Page:United States Statutes at Large Volume 100 Part 3.djvu/188

 100 STAT. 1996

42 USC 1395ww.

42 USC 1395dd. Ante, p. 164. Effective date. 42 USC 1395ww note. 42 USC 1395WW note.

PUBLIC LAW 99-509—OCT. 21, 1986

(3) If House Concurrent Resolution 395 (99th Congress, 2d Session) has been adopted, effective for discharges occurring on or after May 1, 1986, section 1886(d)(5)(F)(vi)(I) of the Social Security Act is amended— (A) by striking "supplementary" and inserting "supple-U mental", and (B) by striking "fiscal year" and inserting "period", (4) Paragraphs (2) and (3) of section 1867(b) of the Social Security Act are amended by striking "legally responsible". (d) MISCELLANEOUS ACCOUNTING PROVISION.—Effective on the date of the enactment of Public Law 99-107, in applying section 5(a) of such Act, a cost reporting period beginning on September 28, 29, or 30 is deemed to begin on October 1 and any reference to September 30 is deemed also to be a reference to September 27.

PART 2—PROVISIONS RELATING TO PARTS A

^

SEC. 9311. PERIODIC INTERIM PAYMENT SYSTEM HOSPITALS AND PROMPT PAYMENT PROVIDERS.

(PIP) FOR DRG FOR MEDICARE

(a) PERIODIC INTERIM PAYMENTS.—

Puerto Rico. 42 USC 1395ww.

42USei895h. "j• ' "

.. ', _ jr ^ ' 'i

[

.

Rural areas. t

(1) IN GENERAL.—Section 1815 of the Social Security Act (42 U.S.C. 1395g) is amended by adding at the end the following new subsection: "(e)(1) The Secretary shall provide payment under this part for inpatient hospital services furnished by a subsection (d) hospital (as defined in section 1886(d)(1)(B), and including a distinct psychiatric or rehabilitation unit of such a hospital) and a subsection (d) Puerto Rico hospital (as defined in section 1886(d)(9)(A)) on a periodic interim payment basis (rather than on the basis of bills actually submitted) in the following cases: "(A) Upon the request of a hospital which is paid through an • • agency or organization with an agreement with the Secretary V under section 1816, if the agency or organization, for three consecutive calendar months, fails to meet the requirements of subsection (c)(2) of such section and if the hospital meets the requirements (in effect as of October 1, 1986) applicable to payment on such a basis, until such time as the agency or organization meets such requirements for three consecutive calendar months. "(B) In the case of hospital that— "(i) has a disproportionate share adjustment percentage (as established in clause (iv) of such section) of at least 5.1 v percent (as computed for purposes of establishing the aver~ age standardized amounts for discharges occurring during fiscal year 1987), and "(ii) requests payment on such basis, but only if the hospital was being paid for inpatient hospital services on such a periodic interim payment basis as of June 30, 1987, and continues to meet the requirements (in effect as of • October 1, 1986) applicable to payment on such a basis. "(C) In the case of a hospital that— "(i) is located in a rural area, • "(ii) has 100 or fewer beds, and "(iii) requests payment on such basis,

�