Page:United States Statutes at Large Volume 100 Part 1.djvu/190

 100 STAT. 154

42 USC 1395WW note.

42 USC 1395WW note.

PUBLIC LAW 99-272—APR. 7, 1986

"(III) for fiscal year 1989 and subsequent fiscal years, the percentage determined by the Secretary pursuant to subsection (e)(4). "(ii) For purposes of clause (i), the term 'market basket percentage increase' means, with respect to cost reporting periods and discharges occurring in a fiscal year, the percentage, estimated by the Secretary before the beginning of the period or fiscal year, by which the cost of the mix of goods and services (including personnel costs but excluding nonoperating costs) comprising routine, ancillary, and special care unit inpatient hospital services, based on an index of appropriately weighted indicators of changes in wages and prices which are representative of the mix of goods and services included in such inpatient hospital services, for the period or fiscal year will exceed the cost of such mix of goods and services for the preceding 12-month cost reporting period or fiscal year.". (c) CONFORMING AMENDMENTS.—(1) Section 1886(d)(3)(A) of such Act (42 U.S.C. 1395ww(d)(3)(A)) is amended by striking out "for fiscal year 1985" and inserting in lieu thereof "for each of fiscal years 1985 and 1986". (2) Section 1886(e)(3) of such Act is amended by striking out "(instead of the applicable percentage increase described in subsection (b)(3)(B))". (3) Section 1886(e)(4) of such Act is amended by striking out "1986" and inserting in lieu thereof "1987". (d) EFFECTIVE DATE OF FREEZE EXTENSION.—The amendment made by subsection (a) shall take effect on March 15, 1986, and the amendments made by subsection (c) shall take effect on the date of the enactment of this Act. (e) EFFECTIVE DATE FOR INCREASE.—

(1) PPS HOSPITALS, DRG PORTION OF PAYMENT.—In the case of a subsection (d) hospital (as defined in paragraph (4))— (A) the amendment made by subsection (b) shall apply to payments made under section 1886(d)(1)(A) of such Act made on the basis of discharges occurring on or after May 1, 1986; and ^ (B) for discharges occurring on or after October 1, 1986, the applicable percentage increase (described in section 1886(b)(3)(B)) for discharges occurring during fiscal year B.i"-U 1986 shall be deemed to have been V2 percent.

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(2) P P S HOSPITALS, HOSPITAL SPECIFIC PORTION OF PAYMENT.—

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In the case of a subsection (d) hospital— (A) the amendment made by subsection (b) shall apply to payments under section 1886(d)(l)(A) of the Social Security Act made on the basis of discharges occurring during a cost reporting period of a hospital, for the hospital's cost reporting periods beginning on or after October 1, 1985; (B) notwithstanding subparagraph (A), for the cost reporting period beginning during fiscal year 1986, the applicable percentage incresise (as defined in section 1886(b)(3)(B) of such Act) for the— (i) first 7 months of the cost reporting period shall be 0 percent, and ' ' (ij) for the remaining 5 months of the cost reporting period shall be V2 percent; and (C) for cost reporting periods beginning on or after October 1, 1986, the applicable percentage increase (as so

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