Page:United States Statutes at Large Volume 101 Part 2.djvu/852

 101 STAT. 1330-58

42 USC 1395x note.

PUBLIC LAW 100-203—DEC. 22, 1987

(1) IN GENERAL.—Section 1861(b)(3) of such Act (42 U.S.C. 1395x(b)(3)) is amended by inserting "(including clinical psychologist (as defined by the Secretary))" after "others" the first place it appears. (2) EFFECTIVE DATE.—The amendment made by paragraph (1) shall apply with respect to services furnished on or after April 1, 1988. (f) HOSPITAL CONDITION OF PARTICIPATION RELATED TO INDIVIDUAL RESPONSIBLE FOR CARE OF PATIENT.—Section 1861(e)(4) of such Act

42 USC 1320bnote.

Effective date. 42 USC 1320b-8 note. 42 USC 1395WW note.

(42 U.S.C. 1395x(e)(4)) is amended by inserting "with respect to whom payment may be made under this title" after "patient", (g) DELAY IN REQUIREMENTS RELATING TO HOSPITAL STANDARDS F R ORGAN TRANSPLANTS AND STANDARDS FOR ORGAN PROCUREMENT O AGENCIES.—

(1) Section 9318(b)(2) of the Omnibus Budget Reconciliation Act of 1986, as amended by section 107(c) of the Balanced Budget and Emergency Deficit (Dontrol Reaffirmation Act of 1987, is amended by striking "November 21, 1987" and inserting "March 31, 1988". (2) The amendment made by paragraph (1) shall be effective as if included in the enactment of the Omnibus Budget Reconciliation Act of 1986. (h) PROPAC STUDIES AND REPORTS.— (1) PROPAC REPORTS ON STUDY OF DRG RATES FOR HOSPITALS IN

RURAL AND URBAN AREAS.—The Prospective Payment Assessment Commission shall evaluate the study conducted by the Secretary of Health and Human Services pursuant to section 603(a)(2)(C)(i) of the Social Security Amendments of 1983 (relating to the feasibility, impact, and desirability of eliminating or phasing out separate urban and rural DRG prospective payment rates) and report its conclusions and recommendations to the Congress not later than March 1, 1988. (2) PROPAC REPORT ON SEPARATE URBAN PAYMENT RATES.—The

Prospective Payment Assessment Commission shall evaluate ' the desirability of maintaining separate DRG prospective payment rates for hospitals located in large urban areas (as defined Y? in section 1886(d)(2)(D)) of the Social Security Act) and in other urban areas, and shall report to Congress on such evaluation ' • not later than January 1, 1989. (3)

42 USC 1395WW note.

REPORT ON ADJUSTMENT FOR NON-LABOR COSTS.—The

Prospective Payment Assessment Commission shall perform an analysis to determine the feasibility and appropriateness of acljusting the non-wage-related portion of the adjusted average standardized amounts under section 1886(d)(3) of the Social Security Act based on area differences in hospitals' costs (other than wage-related costs) and input prices. The Commission shall report to the Congress on such analysis by not later than October 1, 1989. (i) SPECIAL RULE.—In the case of New England county metropolitan areas, the Secretary of Health and Human Services shall apply the second sentence of section 1886(d)(2)(D) of the Social Security Act, as amended by section 4001(b) of this subtitle, as though 970,000 were substituted for 1,000,000. (j) TECHNICAL CORRECTIONS.—

(1) Section 1886(a)(4) of the Social Security Act (42 U.S.C. 1395ww(a)(4)) is amended by inserting a comma after "educational activities".

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