Page:United States Statutes at Large Volume 114 Part 5.djvu/533

 PUBLIC LAW 106-554—APPENDIX F 114 STAT. 2763A-493 SEC. 302. ADDITIONAL MODIFICATION IN TRANSITION FOR INDIRECT MEDICAL EDUCATION (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 (V) by striking "and" at the end; (2) by redesignating subclause (VI) as subclause (VII); (3) in subclause (VII) as so redesignated, by striking "2001" and inserting "2002"; and (4) by inserting after subclause (V) the following new subclause: "(VI) during fiscal year 2002, 'c' is equal to 1.6; and". (b) SPECLIVL RULE FOR PAYMENT FOR FISCAL YEAR 2001.— Notwithstanding paragraph (5)(B)(ii)(V) of section 1886(d) of the Social Security Act (42 U.S.C. 1395ww(d)(5)(B)(ii)(V)), for purposes of making payments for subsection (d) hospitals (as defined in paragraph (1)(B) of such section) with indirect costs of medical education, the indirect teaching adjustment factor referred to in paragraph (5)(B)(ii) of such section shall be determined, for discharges occurring on or after April 1, 2001, and before October 1, 2001, as if "c" in paragraph (5)(B)(ii)(V) of such section equalled 1.66 rather than 1.54. (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 of section 302 of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000" after "Balanced Budget Refinement Act of 1999". (d) CLERICAL AMENDMENTS. —Section 1886(d)(5)(B) (42 U.S.C. 1395ww(d)(5)(B)), as amended by subsection (a), is further amended by moving the indentation of each of the following 2 ems to the left: (1) Clauses (ii), (v), and (vi). (2) Subclauses (I) (II), (III), (IV), (V), and (VII) of clause (ii). (3) Subclauses (I) and (II) of clause (vi) and the flush sentence at the end of such clause. SEC. 303. DECREASE IN REDUCTIONS FOR DISPROPORTIONATE SHARE HOSPITAL (DSH) PAYMENTS. (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 "each of and by inserting "and 2 percent, respectively" after "3 percent"; and (2) in subclause (IV), by striking "4 percent" and inserting "3 percent". (b) SPECIAL RULE FOR PAYMENT FOR FISCAL YEAR 2001. —Notwithstanding the amendment made by subsection (a)(1), for purposes of making disproportionate share payments for subsection (d) hospitals (as defined in section 1886(d)(1)(B) of the Social Security Act (42 U.S.C. 1395ww(d)(l)(B)) for fiscal year 2001, the additional payment amount otherwise determined under clause (ii) of section 1886(d)(5)(F) of the Social Security Act (42 U.S.C. 1395ww(d)(5)(F))— (1) for discharges occurring on or after October 1, 2000, and before April 1, 2001, shall be adjusted as provided by clause (ix)(III) of such section as in effect on the day before the date of the enactment of this Act; and

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