Page:United States Statutes at Large Volume 114 Part 5.djvu/540

 114 STAT. 2763A-500 PUBLIC LAW 106-554—APPENDIX F in which such individual is classified in such a RUG-III category. (2) REHABILITATION GROUPS DESCRIBED.—The RUGr-III rehabilitation groups for which the adjustment described in paragraph (1) appHes are RUC, RUB, RUA, RVC, RVB, RVA, RHC, RHB, RHA, RMC, RMB, RMA, RLB, and RLA, as specified in Tables 3 and 4 of the final rule published in the Federal Register by the Health Care Financing Administration on July 31, 2000 (65 Fed. Reg. 46770). (b) CORRECTION WITH RESPECT TO REHABILITATION RUGS. — (1) IN GENERAL.— Section 101(b) of BBRA (113 Stat. 150 lA- 324) is amended by striking "CAl, RHC, RMC, and RMB" and inserting "and CAl". (2) EFFECTIVE DATE.— The amendment made by paragraph (1) shall apply to services furnished on or after April 1, 2001. (c) REVIEW BY OFFICE OF INSPECTOR GENERAL. — The Inspector General of the Department of Health and Human Services shall review the medicare payment structure for services classified within rehabilitation resource utilization groups (RUGs) (as in effect after the date of the enactment of the BBRA) to assess whether payment incentives exist for the delivery of inadequate care. Not later than October 1, 2001, the Inspector General shall submit to Congress a report on such review. SEC. 315. ESTABLISHMENT OF PROCESS FOR GEOGRAPHIC RECLASSI- FICATION. (a) IN GENERAL.— The Secretary of Health and Human Services may establish a procedure for the geographic reclassification of a skilled nursing facility for purposes of payment for covered skilled nursing facility services under the prospective pa5anent system established under section 1888(e) of the Social Security Act (42 U.S.C. 1395yy(e)). Such procedure may be based upon the method for geographic reclassifications for inpatient hospitals established under section 1886(d)(10) of the Social Security Act (42 U.S.C. 1395ww(d)(10)). (b) REQUIREMENT FOR SKILLED NURSING FACILITY WAGE DATA,—In no case may the Secretary implement the procedure under subsection (a) before such time as the Secretary has collected data necessary to establish an area wage index for skilled nursing facilities based on wage data from such facilities. Subtitle C—Hospice Care SEC. 321. FIVE PERCENT INCREASE IN PAYMENT BASE. (a) IN GENERAL. —Section 1814(i)(l)(C)(ii)(VI) (42 U.S.C. 1395f(i)(l)(C)(ii)(VI)) is amended by inserting ", plus, in the case of fiscal year 2001, 5.0 percentage points" before the semicolon at the end. (b) EFFECTIVE DATE.—The amendment made by subsection (a) shall apply to hospice care furnished on or after April 1, 2001. In applying clause (ii) of section 1814(i)(l)(C) of the Social Security Act (42 U.S.C. 1395fli)(l)(C)) beginning with fiscal year 2002, the pa3anent rates in effect under such section during the period beginning on April 1, 2001, and ending on September 30, shall be treated as the payment rates in effect during fiscal year 2001.

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