Page:United States Statutes at Large Volume 101 Part 2.djvu/838

 101 STAT. 1330-44

PUBLIC LAW 100-203—DEC. 22, 1987

(B) by redesignating subclause (II) of clause (ii) as subclause (III); and (C) by inserting after subclause (I) of clause (ii) the following new subclause: "(II) such rate for hospitals located in other urban areas, and". (d) ESTABLISHMENT OF REGIONAL FLOOR.—Section 1886(d)(l)(A)(iii) of such Act (42 U.S.C. 1395ww(d)(l)(A)(iii)) is amended by inserting before the period at the end the following: ", or, if greater for discharges occurring during the period beginning on April 1, 1988, and ending on September 30, 1990, the sum of (I) 85 percent of the national adjusted DRG prospective payment rate determined under paragraph (3) for such discharges, and (II) 15 percent of the regional adjusted DRG prospective payment rate determined under such paragraph". (e) UPDATE FOR PPS-EXEMPT HOSPITALS.—Section 1886(b)(3)(B) of such Act (42 U.S.C. 1395ww(b)(3)(B)) is amended— (1) in clause (i), by striking "subparagraph (A) for 12-month cost reporting periods beginning during a fiscal year and for purposes of, r (2) in clause (ii), by striking "(ii) For purposes of clause (i)" and inserting "(iii) For purposes of this subparagraph", and (3) by inserting after clause (i) the following new clause: "(ii) For purposes of subparagraph (A), the 'applicable percentage increase' for 12-month cost reporting periods beginning during— "(I) fiscal year 1986, is 0.5 percent, "(II) fiscal year 1987, is 1.15 percent, -Wij "(III) fiscal year 1988, is the market basket percentage increase minus 2.0 percentage points, and "(IV) subsequent fiscal years is the market basket percentage increase.". (f) RELATED CONFORMING AND TECHNICAL AMENDMENTS.—

(1) Section 1886 of such Act (42 U.S.C. 1395ww) is further amended— (A) by adding at the end of subsection (d)(2)(D) the following new sentence: "For purposes of payment under this subsection, a hospital is considered to be located in an ^v,.,;. i^j urban area or large urban area, respectively, if the hospital is paid under this subsection at the rate for hospitals located in such an area."; (B) in subsection (e)(3)(B), by striking "or determine"; (C) in subsection (e)(4)— (i) by striking "for fiscal year 1988" and inserting "for each fiscal year (beginning with fiscal year 1988)', (ii) by striking "and shall determine for each subsequent fiscal year" and all that follows through "fiscal year, and", and (iii) by amending the last sentence to read as follows: "The appropriate change factor may be different for all CB'* S oir^d large urban subsection (d) hospitals, other urban subsection (d) hospitals, urban subsection (d) Puerto is:>ijR lo t- ' Rico hospitals, rural subsection (d) hospitals, and rural subsection (d) Puerto Rico hospitals, and all other hosof s "br» ^ pitals and units not paid under subsection (d), and may vary among such other hospitals and units."; and (D) in paragraph (5), by striking "or determination " each place it appears., • t,••:-::••>.-w<<;:-^.-A^^ /'-^/.^-v, /.^.o-^'
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