Page:United States Statutes at Large Volume 114 Part 5.djvu/539

 PUBLIC LAW 106-554—APPENDIX F 114 STAT. 2763A-499 SEC. 313. APPLICATION OF SNF CONSOLIDATED BILLING REQUIRE- MENT LIMITED TO PART A COVERED STAYS. (a) IN GENERAL.—Section 1862(a)(18) (42 U.S.C. 1395y(a)(18)) is amended by striking "or of a part of a facility that includes a skilled nursing facility (as determined under regulations)," and inserting "during a period in which the resident is provided covered post-hospital extended care services (or, for services described in section 1861(s)(2)(D), which are furnished to such an individual without regard to such period),". (b) CONFORMING AMENDMENTS.— (1) Section 1842(b)(6)(E) (42 U.S.C. 1395u(b)(6)(E)) is amended— (A) by inserting "by, or under arrangements made by, a skilled nursing facility" after "furnished"; (B) by striking "or of a part of a facility that includes a skilled nursing facility (as determined under regulations)"; and (C) by striking "(without regard to whether or not the item or service was furnished by the facility, by others under arrangement with them made by the facility, under any other contracting or consulting arrangement, or otherwise)". (2) Section 1842(t) (42 U.S.C. 1395u(t)) is amended by striking "by a physician" and "or of a part of a facility that includes a sMlled nursing facility (as determined under regulations),". (3) Section 1866(a)(l)(H)(ii)(I) (42 U.S.C. 1395cc(a)(l)(H)(ii)(I)) is amended by inserting after "who is a resident of the skilled nursing facility" the following: "during a period in which the resident is provided covered post-hospital extended care services (or, for services described in section 1861(s)(2)(D), that are furnished to such an individual without regard to such period)". (c) EFFECTIVE DATE. —The amendments made by subsections (a) and (b) shall apply to services furnished on or after January 1, 2001. (d) OVERSIGHT.— The Secretary of Health and Human Services, through the Office of the Inspector General in the Department of Health and Human Services or otherwise, shall monitor pa5anents made under part B of the title XVIII of the Social Security Act for items and services furnished to residents of skilled nursing facilities during a time in which the residents are not being provided medicare covered post-hospital extended care services to ensure that there is not duplicate billing for services or excessive services provided. SEC. 314. ADJUSTMENT OF REHABILITATION RUGS TO CORRECT ANOMALY IN PAYMENT RATES. (a) ADJUSTMENT FOR REHABILITATION RUGS.— (1) IN GENERAL.— For purposes of computing payments for covered skilled nursing facility services under paragraph (1) of section 1888(e) of the Social Security Act (42 U.S.C. 13953^(e)) for such services furnished on or after April 1, 2001, and before the date described in section 101(c)(2) of BBRA (113 Stat. 1501A-324), the Secretary of Health and Human Services shall increase by 6.7 percent the adjusted Federal per diem rate otherwise determined under paragraph (4) of such section (but for this section) for covered skilled nursing facility services for RUG-III rehabilitation groups described in paragraph (2) furnished to an individual during the period

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