Page:United States Statutes at Large Volume 103 Part 3.djvu/92

 103 STAT. 2160 PUBLIC LAW 101-239—DEC. 19, 1989 ' occurring during and after fiscal year 1987 for purposes of section 1886(g) of the Social Security Act, and (C) such amendments shall take effect 30 days after the date of the enactment of this Act for purposes of determin- ^^ ing the eligibility of a hospital to receive periodic interim payments under section 1815(e)(2) of the Social Security Act. 01>) REBASING FOR CANCER HOSPITALS.— (1) IN GENERAL.— Section 1886fl[>X3) of such Act (42 U.S.C. 1395ww(b)(3)), as amended by subsections (e)(l)(B) and (fK2) of section 603, is further amended— (A) in subparagraph (A), by striking "(C) and (D)" and inserting "(O, (D), and (E)", (B) in subparagraph (B)(ii), by striking "For purposes of subparagraph (A)" and inserting "For purposes of subpara- j graphs (A) and (E)", and (C) by adding at ihe end the following new subparagraph: "(E) In the case of a hospital described in clause (v) of subsection (d)(l)(B), the term 'target amount' means— "(i) with respect to the first 12-mQnth cost reporting period in which this subparagraph is applied to the hospital— "OD the allowable operating costs of inpatient hospital services (as defined in subsection (a)(4)) recognized under ic: this title for the hospital for the 12-month cost reporting period (in this subparagraph referred to as the 'base cost reporting period') preceding the first cost reporting period for which this subsection was in effect with respect to such hospital, increased (in a compounded manner) by— ' "(ID the sum of the applicable percentage increases ap- plied to such hospital under this paragraph for cost report- ing periods after the base cost reporting period and up to - and including such first 12-month cost reporting period, or "(ii) with respect to a later cost reporting period, the target amount for the preceding 12-month cost reporting period, in- creased by the applicable percentage increase under subpara- graph (B)(ii) for that later cost reporting period. There shall be substituted for the base cost reporting period de- ~ scribed in clause (i) a hospital's cost reporting period (if any) b^in- ning during fiscal year 1987 if such substitution results in an increase in the target amount for the hospital.". 42 USC I395ww (2) EFFECTIVE DATE.—^TTio amendments made by paragraph (1) "°*®- shall apply with respect to cast reporting periods beginning on or after April 1, 1989. SEC 6005. PAYBIENTS FOR HOSPICE CARE. (a) INCREASE IN CURRENT RATES. — Section 1814(i)(l) of the Socisd Security Act (42 U.S.C. 1395f(i)(l)) is amended— (1) in subpargigraph (A), by inserting "and except as otherwise provided in this paragraph" after "1813(a)(4)", and (2) by strikii^ subparagraph (C) and inserting the following: "(C)(i) With respect to routine home care and other services included in hospice care furnished during fiscal year 1990, the payment rates for such care and services shall be 120 percent of such rates in effect as of September 30, 1989.

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