Page:United States Statutes at Large Volume 101 Part 2.djvu/849

 PUBLIC LAW 100-203—DEC. 22, 1987

101 STAT. 1330-55

to develop the format, according to paragraph (1), and at least $2,000,000 from program operations funds for data collection and analysis, but total funds shall not exceed $15,000,000 over 3 years. (7) 2 2 Tj^g Comptroller General shall analyze the adequacy of the existing system for reporting of hospital information and the costs and benefits of data reporting under the demonstration system and will recommend improvements in hospital data collection and in analysis and display of data in support of policy making. ^^ (d) CONSULTATION.—The Secretary shall consult representatives of the hospital industry in carrying out the provisions of this section. SEC. 4008. OTHER PROVISIONS RELATING TO PAYMENT FOR INPATIENT HOSPITAL SERVICES. (a) MASSACHUSETTS MEDICARE REPAYMENT.—The Secretary of

Health and Human Services shall not, on or after the date of the enactment of this Act, and before January 1, 1989, 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 statewide 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. Oo) CLARIFICATION OF SECTION 18140)) STATE WAIVER AUTHORITY.— (1) APPLICATION OF AGGREGATE TEST.—Section 181403)(3)(B) of

the Social Security Act (42 U.S.C. 1395f(b)(3)(B)) is amended by striking "rate of increase for the previous three-year period' and inserting "aggregate rate of increeise from October 1, 1983, to the most recent date for which annual data are available". (2) EFFECTIVE DATE.—The amendment made by paragraph (1) 42 USC 1395f shall take effect on the date of the enactment of this Act. note. (c) CONTINUATION OF BAD DEBT RECOGNITION FOR HOSPITAL SERV-

ICES.—In making payments to hospitals under title XVIII of the Social Security Act, the Secretary of Health and Human Services shall not make any change in the policy in effect on August 1, 1987, with respect to payment under title XVIII of the Social Security Act to providers of service for reasonable costs relating to unrecovered costs associated with unpaid deductible and coinsurance amounts incurred under such title (including criteria for what constitutes a reasonable collection effort). (d) HOSPITAL OUTUER PAYMENTS AND POLICY.— (1) INCREASE IN OUTUER PAYMENTS FOR BURN CENTER DRGS.—

(A) IN GENERAL.—For discharges classified in diagnosisrelated groups relating to burn cases and occurring on or after April 1, 1988, and before October 1, 1989, the marginal cost of care permitted by the Secretary of Health and Human Services under section 1886(d)(5)(A)(iii) of the Social Security Act shall be 90 percent of the appropriate per diem cost of care or 90 percent of the cost for cost outliers. (B) BUDGET NEUTRAUTY.—Subparagraph (A) shall be implemented in a manner that ensures that total payments under section 1886 of the Social Security Act are not in2" Copy read "(8)". 23 "(J)' Paragraph had wrong indention.

42 USC 1395f note.

42 USC 1395WW note.

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