Page:United States Statutes at Large Volume 101 Part 2.djvu/850

 101 STAT. 1330-56

PUBLIC LAW 100-203—DEC. 22, 1987 creased or decreased by reason of the adjustments required by such subparagraph.

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(2) LIMITATION ON CHANGES IN OUTLIER REGULATIONS.—

(A) IN GENERAL.—Notwithstanding any other provision of law, except as required to implement specific provisions required under statute, the Secretary of Health and Human Services is not authorized to issue in final form, after the date of the enactment of this Act and before September 1, 1988, any final regulation which changes the method of ayment for outlier cases under section 1886(d)(5)(A) of the ocial Security Act. ^ ^ (B) PROPAC 24 REPORT.—The chairman of the Prospective i^ J Payment Assessment Commission shall report to the Congress and the Secretary of Health and Human Services, by not later than June 1, 1988, on the method of payment for ^'',^ outlier cases under such section and providing more ade^' quate and appropriate payments with respect to burn outlier cases. (3) REPORT ON OUTLIER PAYMENTS.—The Secretary of Health and Human Services shall include in the annual report submitted to the Congress pursuant to section 1875(b) of the Social Security Act a comparison with respect to hospitals located in an urban area and hospitals located in a rural area in the amount of reductions under section 1886(d)(3)(B) of the Social Security Act and additional payments under section 1886(d)(5)(A) of such Act.

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(e) MISCELLANEOUS ACCOUNTING PROVISION.—Effective as if

42 USC I395ww ^°^-

cluded in the enactment of the Omnibus Budget Reconciliation Act of 1986, subsection (d) of section 9307 of such Act is amended to read as follows: "(d)

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MISCELLANEOUS ACCOUNTING PROVISION.—Notwithstanding

any other provision of law, for purposes of section 1886(d)(1)(A) of the Social Security Act, in the case of a hospital that— "(1) had a cost reporting period beginning on September 28, 29, or 30 of 1985, "(2) is located in a State in which inpatient hospital services were paid in fiscal year 1985 pursuant to a Statewide demonstration project under section 402 of the Social Security Amendments of 1967 and section 222 of the Social Security Amendments of 1972, and "(3) elects, by notice to the Secretary of Health and Human Services by not later than April 1, 1988, to have this subsection apply, during the first 7 months of such cost reporting period the target percentage' shall be 75 percent and the 'DRG percentage' shall be 25 percent, and during the remaining 5 months of such period the 'target percentage' and the 'DRG percentage' shall each be 50 percent.'. SEC. 4009. MISCELLANEOUS PROVISIONS.

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(a) RESPONSIBILITIES OF MEDICARE HOSPITALS IN EMERGENCY CASES.— (1) INCREASE IN CIVIL MONETARY PENALTY.—Section 1867(d)(2)

of the Social Security Act (42 U.S.C. 1395dd(d)(2)) is amended by striking "$25,000" and inserting "$50,000". 24 "Copy read " P R O P A C ".

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