergency medical center shall be deemed to be a critical access hospital for purposes of section 256b of title 42, United States Code. . (2) Payment for rural emergency medical center services (A) In general Section 1833(a) of the Social Security Act ( 42 U.S.C. 1395l(a) ) is amended— (i) in paragraph (8), by striking and at the end; (ii) in paragraph (9), by striking the period at the end and inserting ; and