Page:United States Statutes at Large Volume 103 Part 3.djvu/88

 103 STAT. 2156 PUBLIC LAW 101-239—DEC. 19, 1989 Board such secretarial, clerical, and other assistance as the Board may require to carry out its functions. "(F)(i) Each member of the Board who is not an officer or em- ployee of the Federal Government shall be compensated at a rate equal to the daily equivalent of the annual rate of basic pay pre- scribed for grade GS-18 of the General Schedule under section 5332 of title 5, United States Code, for each day (including travel time) during which such member is engaged in the performance of the duties of the Board. Each member of the Board who is an officer or employee of the United States shall serve without compensation in addition to that received for service as an officer or employee of the United States. "(ii) Members of the Board shall be allowed travel expenses, including per diem in lieu of subsistence, at rates authorized for employees of agencies under subchapter I of chapter 57 of title 5, United States Code, while away from their homes or regular places of business in the performance of services for the Board.". (2) EFFECT OF DECISIONS OF BOARD ON PAYMENTS TO HOS- PITALS.— Section 1886(d)(8) of such Act (42 U.S.C. 1395ww(d)(8)) is amended— (A) in subparagraph (C)(i), by striking "subparagraph (B)" each place it appears and inserting "subparagraph (B) or a decision of the Medicare Geographic Classification Review Board or the Secretary under paragraph (10),", and (B) in subparagraph (D), by striking "(B) and (C)" each place it^ppears and inserting "(B) and (C) or a decision of the Medicare Geographic Classification Review Board or the Secretary under paragraph (10)". Urban areas. (3) REVISION OF RULES FOR TREATMENT OF RECLASSIFIED HOS- 42 USC 1395WW. PiTALS.—Section 1886(d)(8)(C) of such Act is amended to read as follows: "(C)(i) If the application of subparagraph (B) or a decision of the Medicare Geographic Classification Review Board or the Secretary under paragraph (10), by treating hospitals located in a rural county or counties as being located in an urban area— "(I) reduces the wage index for that urban area (as applied under this subsection) by 1 percentage point or less, the Sec- retary, in calculating such wage index under this subsection, shall exclude those hospitals so treated, or "(II) reduces the wage index for that urban area by more than 1 percentage point (as applied under this subsection), the Sec- retary shall calculate and apply such wage index under this subsection separately to hospitals located in such urban area (excluding all the hospitals so treated) and to the hospitals so treated (as if each affected rural county were a separate urban area), "(ii) If the application of subparagraph (B) or a decision of the Medicare Geographic Classification Review Board or the Secretary under paragraph (10), by reclassifying a county from a rural to an urban area or by reclsissifying an urban county from one urban area to another urban area— "(I) reduces the wage index for the urban area within which the county or counties is reclassified by 1 percentage point or less (as applied under this subsection), the Secretary, in cal- culating such wage index under this subsection, shall exclude those counties so reclassified, or

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