Page:United States Statutes at Large Volume 101 Part 2.djvu/847

 PUBLIC LAW 100-203—DEC. 22, 1987

101 STAT. 1330-53

"(ii) may provide for an adjustment to take into account variations in the relative costs of capital and construction for the different types of facilities or areas in which they are located; "(iii) may provide for such exceptions (including appropriate exceptions to reflect capital obligations) as the Secretary deteri mines to be appropriate, and r "(iv) may provide for suitable adjustment to reflect hospital occupancy rate. "(C) In this paragraph, the term 'capital-related costs' has the meaning given such term by the Secretary under subsection (a)(4) as of September 30, 1987, and does not include a return on equity capital.". (2) CONFORMING AMENDMENT.—Section 1886 of such Act is 42 USC 1395WW. amended— (A) in subsection (a)(4), by striking "with respect to costs ^ incurred in cost reporting periods beginning prior to October 1 of 1987 (or of such later year as the Secretary may, in .J i& his discretion, select), other capital-related costs, as defined by the Secretary" and inserting "other capital-related costs

(as defined by the Secretary for periods before October 1, 1987)", and (B) by striking subparagraph (C) of subsection (g)(3). to ^•^ (3) EFFECTIVE DATES.—The amendment made by paragraph (1) 42 USC 1395WW shall take effect on October 1, 1987. The amendments made by note. paragraph (2) shall apply to cost reporting periods beginning on or after October 1, 1987. (c) P R O P A C REPORT ON ADJUSTMENT FOR HOSPITAL OCCUPANCY.—

The Prospective Payment Assessment Commission shall study and report to the Committee on Ways and Means of the House of Representatives and the Committee on Finance of the Senate, by not later than May 1, 1988, on the suitability and feasibility of linking ayment for capital-related costs under part A of title XVIII of the ocial Security Act to hospital occupancy rates.

g

SEC. 4007. REPORTING HOSPITAL INFORMATION.

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(a) DEVELOPMENT OF DATA BASE.—The Secretary of Health and

Human Services (in ^^ this section referred to as the "Secretary") shall develop and place into effect not later than June 1, 1989, a data base of the operating costs of inpatient hospital services with respect to all hospitals under title XVIII of the Social Security Act, which data base shall be updated at least once every quarter (and maintained for the 12-month period preceding any such update). The data base under this subsection may include data from preliminary cost reports (but the Secretary shall make available an updata analysis of the differences between preliminary and settled cost reports). (b) REPORTING OF INFORMATION ELECTRONICALLY.—

2° (1) Subject to paragraph (2), with respect to hospital cost reporting periods beginning on or after October 1, 1989, the Secretary shall place into effect a standardized electronic cost reporting format for hospitals under the medicare program. (2) The Secretary may delay or waive the implementation of such format in particular instances where such implementation '* Copy read "Services, (in".
 * ° Copy read "ELECTRONICALLY.—Subject"

42 USC 1395WW note.

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