Page:United States Statutes at Large Volume 104 Part 2.djvu/461

 PUBLIC LAW 101-508 —NOV. 5, 1990 104 STAT. 1388-53 Committee on Finance of the Senate and the Committee on Ways and Means of the House of Representatives. (1) REVIEW OF HOSPITAL REGULATIONS WITH RESPECT TO RURAL 42 USC I395ww HOSPITALS.— "°*®- (1) IN GENERAL.—The Secretary of Health and Human Services shall review the requirements applicable under title XVIII of the Social Security Act to determine which requirements could be made less administratively and economically burdensome (without diminishing the quality of care) for hospitals defined in section 1886(d)(1)(B) of such Act that are located in a rural area (as defined in section 1886(d)(2)(D) of such Act). Such review shall specifically include standards related to staffing requirements. (2) REPORT.—The Secretary of Health and Human Services shall report to Congress by April 1, 1992, on the results of the review conducted under subsection (a), and include conclusions on which regulations, if any, should be modified with respect to hospitals described in subsection (a). (m) MISCELLANEOUS TECHNICAL CORRECTIONS. — (1) APPLICATION OF PRENTITLEMENT PSYCHIATRIC HOSPITAL 42 USC I395e SERVICES TO LIMIT ON INPATIENT HOSPITAL SERVICES. — Effective as note. if included in the enactment of the Medicare Catastrophic Coverage Repeal Act of 1989, section 101(b)(1)(B) is amended by inserting "(other than the limitation under section 1812(c) of such Act)" after "limitation". (2) PROVISIONS RELATING TO HOSPITALS. — (A) Section 1886(d)(5)(D)(iii) (42 U.S.C. 1395ww(d)(5)(D)(iii)), as amended by section 6003(e)(l)(A)(iv) of Omnibus Budget Reconciliation Act of 1989 (in this subsection referred to as "OBRA-1989"), is amended by striking "The term" and inserting "For purposes of this title, the term". (B) Section 1820 of such Act (42 U.S.C. 1395i-4), as added by section 6003(g)(1)(A) of the Omnibus Budget Reconciliation Act of 1989, is amended— (i) in subsection (d)(1), by striking "demonstration"; (ii) in subsection (g)(l)(A)(ii), by striking "rural referral center" and inserting "regional referral center"; and (iii) in subsection (j), by inserting "and part C" after "this part". (C) Section 6003(g)(3)(C)(vii)(I) of the Omnibus Budget Reconciliation Act of 1989 is amended by striking "each place it 42 USC 1395Z. appears". (D) Section 1835(c) of the Social Security Act (42 U.S.C. 1395n(c)) is amended— (i) in the first sentence, by striking "a hospital" and inserting "a hospital or a rural primary care hospital"; ^ (ii) in the second sentence, by striking "1833(a)(2)" and inserting "1833(a)(2) (or, in the case of a rural primary care hospital, in accordance with section 1833(a)(6))"; and (iii) by striking the third sentence. (3) TECHNICAL CORRECTIONS RELATING TO OTHER PROVIDERS OF SERVICES (A) Section 1814(i)(l)(C)(i) (42 U.S.C. 1395f(i)(l)(C)(i)), as amended by section 6005(a)(2) of the Omnibus Budget Rec-

�