Page:United States Statutes at Large Volume 100 Part 1.djvu/204

 100 STAT. 168

PUBLIC LAW 99-272—APR. 7, 1986

SEC. 9123. EXTENSION AND PAYMENT FOR HOSPICE CAKE. 42 USC 1395c note.

(a) ELIMINATION OF SUNSET.—Section 122(h)(1) of the Tax Equity and Fiscal Responsibility Act of 1982 (P.L. 97-248, 96 Stat. 362), relating to the end of the effective date for hospice care, is amended— (1) in subparagraph (A)— (A) by striking out "(h)(1)(A) Subject to subparagraph (B), the" and inserting in lieu thereof "(h)(1) The", and (B) by striking out ", and before October 1, 1986", and (2) by striking out subparagraph (B). (b) INCREASE IN PAYMENT OF DAILY RATES FOR HOSPICE CARE.—(1)

Subparagraph (B) of section 1814(i)(l) of the Social Security Act (42 U.S.C. 1395f(i)(l)) is amended to read as follows: "(B) Notwithstanding subparagraph (A), for hospice care furnished on or after April 1, 1986, the daily rate of payment per day for routine home care shall be $63.17 and the daily rate of payment for other services included in hospice care shall be the daily rate of payment recognized under subparagraph (A) as of July 1, 1985, increased by $10.". (2) Subparagraph (C) of such section is amended by striking out "1985" and inserting in lieu thereof "1986". SEC. 9124. LIMITING THE PENALTY FOR LATE ENROLLMENT IN PART A. (a) LIMITING PENALTY TO 10 PERCENT AND TWICE THE PERIOD DURING WHICH NOT ENROLLED.—Section 1818(c) of the Social Secu-

42 USC 1395r.

42 USC 1395i-2 note.

rity Act (42 U.S.C. 1395i-2(c)) is amended— (1) by striking out "and" at the end of paragraph (5), (2) by striking out the period at the end of paragraph (6) and inserting in lieu thereof "; and", and (3) by adding at the end the following new paragraph: "(7) any percent increase effected under section 1839(b) in an individual's monthly premium may not exceed 10 percent and shall only apply to premiums paid during a period equal to twice the number of months in the full 12-month periods described in that section.". (b) EFFECTIVE DATE.—(1) The amendment made by subsection (a)(3) shall apply to premiums paid for months beginning with July 1986. (2) In applying that amendment, months (before, during, or after April 1986) in which an individual was required to pay a premium increased under the section that was so amended shall be taken into account in determining the month in which the premium will no longer be subject to an increase under that section as so amended. SEC. 9125. PROMULGATION OF INPATIENT HOSPITAL DEDUCTIBLE.

42 USC 1395e note.

(a) CHANGE IN DEADLINE.—Section 1813(b)(2) of the Social Security Act (42 U.S.C. 1395e(b)(2)) is amended by striking out "October 1" and inserting in lieu thereof "September 15". (b) EFFECTIVE DATE.—The amendment made by this section shall apply to calendar years after 1985. SEC. 9126. ACCESS TO SKILLED NURSING FACILITIES. (a) OPTIONAL PROSPECTIVE RATES FOR CERTAIN SKILLED NURSING

FACILITIES.—Section 1888 of the Social Security Act (42 U.S.C. 1395yy) is amended by adding at the end the following new subsection: .. _,

�