Page:United States Statutes at Large Volume 100 Part 1.djvu/196

 100 STAT. 160

42 USC 1395WW.

42 USC 1395WW note.

PUBLIC LAW 99-272—APR. 7, 1986

"(iv) for discharges occurring on or after October 1, 1986, and before October 1, 1988, excluding an estimate of the additional payments to certain hospitals to be made under paragraph (5)(F).". (c) CONFORMING AMENDMENT.—Section 1886(d)(5)(C)(i) of such Act is amended by striking out ", and of public or other hospitals that serve a significantly disproportionate number of patients who have low income or are entitled to benefits under part A of this title". (d) CBO REPORT.—The Congressional Budget Office shall study, and report to Congress not later than January 1, 1987, on the impact of the implementation of this section on hospitals, including the appropriateness of the factors used in determining which hospitals are eligible for additional payments under section 1886(d)(5)(F) of the Social Security Act and the amount of the additional payments made to those hospitals. (e) EFFECTIVE DATE.—The amendments made by this section shall apply to discharges occurring on or after May 1, 1986. SEC. 9106. TREATMENT OF CERTAIN RURAL OSTEOPATHIC HOSPITALS AS RURAL REFERRAL CENTERS.

42 USC 1395WW note.

(a) IN GENERAL.—Section 1886(d)(5)(C)(i) of the Social Security Act (42 U.S.C. 1395ww(d)(5)(C)(i)) is amended by inserting before the period at the end of the second sentence the following: "and which shall not require a rural osteopathic hospital to have more than 3,000 discharges in a year in order to be classified as a rural referral center". (b) EFFECTIVE DATE.—The amendment made by subsection (a) shall apply to cost reporting periods beginning on or after January 1, 1986. SEC. 9107. RETURN ON EQUITY CAPITAL FOR INPATIENT HOSPITAL SERVICES AND OTHER SERVICES. (a) INPATIENT HOSPITAL SERVICES.— (1) PHASE-DOWN IN PAYMENT FOR RETURN ON EQUITY CAPITAL.—

Section 1886(g)(2) of the Social Security Act (42 U.S.C. 1395ww(g)(2)) is amended— (A) by inserting "the applicable percentage (described in subparagraph (B)) o f before "the average of the rates of interest" (B) by inserting "(A)" after "(2)", and (C) by adding at the end the following new subparagraph: "(B) In this paragraph, the 'applicable percentage' is— • "(i) 75 percent, for cost reporting periods beginning during fiscal year 1987, "(ii) 50 percent, for cost reporting periods beginning during fiscal year 1988, "(iii) 25 percent, for cost reporting periods beginning ^ during fiscal year 1989, and M:- 1' ««^^^) Q percent, for cost reporting periods beginning on or after October 1, 1989.". (2) EXCLUSION FROM PROSPECTIVE PAYMENT.—The second sentence of section 1886(a)(4) of such Act is amended— (A) by inserting "a return on equity capital," after "anesI. thetist,", and "" (B) by inserting "other" before "capital-related costs". (b) OTHER SERVICES.—

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