Page:United States Statutes at Large Volume 97.djvu/185

 PUBLIC LAW 98-21 —APR. 20, 1983 97 STAT. 153 "(d)(l)(A) Notwithstanding section 1814(b) but subject to the provi- sions of section 1813, the amount of the payment with respect to the operating costs of inpatient hospital services (as defined in subsec- tion (a)(4)) of a subsection (d) hospital (as defined in subparagraph (B)) for inpatient hospital discharges in a cost reporting period or in a fiscal year— " (i) beginning on or after October 1, 1983, and before October 1, 1984, is equal to the sum of— "(I) the target percentage (as defined in subparagraph (O) of the hospital's target amount for the cost reporting period (as defined in subsection (b)(3)(A), but determined without the application of subsection (a)), and "(II) the DRG percentage (as defined in subparagraph (O) of the regional adjusted DRG prospective payment rate determined under paragraph (2) for such dischai^es; "(ii) beginning on or after October 1, 1984, and before October 1, 1986, is equal to the sum of—- "(I) the target percentage (as defined in subparagraph (C)) of the hospital's target amount for the cost reporting period (as defined in subsection (b)(3)(A), but determined without the application of subsection (a)), and "(II) the DRG percentage (as defined in subparagraph (O) of the applicable combined adjusted DRG prospective pay- ment rate determined under subparagraph (U) for such discharges; or "(iii) beginning on or after October 1, 1986, is equal to the national adjusted DRG prospective payment rate determined under paragraph (3) for such discharges. "(B) As used in this section, the term 'subsection (d) hospital' means a hospital located in one of the fifty States or the District of Columbia other than— "(i) a psychiatric hospital (as defined in section 1861(f)), "(ii) a rehabilitation hospital (as defined by the Secretary), "(iii) a hospital whose inpatients are predominantly individ- uals under 18 years of age, or "(iv) a hospital which has an average inpatient length of stay (as determined by the Secretary) of greater than 25 days; and, in accordance with regulations of the Secretary, does not include a psychiatric or rehabilitation unit of the hospital which is a distinct part of the hospital (as defined by the Secretary). "(C) For purposes of this subsection, for cost reporting periods beginning, or discharges occurring- "(i) on or after October 1, 1983, and before October 1, 1984, the 'target percentage' is 75 percent and the *DRG percentage' is 25 percent; "(ii) on or after October 1, 1984, and before October 1, 1985, the 'target percentage' is 50 percent and the 'DRG percentage' is 50 percent; and "(iii) on or after October 1, 1985, and before October 1, 1986, the 'target percentage' is 25 percent and the 'DRG percentage' is 75 percent. "(D) For purposes of subparagraph (A)(iiXII), the 'applicable com- bined adjusted DRG prospective payment rate' for cost reporting periods beginning, or discharges occurring— "(i) on or after October 1, 1984, and before October 1, 1985, is a combined rate consisting of 25 percent of the national adjusted DRG prospective payment rate, and 75 percent of the regional 42 USC 1395f, 1395e. 42 USC 1395x.

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