Page:United States Statutes at Large Volume 112 Part 4.djvu/943

 PUBLIC LAW 105-277—OCT. 21, 1998 112 STAT. 2681-914 (b) REVISION OF PER VISIT LIMITS. —Section 1861(v)(l)(L)(i) of such Act (42 U.S.C. 1395x(v)(l)(L)(i)) is amended— (1) in subclause (III), by striking "or"; (2) in subclause (IV)— (A) by inserting "and before October 1, 1998," after "October 1, 1997,"; and (B) by striking the period at the end and inserting ", or"; and (3) by adding at the end the follomng new subclause: "(V) October 1, 1998, 106 percent of such median.". (c) ONE-YEAR DELAY IN 15 PERCENT REDUCTION IN PAYMENT LIMITS; CHANGE IN TIMING OF IMPLEMENTATION OF PROSPECTIVE PAYMENT SYSTEM.— (1) PROSPECTIVE PAYMENT SYSTEM. — Section 1895 of such Act (42 U.S.C. 1395ffi) is amended— (A) in subsection (a), by striking "for cost reporting periods beginning on or after October 1, 1999" and inserting "for portions of cost reporting periods occurring on or after October 1, 2000"; and (B) in subsection (b)(3)— (i) in subparagraph (A)(i), by striking "fiscal year 2000" and inserting "fiscal year 2001"; (ii) in subparagraph (A)(ii), by striking "September 30, 1999" and inserting "September 30, 2000"; and (iii) in subparagraph (B)(i), by striking "fiscal year 2001" and inserting "fiscal year 2002". (2) CHANGE IN EFFECTIVE DATE.—Section 4603(d) of the Balanced Budget Act of 1997 (42 U.S.C. 1395fff note) is amended by striking "cost reporting periods beginning on or after October 1, 1999" and inserting "portions of cost reporting periods occurring on or after October 1, 2000". (3) CONTINGENCY REDUCTION.— Section 4603(e) of the Balanced Budget Act of 1997 (42 U.S.C. 1395flff note) is amended— (A) by striking "cost reporting periods described in subsection (d), for such cost reporting periods" and inserting "portions of cost reporting periods described in subsection (d), for such portions"; and (B) by striking "September 30, 1999" and inserting "September 30, 2000". (d) CHANGE IN HOME HEALTH MARKET BASKET INCREASE. — (1) INTERIM PAYMENT SYSTEM. — Section 1861(v)(l)(L) of the Social Security Act (42 U.S.C. 1395x(v)(l)(L)), as amended by subsection (a)(3), is amended by adding at the end the following: • "(ix) Notwithstanding any other provision of this subparagraph, in updating any limit under this subparagraph by a home health market basket index for cost reporting periods beginning during each of fiscal years 2000, 2001, 2002, and 2003, the update otherwise provided shall be reduced by 1.1 percentage points.". (2) PROSPECTIVE PAYMENT SYSTEM.— Section 1895(b)(3)(B) of such Act (42 U.S.C. 1395ffP:b)(3)(B)) is amended— (A) in clause (i), by striking "home health market basket percentage increase" and inserting "home health applicable increase percentage (as defined in clause (ii))"; (B) by redesignating clause (ii) as clause (iii); and (C) by inserting after clause (i) the following: "(ii) HOME HEALTH APPLICABLE INCREASE PERCENT- AGE. —For purposes of this subparagraph, the term

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