Page:United States Statutes at Large Volume 114 Part 5.djvu/535

 PUBLIC LAW 106-554—APPENDIX F 114 STAT. 2763A-495 4) for purposes of computing and applying a statewide geographic adjustment factor) under which an appropriate statewide entity may apply to have all the geographic areas in a State treated as a single geographic area for purposes of computing and applying the area wage index under section 1886(d)(3)(E) of such Act (42 U.S.C. 1395ww(d)(3)(E)). Such process shall be established by October 1, 2001, for reclassifications beginning in fiscal year 2003. (2) PROHIBITION ON INDIVIDUAL HOSPITAL RECLASSIFICA- TION. —Notwithstanding any other provision of law, if the Secretary applies a statewide geographic wage index under paragraph (1) with respect to a State, any application submitted by a hospital in that State under section 1886(d)(10) of the Social Security Act (42 U.S.C. 1395ww(d)(10)) for geographic reclassification shall not be considered. (c) COLLECTION OF INFORMATION ON OCCUPATIONAL MIX. — (1) IN GENERAL. —The Secretary of Health and Human Services shall provide for the collection of data every 3 years on occupational mix for employees of each subsection (d) hospital (as defined in section 1886(d)(1)(D) of the Social Security Act (42 U.S.C. 1395ww(d)(l)(D))) in the provision of inpatient hospital services, in order to construct an occupational mix adjustment in the hospital area wage index applied under section 1886(d)(3)(E) of such Act (42 U.S.C. 1395ww(d)(3)(E)). (2) APPLICATION.— The third sentence of section 1886(d)(3j(E) (42 U.S.C. 1395ww(d)(3)(E)) is amended by striking "To the extent determined feasible by the Secretary, such survey shall measure" and inserting "Not less often than once every 3 years the Secretary (through such survey or otherwise) shall measure". (3) EFFECTIVE DATE.— By not later than September 30, 2003, for application beginning October 1, 2004, the Secretary shall first complete— (A) the collection of data under paragraph (1); and (B) the measurement under the third sentence of section 1886(d)(3)(E), as amended by paragraph (2). SEC. 305. PAYMENT FOR INPATIENT SERVICES OF REHABILITATION HOSPITALS. (a) ASSISTANCE WITH ADMINISTRATIVE COSTS ASSOCIATED WITH COMPLETION OF PATIENT ASSESSMENT.— Section 1886(j)(3)(B) (42 U.S.C. 1395ww(j)(3)(B)) is amended by striking "98 percent" and inserting "98 percent for fiscal year 2001 and 100 percent for fiscal year 2002". (b) ELECTION TO APPLY FULL PROSPECTIVE PAYMENT RATE WITHOUT PHASE-IN. — (1) IN GENERAL. —Paragraph (1) of section 1886(j) (42 U.S.C. 1395ww(j)) is amended— (A) in subparagraph (A), by inserting "other than a facility making an election under subparagraph (F)" before "in a cost reporting period"; (B) in subparagraph (B), by inserting "or, in the case of a facility making an election under subparagraph (F), for any cost reporting period described in such subparagraph," after "2002,"; and (C) by adding at the end the following new subparagraph:

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