Page:United States Statutes at Large Volume 97.djvu/198

 97 STAT. 166 PUBLIC LAW 98-21 —APR. 20, 1983 42 USC 1395c. 42 USC 1395J. 42 USC 1395CC. of such title shall be reduced by the amount of the billings for such services under part B of such title. If such a waiver is granted, at the end of the waiver period the Secretary may provide for such meth- ods of payments under part A as is appropriate, given the organiza- tional structure of the institution. (1) Effective October 1, 1984, section 1866(a)(1) of the Social Secu- rity Act, as amended by subsection (f)(1) of this section, is further amended— (1) by striking out "(if there is such an organization" in subparagraph (F) and insert in lieu thereof "(with an organiza- tion", and (2) by adding at the end the following new sentence: "In the case of a hospital which has an agreement in effect with an organization described in subparagraph (F), which organization's contract with the Secretary under part B of title XI is terminated on or after October 1, 1984, the hospital shall not be determined to be out of compliance with the requirement of such subparagraph during the six month period beginning on the date of the termina- tion of that contract.". 42 USC 1395WW note. 96 Stat. 331. 42 USC 1395WW. REPORTS, EXPERIMENTS, AND DEMONSTRATION PROJECTS SEC. 603. (a)(1) The Secretary of Health and Human Services (hereinafter in this title referred to as the "Secretary") shall study, develop, and report to the Congress within 18 months after the date of the enactment of this Act on the method and proposals for legislation by which capital-related costs, such as return on net equity, associated with inpatient hospital services can be included within the prospective payment amounts computed under section 1886(d) of the Social Security Act. (2)(A) The Secretary shall study and report annually to the Con- gress at the end of each year O^eginning with 1984 and ending with 1987) on the impact, of the payment methodology under section 1886(d) of the Social Security Act during the previous year, on classes of hospitals, beneficiaries, and other payors for inpatient hospital services, and other providers, and, in particular, on the impact of computing DRG prospective payment rates by census division, rather than exclusively on a national basis. Each such report shall include such recommendations for such changes in legislation as the Secretary deems appropriate. (B) During fiscal year 1984, the Secretary shall begin the collec- tion of data necessary to compute the amount of physician charges attributable, by diagnosis-related groups, to physicians' services fur- nished to inpatients of hospitals whose discharges are classified within those groups. The Secretary shall include, in a report to Congress in 1985, recommendations on the advisability and feasibil- ity of providing for determining the amount of the payments for physicians' services furnished to hospital inpatients based on the DRG type classification of the discharges of those inpatients, and legislative recommendations thereon. (C) In the annual report to Congress under subparagraph (A) for 1985, the Secretary shall include the results of studies on— (i) the feasibility and impact of eliminating or phasing out separate urban and rural DRG prospective payment rates under paragraph (3) of section 1886(d) of the Social Security Act; (ii) whether and the method under which hospitals, not paid based on amounts determined under such section, can be paid

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