; and (C) 10 years after the date of the enactment of this Act. (2) Reports Not later than 6 months after each date that the Secretary of Health & Human Services is required to conduct a study under paragraph (1), the Secretary shall submit a report to Congress containing the results of each such study. (d) Effective date The amendments made by this section shall apply to items and services furnished on or after the date that is 1 year after the date of the enactment of this Act. 4. Inclusion of emergency medicine as health services under the National Health Service Corps Section 331(a)(3)(D) of the Public Health Service Act ( 42 U.S.C. 254d(a)(3)(D) ) is amended by inserting , and includes emergency medicine provided by physicians in a rural emergency hospital (as defined in section 1861(jjj) of the Social Security Act) before the period. 5. Permitting hospitals with approved residency programs in emergency medicine to include time spent by interns and residents in the emergency department of a rural hospital in full-time equivalent count (a) Indirect medical education Section 1886(d)(5)(B)(iv) of the Social Security Act ( 42 U.S.C. 1395ww(d)(5)(B)(iv) ) is amended by adding at the end the following new subclause: (III) Effective for discharges occurring on or after October 1, 2017, all of the time spent in patient care activities in the emergency department of a rural hospital by interns and residents in emergency medicine from a hospital with an approved medical residency training program (as defined in subsection (h)(5)(A)) in such specialty shall be included in determining the number of full-time equivalent interns and residents in such program if the hospital with such program incurs the costs of the stipends and fringe benefits of the interns or residents during the time the interns or residents spend in that rural hospital in accordance with subclause (II). In this subclause, the term rural hospital means a hospital that is located in a rural area (as defined for purposes of paragraph (2)(D)). . (b)