Page:United States Statutes at Large Volume 113 Part 2.djvu/847

 PUBLIC LAW 106-113—APPENDIX F 113 STAT. 1501A-329 for legislation that the Secretary determines to be appropriate as a result of such study. Subtitle B—PPS Hospitals SEC. 111. MODIFICATION IN TRANSITION FOR INDIRECT MEDICAL EDU- CATION (IME) PERCENTAGE ADJUSTMENT. (a) IN GENERAL.—Section 1886(d)(5)(B)(ii) (42 U.S.C. 1395ww(d)(5)(B)(ii)) is amended— (1) in subclause (IV), by striking "and" at the end; (2) by redesignating subclause (V) as subclause (VI); (3) by inserting after subclause (IV) the following new subclause: "(V) during fiscal year 2001, *c' is equal to 1.54; and"; and (4) in subclause (VI), as so redesignated, by striking "2000" and inserting "2001". (b) SPECIAL PAYMENTS TO MAINTAIN 6.5 PERCENT IME PAY- MENT FOR FISCAL YEAR 2000. — (1) ADDITIONAL PAYMENT.—In addition to payments made to each subsection (d) hospital (as defined in section 1886(d)(1)(B) of the Social Security Act (42 U.S.C. 1395ww(d)(l)(B)) under section 1886(d)(5)(B) of such Act (42 U.S.C. 1395ww(d)(5)(B))) which receives payment for the direct costs of medical education for discharges occurring in fiscal year 2000, the Secretary of Health and Human Services shall make one or more payments to each such hospital in an amount which, as estimated by the Secretary, is equal in the aggregate to the difference between the amount of payments to the hospital under such section for such discharges and the amount of payments that would have been paid under such section for such discharges if "c" in clause (ii)(IV) of such section equalled 1.6 rather than 1.47. Additional payments made under this subsection shall be made applying the same structure as applies to payments made under section 1886(d)(5)(B) of such Act. (2) No EFFECT ON OTHER PAYMENTS OR DETERMINATIONS. — In making such additional payments, the Secretary shall not change payments, determinations, or budget neutrality adjustments made for such period under section 1886(d) of such Act (42 U.S.C. 1395ww(d)). (c) CONFORMING AMENDMENT RELATING TO DETERMINATION OF STANDARDIZED AMOUNT. —Section 1886(d)(2)(C)(i) (42 U.S.C. 1395ww(d)(2)(C)(i)) is amended by inserting "or any additional pay- ments under such paragraph resulting from the application of section 111 of the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999" after "Balanced Budget Act of 1997". SEC. 112. DECREASE IN REDUCTIONS FOR DISPROPORTIONATE SHARE HOSPITALS; DATA COLLECTION REQUIREMENTS. (a) IN GENERAL.—Section 1886(d)(5)(F)(ix) (42 U.S.C. 1395ww(d)(5)(F)(ix)) is amended— (1) in subclause (III), by striking "during fiscal year 2000" and inserting "during each of fiscal years 2000 and 2001"; (2) by striking subclause (IV);

�