[Congressional Bills 103th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1832 Introduced in House (IH)]

103d CONGRESS
  1st Session
                                H. R. 1832

 To amend title XVIII of the Social Security Act to provide protection 
against reductions in Medicare payment amounts to rural hospitals as a 
   result of reductions in wage indices applicable to such hospitals 
    because of census designations of formerly rural areas as urban.


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                    IN THE HOUSE OF REPRESENTATIVES

                             April 22, 1993

  Mr. Neal of Massachusetts introduced the following bill; which was 
              referred to the Committee on Ways and Means

_______________________________________________________________________

                                 A BILL


 
 To amend title XVIII of the Social Security Act to provide protection 
against reductions in Medicare payment amounts to rural hospitals as a 
   result of reductions in wage indices applicable to such hospitals 
    because of census designations of formerly rural areas as urban.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. HOLD-HARMLESS PROTECTION FOR RURAL HOSPITALS.

    (a) In General.--Section 1886(d)(8)(C)(ii) of the Social Security 
Act (42 U.S.C. 1395ww(d)(8)(C)(ii)) is amended--
            (1) by striking ``of subparagraph (B)'' and inserting ``(I) 
        of subparagraph (B),'';
            (2) by striking ``or a decision'' and inserting ``(II) a 
        decision''; and
            (3) by striking ``under paragraph (10)'' and inserting 
        ``under paragraph (10), or (III) new census designations''.
    (b) Effective Date.--The amendments made by subsection (a) shall be 
effective for discharges occurring on or after October 1, 1993.

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