Page:United States Statutes at Large Volume 120.djvu/62

 PUBLIC LAW 109–171—FEB. 8, 2006

120 STAT. 31

SEC. 5002. CLARIFICATION OF DETERMINATION OF MEDICAID PATIENT DAYS FOR DSH COMPUTATION.

(a) IN GENERAL.—Section 1886(d)(5)(F)(vi) of the Social Security Act (42 U.S.C. 1395ww(d)(5)(F)(vi)) is amended by adding after and below subclause (II) the following: ‘‘In determining under subclause (II) the number of the hospital’s patient days for such period which consist of patients who (for such days) were eligible for medical assistance under a State plan approved under title XIX, the Secretary may, to the extent and for the period the Secretary determines appropriate, include patient days of patients not so eligible but who are regarded as such because they receive benefits under a demonstration project approved under title XI.’’. (b) RATIFICATION AND PROSPECTIVE APPLICATION OF PREVIOUS REGULATIONS.— (1) IN GENERAL.—Subject to paragraph (2), regulations described in paragraph (3), insofar as such regulations provide for the treatment of individuals eligible for medical assistance under a demonstration project approved under title XI of the Social Security Act under section 1886(d)(5)(F)(vi) of such Act, are hereby ratified, effective as of the date of their respective promulgations. (2) NO APPLICATION TO CLOSED COST REPORTS.—Paragraph (1) shall not be applied in a manner that requires the reopening of any cost reports which are closed as of the date of the enactment of this Act. (3) REGULATIONS DESCRIBED.—For purposes of paragraph (1), the regulations described in this paragraph are as follows: (A) 2000 REGULATION.—Regulations promulgated on January 20, 2000, at 65 Federal Register 3136 et seq., including the policy in such regulations regarding discharges occurring prior to January 20, 2000. (B) 2003 REGULATION.—Regulations promulgated on August 1, 2003, at 68 Federal Register 45345 et seq. SEC. 5003. IMPROVEMENTS TO THE MEDICARE-DEPENDENT HOSPITAL (MDH) PROGRAM.

(a) 5-YEAR EXTENSION.— (1) EXTENSION OF PAYMENT METHODOLOGY.—Section 1886(d)(5)(G) of the Social Security Act (42 U.S.C. 1395ww(d)(5)(G)) is amended— (A) in clause (i), by striking ‘‘October 1, 2006’’ and inserting ‘‘October 1, 2011’’; and (B) in clause (ii)(II)— (i) by striking ‘‘October 1, 2006’’ and inserting ‘‘October 1, 2011’’; and (ii) by inserting ‘‘or for discharges in the fiscal year’’ after ‘‘for the cost reporting period’’. (2) CONFORMING AMENDMENTS.— (A) EXTENSION OF TARGET AMOUNT.—Section 1886(b)(3)(D) of such Act (42 U.S.C. 1395ww(b)(3)(D)) is amended— (i) in the matter preceding clause (i)— (I) by striking ‘‘beginning’’ and inserting ‘‘occurring’’; and (II) by striking ‘‘October 1, 2006’’ and inserting ‘‘October 1, 2011’’; and

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