Page:United States Statutes at Large Volume 108 Part 5.djvu/910

 108 STAT. 4400 PUBLIC LAW 103-432—OCT. 31, 1994 Sec. 214. Agreement to assist in locating missing children under the parent locator service. Subtitle C—Supplemental Security Income Sec. 221. Definition of disability for children under age 18 applied to all individuals under age 18. Subtitle D—Aid to Families With Dependent Children Sec. 231. Simplification of income and eligibility verification system. Sec. 232. MeasTirement and reporting of welfare receipt. Sec. 233. New Hope demonstration project. Sec. 234. Delay in requirement that outlying areas operate an AFDC-UP Program. Sec. 235. State option to use retrospective budgeting without monthly reporting. Subtitle E—JOBS Program Sec. 241. Ebcpansion of coverage for Indian tribes. Sec. 242. Report to the Congress with respect to performance standards in the JOBS program. Subtitle F—Other Provisions Sec. 261. Elxtension of demonstration to expand job opportunities. Sec. 262. Earlv childhood development proiects. Sec. 263. Reallocation of funds under title XX for empowerment and enterprise gra nts. Sec. 264. Corrections related to the income security and human resotirces provisions of OBRA-1990. Sec. 265. Technical corrections related to the human resource and income security provisions of OBRA-1989. Sec. 266. Technical correction related to the himian resowoe and income security Erovisions of OBRA-1993. mination of obsolete provisions relating to treatment of the earned income tax credit. Sec. 268. Redesignation of certain provisions. TITLE I—MEDICARE PROVISIONS Subtitle A—Provisions Relating to Part A SEC. 101. PROVISIONS RELATING TO ADJUSTMENTS TO STANDARD- IZED AMOUNTS FOR WAGES AND WAGE-RELATED COSTS. (a) USE OF OCCUPATIONAL MIX IN GUIDELINES FOR DETERMINA- TION OF AREA WAGE INDEX. — (1) IN GENERAL.— Section 1886(d)(10)(D)(i)(I) (42 U.S.C. 1395ww(d)(10)(D)(i)(I)) is amended by inserting "(to the extent the Secretary determines appropriate)" after "taking into account". 42 USC I395ww (2) EFFECTIVE DATE. — The amendment made by paragraph ^°^- (1) shall take effect as if included in the enactment of OJBRA- 1989. (b) CONFORMING AMENDMENTS RELATING TO GEOGRAPHIC AREA USED TO DETERMINE WAGE INDEX APPLICABLE TO HOSPITAL. —(1) Section 1886(d)(8)(C) (42 U.S.C. 1395ww(d)(8)(C)), as amended by section 13501(b)(l) of OBRA-1993, is amended— (A) in clause (iv), by striking "paragraph (1)" and inserting "paragraph (10)"; and (B) by adding at the end the following new clause: "(v) This subparagraph shall apply with respect to discharges occurring in a fiscal year only if the Secretary uses a method for making adjustments to the DRG prospective payment rate for area differences in hospital wage levels under paragraph (3)(E) for the fiscal year that is based on the use of Metropolitan Statistical Area classifications.".

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