Page:United States Statutes at Large Volume 111 Part 1.djvu/296

 Ill STAT. 272 PUBLIC LAW 105-33 —AUG. 5, 1997 Sec. 4402. Maintaining savings from temporary reduction in capital payments for PPS hospitals. Sec. 4403. Disproportionate share. Sec. 4404. Meoicare capital asset sales price equal to book value. Sec. 4405. Elimination of IME and DSH payments attributable to outlier payments. Sec. 4406. Increase base payment rate to Puerto Rico hospitals. Sec. 4407. Certain hospital discharges to post acute care. Sec. 4408. Reclassification of certain counties as large urban areas under medicare program. Sec. 4409. Geographic reclassification for certain disproportionately large hospitals. Sec. 4410. Floor on area wage index. CHAPTER 2—PAYMENT OF PPS-EXEMPT HOSPITALS SUBCHAPTER A—GENERAL PAYMENT PROVISIONS Sec. 4411. Payment update. Sec. 4412. Reductions to capital payments for certain PPS-exempt hospitals and units. Sec. 4413. Rebasing. Sec. 4414. Cap on TEFRA limits. Sec. 4415. Bonus and relief payments. Sec. 4416. Change in payment and target amount for new providers. Sec. 4417. Treatment of certain long-term Care hospitals. Sec. 4418. Treatment of certain cancer hospitals. Sec. 4419. Elimination of exemptions for certain hospitals. SUBCHAPTER B—PROSPECTIVE PAYMENT SYSTEM FOR PPS-EXEMPT HOSPITALS Sec. 4421. Prospective payment for inpatient rehabilitation hospital services. Sec. 4422. Development of proposal on payments for long-term care hospitals. CHAPTER 3—PAYMENT FOR SKILLED NURSING FACILITIES Sec. 4431. Extension of cost limits. Sec. 4432. Prospective payment for skilled nursing facility services. CHAPTER 4—PROVISIONS RELATED TO HOSPICE SERVICES Sec. 4441. Payments for hospice services. Sec. 4442. Payment for home hospice care based on location where care is furnished. Sec. 4443. Hospice care benefits periods. Sec. 4444. Other items and services included in hospice care. Sec. 4445. Contracting with independent physicians or physician groups for hospice care services permitted. Sec. 4446. Waiver of certain staffing requirements for hospice care programs in nonurbani zed areas. Sec. 4447. Limitation on liability of beneficiaries for certain hospice coverage denials. Sec. 4448. Extending the period for physician certification of an individual's terminal illness. Sec. 4449. Effective date. CHAPTER 5—OTHER PAYMENT PROVISIONS Sec. 4451. Reductions in payments for enrollee bad debt. Sec. 4452. Permanent extension of hemophilia pass-through payment. Sec. 4453. Reduction in part A medicare premium for certain public retirees. Sec. 4454. Coverage of services in religious nonmedical health care institutions under the medicare and medicaid programs. Subtitle F—Provisions Relating to Part B Only CHAPTER 1—SERVICES OF HEALTH PROFESSIONALS SUBCHAPTER A—PHYSICL^NS' SERVICES Sec. 4501. Establishment of single conversion factor for 1998. Sec. 4502. Establishing update to conversion factor to match spending under sustainable growtn rate. Sec. 4503. Replacement of volume performance standard with sustainable growth rate. Sec. 4504. Payment rules for anesthesia services. Sec. 4505. Implementation of resource-based methodologies. Sec. 4506. Dissemination of information on high per discharge relative values for in-hospital physicians' services. Sec. 4507. Use of private contracts by medicare beneficiaries.

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