Page:United States Statutes at Large Volume 102 Part 1.djvu/807

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PUBLIC LAW 100-360—JULY 1, 1988

102 STAT. 769

"percent" each place it appears and inserting "percentage points". (C) Section 1886(b)(3)(B)(i)(V) of the Social Security Act, as amended by section 4002(a) of OBRA, is amended by inserting "increase" after "market basket percentage". (D) The second sentence of section 1886(d)(2)(D) of the Social S^urity Act, as amended by section 400203) of OBRA, is amended by strikii^ "the publication described in subsection (e)(5)(B)" and inserting "the publications described in subsection (e)(5)". (E) Section 4002(c)(l)(B)(iii) of OBRA is amended, in the matter stricken, Iw striking the comma after "available". (F) Section 1886(d)(3)(A)(ii) of the Social Security Act, as amended by section 4002(c)(l)(C) of OBRA, is amended by striking "in urban areas" and inserting "in other urban areas". (G) Section 1886(d)(l)(A)(iii) of the Social Security Act, as amended by section 402(d) of OBRA, is amended by striking "if greater" and inserting "if the average standardized amount (desoribed in clause (i)0) or clause (iiXD of paragraph (3)(D)) for hospitals within the r ^ o n of, and in the same rural, large urban, or other urban area as, the hospital is greater than the average standardized amount (described in the respective clause) for hospitals within the United States in that type of area". (H)(i) Section 1886(d)(2)(D) of the Social Security Act is amended by striking the last sentence (added by section 4002(f)(l)(A) of OBRA). (ii) Section 4002(f) of OBRA is amended by adding at the end the following new paragraph: "(3) The second sentence of section 18130i>Xl) of the Social Security Act (42 U.S.C. 1395eO)Xl)) is amended by striking 'applicsJole percentage increase' and all that follows through 'is applied' and inserting 'Secretary's best estimate of the payment-weighted average of the applicable percentage increases (as defined in section 1886(b)(3)(B)) which are applied'.". (iii) The amendment made by clause (ii) shall apply to the inpatient hospital deductible for years beginning with 1989. (1) Section 4002(g) of OBRA is amended— (i) in paragraph (I)(A), by striking "1886(a)(l)(A)(iii)" and inserting "1886(d)(l)(A)(iii)'', (ii) in paragraphs (1)(B) and (2)(B), by striking "1886(d)(3)(B)" and inserting "1886(b)(3)(B)". and (ill) in paragraph (6), by striking "1886(d)(10XB)" and inserting ''1886(d)(l)(B)". (2) SECTION 4003.—Section 4003(d) of OBRA is amended— (A) in paragraph (2)— (i) by inserting '(other than under section 1886(d)(5)(F) of such Act)" after "receives payments", and (ii) by inserting "of such services" after "reasonable costs"; and (B) in the matter following paragraph (2), by inserting "the" after "fadlities of. (3) SECTION 4004.—Section 4004(a) of OBRA is amended by inserting "(1)" after "SUBVET.—" and by adding at the end the following new paragraph: "(2) Section 1886(d)(9)(C)(iv) of such Act is amended by adding at the end the following new sentence: The second and third sentences

42 USC 1395WW.

42 USC 1395WW. Urban areas. Urban areas. Rural areas.

Effective date. 42 USC 1395e note. 42 USC 1395WW note.

loi Stat. 1330-46.

42 USC I395ww. Puerto Rico.

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