Page:United States Statutes at Large Volume 103 Part 2.djvu/133

 PUBLIC LAW 101-165—NOV. 21, 1989 103 STAT. 1143 hospital differential will be computed on a hospital specific basis for children's hospitals with 50 or more CHAMPUS discharges in fiscal year 1988 and will be computed in aggregate for children's hospitals with less than 50 discharges in a year; (2) a children's hospital differential hold harmless provision, providing for retrospective and prospective corrections; (3) a special outlier policy for children's hospitals and neonatal services that combines the thresholds in effect under CHAMPUS DRG regulations for fiscal year 1988 with the higher marginal cost factors proposed by 53 Fed. Reg. 20580 (June 3, 1988); (4) a refinement to the DRGs for neonatal services to account for birthweight, surgery, and the presence of multiple, major, and other neonatal problems; (5) incorporation of annual updates to the classification features included in the regulation for neonatal services; (6) a provision for making interim payments for cases that are especially lengthy or expensive; and (7) a commitment to examine possible further uses of Pediatric Modified DRGs in the future: Provided, That the Department of Defense shall ensure that beneficiaries not be required to pay more in cost-shares under the foregoing exclusions than those which would have been imposed if the diagnosis related group system had not been instituted: Provided further. That notwithstanding any other provision of law, appropria- tions available to the Department of Defense may be used to pay the difference between the cost-shares paid by beneficiaries under the foregoing and the billed charges for services covered by this provision. SEC. 9064. The total amount appropriated to or for the use of the Department of Defense by this Act is reduced by $125,000,000 to reflect savings resulting from the decreased use of consulting serv- ices by the Department of Defense. The Secretary of Defense shall allocate the amount reduced in the preceding sentence and not later than March 1, 1990, report to the Senate and House Committees on Appropriations how this reduction was allocated among the Services and Defense Agencies: Provided, That, (a) Not more than $1,539,000,000 of the funds appropriated by this Act may be obli- gated or expended for the procurement of advisory or assistance services by the Department of Defense. (b)(l) Not later than 30 days after the end of each fiscal quarter, Reports, the Secretary of Defense shall (A) submit to Congress a report on the amounts obligated by the department during that quarter for the procurement of advisory and assistance services, and (B) transmit a copy of such report to the Comptroller General of the United States. (2) Each report submitted under paragraph (1) shall include a list with the following information: (A) All contracts awarded for the procurement of advisory and assistance services during the quarter and the amount of each contract. (B) The purpose of each contract. (c) The Comptroller General of the United States shall review the reports submitted under subsection Oa) and transmit to Congress any comments and recommendations the Comptroller General considers appropriate regarding the matter contained in such reports. SEC. 9065. Funds available in this Act may be used to provide transportation for the next-of-kin of individuals who have been prisoners of war or missing in action from the Vietnam era to an annual meeting in the United States, under such regulations as the Secretary of Defense may prescribe. Reports. Vietnam. Prisoners of war. Missing in action.

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