Page:United States Statutes at Large Volume 100 Part 3.djvu/174

 100 STAT. 1982

42 USC 1395e note.

42 USC 1395c. 42 USC 1395e note.

PUBLIC LAW 99-509—OCT. 21, 1986

"(B) to the coinsurance amounts under subsection (a) for inpatient hospital services and post-hospital extended care services furnished in that year.". (b) EFFECTIVE DATE.—The amendment made by subsection (a) shall apply to inpatient hospital services and post-hospital extended care services furnished on or after January 1, 1987, and to the monthly premium (under part A of title XVIII of the Social Security Act) for months beginning with January 1987. (c) PROMULGATION OF NEW DEDUCTIBLE.—The Secretary of Health

and Human Services shall provide, within 30 days after the date of the enactment of this Act, for the publication of the inpatient hospital deductible, the coinsurance amounts for inpatient hospital services and post-hospital extended care services and the monthly part A premiums for 1987, as modified under the amendment made by subsection (a). SEC. 9302. APPLICABLE PERCENTAGE INCREASE IN PAYMENTS FOR INPATIENT HOSPITAL SERVICES. (a) APPLICABLE PERCENTAGE INCREASE.—

i

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(1) IN GENERAL.—Subclause (II) of section 1886a))(3)(B)(i) of the Social Security Act (42 U.S.C. 1395ww(b)(3)(B)(i)) is amended to read as follows: "(II) for fiscal year 1987,1.15 percent, and for fiscal year 1988, the market basket percentage increase (as defined in clause (ii)) minus 2.0 percentage points, and". (2) CONFORMING AMENDMENTS.—(A) Section 1886(d)(3)(A) of Ante, p. 15A; post, p. 1983.

42 USC 1395WW note.

such Act is amended by striking "and 1986" and inserting ", 1986, 1987, and 1988". (B) Section 1886(e)(4) of such Act is amended by striking "determine for each fiscal year (beginning with tiscal year c 1987)" and inserting "recommend for fiscal year 1988 an appropriate change factor for inpatient hospital services for discharges in that fiscal year and shall determine for each subsequent fiscal year". ,, (C) Section 1866(e)(5) of such Act is amended by inserting '' "recommendation or" before "determination" each place it ,^, appears. (3) EFFECTIVE DATE.—The amendment made by paragraph (1) shall apply to cost reporting periods beginning on or after October 1, 1986 and, for purposes of section 1886(d) of the Social (b) SEPARATE HOSPITALS.—
 * ^ Security Act, for cost reporting periods beginning and discharges occurring on or after October 1, 1986.

42 USC 1395WW note. 42 USC 1395WW note.

OUTUER

OFFSETS

FOR URBAN

AND RURAL

(1) IN GENERAL.—Section 1886(d)(3)(B) of such Act is amended— ,;, (A) by inserting "for hospitals located in an urban area and for hospitals located in a rural area" after "subpara.j^ graph (A)", and ^^.;, (B) by inserting before the period the following: "for hospitals located in such respective area". (2) EFFECTIVE DATE.—The amendments made by paragraph (1) shall apply to discharges occurring on or after October 1, 1986. (3) MAINTAINING CURRENT OUTLIER POLICY IN FISCAL YEAR

,,

1987.—For payments made under section 1886(d) of the Social Security Act for discharges occurring in fiscal year 1987—

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