Page:United States Statutes at Large Volume 104 Part 2.djvu/446

 104 STAT. 1388-38 PUBLIC LAW 101-508—NOV. 5, 1990 42 USC 1395WW note. 42 USC 1395WW note. (i) in clause (i), in the matter preceding subclause (I), by striking "area—" and inserting "area, or by treating hospitals located in one urban area as being located in another urban area—"; (ii) by amending clause (i)(II) to read as follows: "(II) reduces the wage index for that urban area by more than 1 percentage point (as applied under this subsection), the Secretary 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 such hospitals were located in such urban area)."; (iii) by striking clause (ii); and (iv) by redesignating clauses (iii) and (iv) as clauses (ii) and (iii). (B) EFFECTIVE DATE. — The amendments made by subparagraph (A) shall apply to discharges occurring on or after January 1, 1991. (2) GEOGRAPHIC CLASSIFICATION REVIEW BOARD.— (A) DEADLINE FOR SUBMISSION OF APPLICATIONS.— For purposes of determining whether a hospital requesting a change in geographic classification for fiscal year 1992 under section 1886(d)(10) of the Social Security Act has met the deadline described in subparagraph (C)(ii) of such section, an application submitted under such subparagraph shall be considered to have been submitted by the first day of the preceding fiscal year if it is submitted within 60 days of the date of publication of the guidelines described in subparagraph (D)(i) of such section. (B) TECHNICAL CORRECTIONS. —Section 1886(d)(10) (42 U.S.C. 1395ww(d)(10)) is amended— (i) in subparagraph (A), by striking "Geographical" V and inserting "Geographic"; (ii) in subparagraph (B)(i)— (I) by striking "representatives" and inserting "representative", and (II) by striking "1 member shall be a member of the Prospective Payment Assessment Commission, and at least"; (iii) in subparagraph (B)(ii), by striking "all" and inserting "initial"; and (iv) in subparagraph (10XC)(iii)(II)— (I) by striking the first 2 sentences and inserting the following: "Appeal of decisions of the Board shall be subject to the provisions of section 557b of title 5, United States Code.", and (II) by striking "after" and inserting "after the date on which". SEC. 4003. EXPANSION OF DRG PAYMENT WINDOW. (a) IN GENERAL.—The first sentence of section 1886(a)(4) (42 U.S.C. 1395ww(a)(4)) is amended by striking the period and inserting the following: ", and includes the costs of all services for which payment may be made under this title that are provided by the hospital (or by an entity wholly owned or operated by the hospital) to the patient during the 3 days immediately preceding the date of the patient's admission if such services are diagnostic services (including clinical

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