Page:United States Statutes at Large Volume 111 Part 1.djvu/423

 PUBLIC LAW 105-33 —AUG. 5, 1997 111 STAT. 399 "(I) during fiscal year 1998, the additional payment amount otherwise determined under clause (ii) shall be reduced by 1 percent; "(II) during fiscal year 1999, such additional payment amount shall be reduced by 2 percent; "(III) during fiscal year 2000, such additional payment amount shall be reduced by 3 percent; "(IV) during fiscal year 2001, such additional payment amount shall be reduced by 4 percent; " (V) during fiscal year 2002, such additional payment amount shall be reduced by 5 percent; and "(VI) during fiscal year 2003 and each subsequent fiscal year, such additional payment amount shall be reduced by 0 percent.". (b) REPORT ON NEW PAYMENT FORMULA.— ' 42 USC i395ww (1) REPORT.— Not later than 1 year after the date of the note. enactment of this Act, the Secretary of Health and Human Services shall submit to the Committee on Ways and Means of the House of Representatives and the Committee on Finance of the Senate a report that contains a formula for determining additional payment amounts to hospitals under section 1886(d)(5)(F) of the Social Security Act (42 U.S.C. 1395ww(d)(5)(F)). (2) FACTORS IN DETERMINATION OF FORMULA.—In determining such formula the Secretary shall— (A) establish a single threshold for costs incurred by hospitals in serving low-income patients, and (B) consider the costs described in paragraph (3). (3) The costs described in this paragraph are as follows: (A) The costs incurred by the hospital during a period (as determined by the Secretary) of furnishing hospital services to individuals who are entitled to benefits under part A of title XVIII of the Social Security Act and who receive supplemental security income benefits under title XVI of such Act (excluding any supplementation of those benefits by a State under section 1616 of such Act (42 U.S.C. 1382e)). (B) The costs incurred by the hospital during a period (as so determined) of furnishing hospital services to individuals who receive medical assistance under the State plan under title XIX of such Act and are not entitled to benefits under part A of title XVIII of such Act (including individuals enrolled in a managed care organization (as defined in section 1903(m)(l)(A) of such Act (42 U.S.C. 1396b(m)(l)(A)) or any other managed care plan under such title and individuals who receive medical assistance under such title pursuant to a waiver approved by the Secretary under section 1115 of such Act (42 U.S.C. 1315)). (c) DATA COLLECTION.—In developing the formula described 42 USC I395ww in subsection (b), the Secretary of Health and Human Services note. may require any subsection (d) hospital (as defined in section 1886(d)(1)(B) of the Social Security Act (42 U.S.C. 1395ww(d)(l)(B))) receiving additional payments by reason of section 1886(d)(5)(F) of such Act (42 U.S.C. 1395ww(d)(5)(F)) to submit to the Secretary any information that the Secretary determines is necessary to develop such formula.

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