Page:United States Statutes at Large Volume 111 Part 1.djvu/439

 PUBLIC LAW 105-33 —AUG. 5, 1997 111 STAT. 415 "(i) the non-Federal percentage of the facihty-specific per diem rate (computed under paragraph (3)), and "(ii) the Federal percentage of the adjusted Federal per diem rate (determined under paragraph (4)) applicable to the facility; and "(B) after the transition period is equal to the adjusted Federal per diem rate applicable to the facility. "(2) DEFINITIONS. —For purposes of this subsection: "(A) COVERED SKILLED NURSING FACILITY SERVICES.— "(i) IN GENERAL.—The term 'covered skilled nursing facility services'— "(I) means post-hospital extended care services as defined in section 1861(i) for which benefits are provided under part A; and "(II) includes all items and services (other than services described in clause (ii)) for which payment may be made under part B and which are furnished to an individual who is a resident of a skilled nursing facility during the period in which the individual is provided covered post-hospital extended care services. "(ii) SERVICES EXCLUDED.— Services described in this clause are physicians' services, services described by clauses (i) through (iii) of section 1861(s)(2)(K), certified nurse-midwife services, qualified psychologist services, services of a certified registered nurse anesthetist, items and services described in subparagraphs (F) and (O) of section 1861(s)(2), and, only with respect to services furnished during 1998, the transportation costs of electrocardiogram equipment for electrocardiogram test services (HCPCS Code R0076). Services described in this clause do not include any physical, occupational, or speech-language therapy services regardless of whether or not the services are furnished by, or under the supervision of, a physician or other health care professional. "(B) ALL COSTS.— The term 'all costs' means routine service costs, ancillary costs, and capital-related costs of covered skilled nursing facility services, but does not include costs associated with approved educational activities. " (C) NON-FEDERAL PERCENTAGE; FEDERAL PERCENT- AGE. —For— "(i) the first cost reporting period (as defined in subparagraph (D)) of a facility, the 'non-Federal percentage' is 75 percent and the 'Federal percentage' is 25 percent; "(ii) the next cost reporting period of such facility, the 'non-Federal percentage' is 50 percent and the 'Federal percentage' is 50 percent; and "(iii) the subsequent cost reporting period of such facility, the 'non-Federal percentage' is 25 percent and the 'Federal percentage' is 75 percent.

�