reporting period means a cost reporting period of a sole community hospital or a medicare-dependent, small rural hospital, as the case may be, that begins during a fiscal year before fiscal year 2018. . 30215. Deeming certain hospitals to be located in an urban area for purposes of payment for inpatient hospital services under the Medicare program Section 1886(d)(10) of the Social Security Act ( 42 U.S.C. 1395ww(d)(10) ) is amended by adding at the end the following new subparagraph: (G) (i) For purposes of payment under this subsection for discharges occurring during the 3-year period beginning on October 1, 2020, each hospital located in Albany, Saratoga, Schenectady, Montgomery, or Rensselaer County of New York shall be deemed to be located in the large urban area of Hartford-West Hartford-East of Hartford, Connecticut (CBSA 25540). (ii) Any deemed location of a hospital pursuant to clause (i) shall be treated as a decision of the Medicare Geographic Classification Review Board for purposes of paragraph (8)(D). . III Private Insurance Provisions A Health Plans 30301. Special enrollment period through Exchanges