Page:United States Statutes at Large Volume 117.djvu/2309

 117 STAT. 2290

42 USC 1395ww note.

Deadline.

PUBLIC LAW 108–173—DEC. 8, 2003

percentage increase under clause (i)(XIX) for a subsequent fiscal year. ‘‘(II) Each subsection (d) hospital shall submit to the Secretary quality data (for a set of 10 indicators established by the Secretary as of November 1, 2003) that relate to the quality of care furnished by the hospital in inpatient settings in a form and manner, and at a time, specified by the Secretary for purposes of this clause, but with respect to fiscal year 2005, the Secretary shall provide for a 30-day grace period for the submission of data by a hospital.’’. (c) GAO STUDY AND REPORT ON APPROPRIATENESS OF PAYMENTS UNDER THE PROSPECTIVE PAYMENT SYSTEM FOR INPATIENT HOSPITAL SERVICES.— (1) STUDY.—The Comptroller General of the United States, using the most current data available, shall conduct a study to determine— (A) the appropriate level and distribution of payments in relation to costs under the prospective payment system under section 1886 of the Social Security Act (42 U.S.C. 1395ww) for inpatient hospital services furnished by subsection (d) hospitals (as defined in subsection (d)(1)(B) of such section); and (B) whether there is a need to adjust such payments under such system to reflect legitimate differences in costs across different geographic areas, kinds of hospitals, and types of cases. (2) REPORT.—Not later than 24 months after the date of the enactment of this Act, the Comptroller General of the United States shall submit to Congress a report on the study conducted under paragraph (1) together with such recommendations for legislative and administrative action as the Comptroller General determines appropriate. SEC. 502. REVISION OF THE INDIRECT MEDICAL EDUCATION (IME) ADJUSTMENT PERCENTAGE.

(a) IN GENERAL.—Section 1886(d)(5)(B)(ii) (42 U.S.C. 1395ww(d)(5)(B)(ii)) is amended— (1) in subclause (VI), by striking ‘‘and’’ after the semicolon at the end; (2) in subclause (VII)— (A) by inserting ‘‘and before April 1, 2004,’’ after ‘‘on or after October 1, 2002,’’; and (B) by striking the period at the end and inserting a semicolon; and (3) by adding at the end the following new subclauses: ‘‘(VIII) on or after April 1, 2004, and before October 1, 2004, ‘c’ is equal to 1.47; ‘‘(IX) during fiscal year 2005, ‘c’ is equal to 1.42; ‘‘(X) during fiscal year 2006, ‘c’ is equal to 1.37; ‘‘(XI) during fiscal year 2007, ‘c’ is equal to 1.32; and ‘‘(XII) on or after October 1, 2007, ‘c’ is equal to 1.35.’’. (b) 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— (1) by striking ‘‘1999 or’’ and inserting ‘‘1999,’’; and (2) by inserting ‘‘, or the Medicare Prescription Drug, Improvement, and Modernization Act of 2003’’ after ‘‘2000’’.

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