; and (iii) by inserting after paragraph (9) the following new paragraph: (10) in the case of rural emergency medical center services, services provided by a rural emergency medical center ambulance service provider or another ambulance service supplier to transport patients who require acute care inpatient services or other inpatient services from such rural emergency medical center to a hospital or critical access hospital, and extended care services furnished by a rural emergency medical center, the amounts described in section 1834(w). . (B) Payment amount Section 1834 of the Social Security Act ( 42 U.S.C. 1395m ) is amended by adding at the end the following subsection: (w) Payment rules relating to rural emergency medical centers (1) Payment for rural emergency medical center outpatient services The amount of payment for rural emergency medical center services of a rural emergency medical center is determined as follows: (A) Facility fee With respect to facility services (other than services for which payment is made under subparagraph (B)), the sum of the following: (i) OPPS rate The amount of payment that would otherwise apply under section 1833(t) for covered OPD services (as defined in section 1833(t)(1)(B) (other than clause (ii) of such section)). (ii) Additional fee An additional facility payment in an amount determined appropriate by the Secretary that accounts for the fixed costs of the rural emergency medical center in furnishing rural emergency medical center services and the low volume of services provided by such center. (B) Professional services With respect to professional services, the amount of payment that would otherwise be made under this part (other than under section 1833(t)(21)) for such services. (2) Payment for transportation services The amount of payment for services provided by a rural emergency medical center ambulance service provider or another ambulance service supplier to transport patients who require acute care inpatient services or other inpatient services from such