A bill to amend title XVIII of the Social Security Act and the Budget and Emergency Deficit Control Act of 1985 with respect to essential access community hospitals, the rural transition grant program, durable medical equipment, adjustments to discretionary spending limits, standards for Medicare supplemental insurance policies, expansion and revision of Medicare Select policies, psychology services in hospitals, payment for anesthesia services funished directly or concurrently in providers, improve reimbursement for clinical social worker services, and for other purposes