Page:United States Statutes at Large Volume 100 Part 3.djvu/187

 PUBLIC LAW 99-509—OCT. 21, 1986

100 STAT. 1995

SEC. 9306. PAYMENTS TO LARGE RURAL HOSPITALS SERVING A DISPROPORTIONATE SHARE OF LOW-INCOME PATIENTS.

(a) QUALIFYING HOSPITALS.—Section 1886(d)(5)(F)(v) of the Social

Security Act (42 U.S.C. 1395ww(d)(5)(F)(v)) is amended by adding at the end the following new sentence: "A hospital located in a rural area and with 500 or more beds also 'serves a significantly disproportionate number of low income patients' for a cost reporting period if the hospital has a disproportionate patient percentage (as defined in clause (vi)) for that period which equals or exceeds a percentage specified by the Secretary.". (b) PAYMENT AMOUNT.—Section 1886(d)(5)(F)(iv) of such Act is amended— (1) in subclause (I), by inserting "or is described in the second sentence of subclause (III)" after "100 or more beds", and (2) in subclause (III), by inserting "and is not described in the second sentence of clause (v)" after "rural area". (c) EXTENSION OF DISPROPORTIONATE SHARE PROVISION.—Section

1886(d) of such Act is further amended, in paragraphs (2)(C)(iv), (3)(C)(ii), (5)(B)(ii), and (5)(F)(i), by striking "1988" each place it appears and inserting "1989". 35 W (d) EFFECTIVE DATE.—The amendments made by subsections (a) 42 USC 1 9 W and (b) shall apply to discharges occurring on or after October 1, note. 1986. SEC. 9307. TECHNICAL AMENDMENTS AND MISCELLANEOUS PROVISIONS RELATING TO PART A. (a) TEMPORARY WAIVER OF INPATIENT LIMITATIONS FOR THE CONNECTICUT HOSPICE, INC.—With respect to the Connecticut Hos-

pice, Inc., for hospice care provided before October 1, 1988, the reference in section 1861(dd)(2)(A)(iii) of the Social Security Act (42 U.S.C. 1395x(dd)(2)(A)(iii)) to "20 percent" is deemed a reference to "50 percent". (b)

MASSACHUSETTS MEDICARE REPAYMENT.—The Secretary

of

Health and Human Services shall not, on or after the date of the enactment of this section and before January 1, 1988, recoup from, or otherwise reduce payments to, hospitals in the State of Massachusetts because of alleged overpayments to such hospitals under part A of title XVIII of the Social Security Act which occurred during the period of the State-wide hospital reimbursement demonstration project conducted in that State, between October 1, 1982, and June 30, 1986, under section 402 of the Social Security Amendments of 1967 and section 222 of the Social Security Amendments of 1972. (c) PART A COBRA TECHNICAL CORRECTIONS.—(1) Effective as if included in the enactment of the Tax Reform Act of 1986, if House Concurrent Resolution 395 (99th Congress, 2d Session) has not been adopted, section 1895(b) of the Tax Refprm Act of 1986 is amended— (A) by striking paragraph (1), and (B) by striking subparagraphs (A) and (B) of paragraph (2). (2) Effective as if included in the enactment of the Tax Reform Act of 1986— (A) section 1895(b) of such Act is amended, in subparagraph (A)(ii) of the paragraph relating to "PHYSICIAN PAYMENT", by inserting before the period the following: "the first place it appears", and (B) section 1895(d)(5)(A) of such Act is amended by striking "162(k)(2)" and inserting "162(k)(5)".

42 USC 1395c.

42 USC 1395b-l, 1395//. 86 Stat. 1390. 42 USC 1395WW. Post, p. 2095; 42 use 1395u.

42 USC 162.

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