Page:United States Statutes at Large Volume 124.djvu/3312

 124 STAT. 3286 PUBLIC LAW 111–309 —DEC. 15, 2010 ‘‘(12) UPDATE FOR 2011.— ‘‘(A) IN GENERAL.—Subject to paragraphs (7)(B), (8)(B), (9)(B), (10)(B), and (11)(B), in lieu of the update to the single conversion factor established in paragraph (1)(C) that would otherwise apply for 2011, the update to the single conversion factor shall be 0 percent. ‘‘(B) NO EFFECT ON COMPUTATION OF CONVERSION FACTOR FOR 2012 AND SUBSEQUENT YEARS.—The conversion factor under this subsection shall be computed under para- graph (1)(A) for 2012 and subsequent years as if subpara- graph (A) had never applied.’’. SEC. 102. EXTENSION OF MMA SECTION 508 RECLASSIFICATIONS. (a) EXTENSION.— (1) IN GENERAL.—Section 106(a) of division B of the Tax Relief and Health Care Act of 2006 (42 U.S.C. 1395 note), as amended by section 117 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (Public Law 110–173), section 124 of the Medicare Improvements for Patients and Providers Act of 2008 (Public Law 110–275), and sections 3137(a) and 10317 of the Patient Protection and Affordable Care Act (Public Law 111–148), is amended by striking ‘‘September 30, 2010’’ and inserting ‘‘September 30, 2011’’. (2) SPECIAL RULE FOR FISCAL YEAR 2011.— (A) IN GENERAL.—Subject to subparagraph (B), for pur- poses of implementation of the amendment made by para- graph (1), including (notwithstanding paragraph (3) of sec- tion 117(a) of the Medicare, Medicaid, and SCHIP Exten- sion Act of 2007 (Public Law 110–173), as amended by section 124(b) of the Medicare Improvements for Patients and Providers Act of 2008 (Public Law 110–275)) for pur- poses of the implementation of paragraph (2) of such section 117(a), during fiscal year 2011, the Secretary of Health and Human Services shall use the hospital wage index that was promulgated by the Secretary of Health and Human Services in the Federal Register on August 16, 2010 (75 Fed. Reg. 50042), and any subsequent corrections. (B) EXCEPTION.—Beginning on April 1, 2011, in deter- mining the wage index applicable to hospitals that qualify for wage index reclassification, the Secretary shall include the average hourly wage data of hospitals whose reclassi- fication was extended pursuant to the amendment made by paragraph (1) only if including such data results in a higher applicable reclassified wage index. Any revision to hospital wage indexes made as a result of this subpara- graph shall not be effected in a budget neutral manner. (3) ADJUSTMENT FOR CERTAIN HOSPITALS IN FISCAL YEAR 2011.— (A) IN GENERAL.—In the case of a subsection (d) hos- pital (as defined in subsection (d)(1)(B) of section 1886 of the Social Security Act (42 U.S.C. 1395ww)) with respect to which— (i) a reclassification of its wage index for purposes of such section was extended pursuant to the amend- ment made by paragraph (1); and (ii) the wage index applicable for such hospital for the period beginning on October 1, 2010, and ending Time periods. Payments. 42 USC 1395ww note. Effective date. 42 USC 1395ww note. 42 USC 1395ww note.