The American Taxpayer Relief Act of 2012, which was signed into law on January 2, 2013, extends the temporary improvements to the low volume hospital program through September 30, 2013. For federal fiscal year (FFY)2013, the payment increases are applicable for hospitals that are located more than 15 road miles from another hospital (excluding critical access, psychiatric, rehabilitation, longterm care, cancer, research and children’s hospitals) and have less than 1,600 Medicare discharges.