Page:United States Statutes at Large Volume 111 Part 1.djvu/447

 PUBLIC LAW 105-33 —AUG. 5, 1997 111 STAT. 423 (3) by inserting after subclause (V) the following new subclause: "(VI) for each of fiscal years 1998 through 2002, the market basket percentage increase for the fiscal year involved minus 1.0 percentage points; and". (b) COLLECTION OF DATA.— Section 1814(i) (42 U.S.C. 1395fli)) is amended by adding at the end the following new paragraph: "(3) Hospice programs providing hospice care for which payment is made under this subsection shall submit to the Secretary such data with respect to the costs for providing such care for each fiscal year, beginning with fiscal year 1999, as the Secretary determines necessary.". SEC. 4442. PAYMENT FOR HOME HOSPICE CARE BASED ON LOCATION WHERE CARE IS FURNISHED. (a) IN GENERAL.—Section 1814(i)(2) (42 U.S.C. 1395f(i)(2)) is amended by adding at the end the following: "(D) A hospice program shall submit claims for payment for hospice care furnished in an individual's home under this title only on the basis of the geographic location at which the service is furnished, as determined by the Secretary.". (b) EFFECTIVE DATE. —The amendment made by subsection (a) applies to cost reporting periods beginning on or after October 1, 1997. SEC. 4443. HOSPICE CARE BENEFITS PERIODS. (a) RESTRUCTURING OF BENEFIT PERIOD.— Section 1812 (42 U.S.C. 1395d) is amended in subsections (a)(4) and (d)(1) by striking ", a subsequent period of 30 days, and a subsequent extension period" and inserting "and an unlimited number of subsequent periods of 60 days each". (b) CONFORMING AMENDMENTS. —(1) Section 1812 (42 U.S.C. 1395d) is amended in subsection (d)(2)(B) by striking "90- or 30- day period or a subsequent extension period" and inserting "90- day period or a subsequent 60-day period". (2) Section 1814(a)(7)(A) (42 U.S.C. 1395f(a)(7)(A)) is amended— (A) in clause (i), by inserting "and" at the end; (B) in clause (ii)— (i) by striking "30-day" and inserting "60-day"; and (ii) by striking ", and" at the end and inserting a period; and (C) by striking clause (iii). SEC. 4444. OTHER ITEMS AND SERVICES INCLUDED IN HOSPICE CARE. (a) IN GENERAL.—Section 1861(dd)(l) (42 U.S.C. 1395x(dd)(l)) is amended— (1) in subparagraph (G), by striking "and" at the end; (2) in subparagraph (H), by striking the period at the end and inserting ", and"; and (3) by inserting after subparagraph (H) the following: "(I) any other item or service which is specified in the plan and for which payment may otherwise be made under this title.". (b) EFFECTIVE DATE. —The amendment made by subsection (a) shall apply with respect to items or services furnished on or after April 1, 1998. 42 USC 1395f note. 42 USC 1395x note.

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