Page:United States Statutes at Large Volume 113 Part 2.djvu/850

 113 STAT. 1501A-332 PUBLIC LAW 106-113—APPENDIX F SEC. 124. PER DIEM PROSPECTIVE PAYMENT SYSTEM FOR PSY- CHIATRIC HOSPITALS. (a) DEVELOPMENT OF SYSTEM. — (1) IN GENERAL.— The Secretary of Health and Human Services shall develop a per diem prospective payment system for payment for inpatient hospital services of psychiatric hospitals and units (as defined in paragraph (3)) under the medicare program. Such system shall include an adequate patient classification system that reflects the differences in patient resource use and costs among such hospitals and shall maintain budget neutrality. (2) COLLECTION OF DATA AND EVALUATION. — In developing the system described in paragraph (1), the Secretary may require such psychiatric hospitals and units to submit such information to the Secretary as the Secretary may require to develop the system. (3) DEFINITION. —In this section, the term "psychiatric hospitals and units" means a psychiatric hospital described in clause (i) of section 1886(d)(1)(B) of the Social Security Act (42 U.S.C. 1395ww(d)(l)(B)) and psychiatric units described in the matter following clause (v) of such section. (b) REPORT.— Not later than October 1, 2001, the Secretary shall submit to the appropriate committees of Congress a report that includes a description of the system developed under subsection (a)(1). (c) IMPLEMENTATION OF PROSPECTIVE PAYMENT SYSTEM.— Notwithstanding section 1886(b)(3) of the Social Security Act (42 U.S.C. 1395ww(b)(3)), the Secretary shall provide, for cost reporting periods beginning on or after October 1, 2002, for payments for inpatient hospital services furnished by psychiatric hospitals and units under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) in accordance with the prospective payment system established by the Secretary under this section in a budget neutral manner. SEC. 125. REFINEMENT OF PROSPECTIVE PAYMENT SYSTEM FOR INPATIENT REHABILITATION SERVICES. (a) USE OF DISCHARGE AS PAYMENT UNIT.— (1) IN GENERAL. —Section 18860)(1)(D) (42 U.S.C. 1395ww(j)(l)(D)) is amended by striking ", day of inpatient hospital services, or other unit of payment defined by the Secretary". (2) CONFORMING AMENDMENT TO CLASSIFICATION.— Section 18860')(2)(A)(i) (42 U.S.C. 1395wwO)(2)(A)(i)) is amended to read as follows: "(i) classes of patient discharges of rehabilitation facilities by functional-related groups (each in this subsection referred to as a 'case mix group'), based on impairment, age, comorbidities, and functional capability of the patient and such other factors as the Secretary deems appropriate to improve the explanatory power of functional independence measure-function related groups; and". (3) CONSTRUCTION RELATING TO TRANSFER AUTHORITY.— Section 18860)(1) (42 U.S.C. 1395wwO')(l)) is amended by adding at the end the following new subparagraph: " (E) CONSTRUCTION RELATING TO TRANSFER AUTHORITY. — Nothing in this subsection shall be construed

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