[Congressional Bills 104th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3942 Introduced in House (IH)]







104th CONGRESS
  2d Session
                                H. R. 3942

     To amend title XVIII of the Social Security Act to permit the 
geographic reclassification of hospitals for purposes of disportionate 
     share hospital payment adjustments under the Medicare program.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             August 1, 1996

  Mr. Ney (for himself, Mr. Hostettler, Mr. Spratt, Mr. Cremeans, Mr. 
Clyburn, Mr. Gillmor, Mr. McHugh, Mr. Inglis of South Carolina, and Mr. 
   Wicker) 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 permit the 
geographic reclassification of hospitals for purposes of disportionate 
     share hospital payment adjustments under the Medicare program.

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

SECTION 1. MEDICARE HOSPITAL GEOGRAPHIC RECLASSIFICATION PERMITTED FOR 
              PURPOSES OF DISPROPORTIONATE SHARE PAYMENT ADJUSTMENTS.

    (a) In General.--Section 1886(d)(10)(C)(i) of the Social Security 
Act (42 U.S.C. 1395ww(d)(10)(C)(i)) is amended--
            (1) by striking ``or'' at the end of subclause (I);
            (2) by striking the period at the end of subclause (II) and 
        inserting ``, or'';
            (3) by inserting after subclause (II) the following:
            ``(III) eligibility for and amount of additional payment 
        amounts under paragraph (5)(F).''; and
            (4) by adding at the end the following:
``Any application approved for purposes of subclause (I) for a fiscal 
year is deemed to be approved for purposes of subclause (III) for that 
fiscal year.''.
    (b) Effective Date.--
            (1) In general.--The amendments made by subsection (a) 
        shall apply to discharges occurring on or after October 1, 
        1996.
            (2) Treatment.--The amendment made by subsection (a)(4) 
        shall apply regardless of when an approval of reclassification 
        for purposes of section 1886(d)(10)(C)(i)(I) of the Social 
        Security Act occurs.
    (c) Transition for Fiscal Year 1997.--
            (1) In general.--A hospital that seeks reclassification 
        under section 1886(d)(10)(C)(i)(III) of the Social Security Act 
        for fiscal year 1997 shall be permitted to submit an 
        application for such reclassification by not later than 60 days 
        after the date of the enactment of this Act.
            (2) Reconsideration of current applications.--In the case 
        of an application of a hospital for reclassification under 
        section 1886(d)(10)(C)(i)(I) of such Act that was submitted 
        before the date of the enactment of this Act and that is 
        pending or was denied as of such date, the application shall be 
        treated as an application described in paragraph (1) if the 
        hospital submits a written request for treatment under this 
        paragraph to the Medicare Geographic Classification Review 
        Board not later than 60 days after the date of the enactment of 
        this Act.
                                 <all>