[Congressional Bills 104th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4158 Introduced in House (IH)]







104th CONGRESS
  2d Session
                                H. R. 4158

 To exclude certain general service wages and hours associated with a 
    separate skilled nursing facility owned by certain hospitals in 
     determining a hospital's eligibility for continued geographic 
              reclassification under the Medicare program.


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                    IN THE HOUSE OF REPRESENTATIVES

                           September 24, 1996

Mr. Ramstad (for himself and Mr. Minge) introduced the following bill; 
         which was referred to the Committee on Ways and Means

_______________________________________________________________________

                                 A BILL


 
 To exclude certain general service wages and hours associated with a 
    separate skilled nursing facility owned by certain hospitals in 
     determining a hospital's eligibility for continued geographic 
              reclassification 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. EXCLUDING GENERAL SERVICE WAGES AND HOURS ASSOCIATED WITH A 
              SEPARATE SKILLED NURSING FACILITY IN DETERMINING MEDICARE 
              GEOGRAPHIC RECLASSIFICATION OF CERTAIN HOSPITALS.

    In the case of a hospital that is owned by a municipality and that 
has been reclassified as an urban hospital under section 1886(d)(10) of 
the Social Security Act for fiscal year 1996, in calculating the 
hospital's average hourly wage for purposes of continued geographic 
reclassification under such section for subsequent fiscal years, the 
Secretary of Health and Human Services shall exclude the general 
service wages and hours of personnel associated with a skilled nursing 
facility that is owned by the hospital or the same municipality and 
that is physically separated from the hospital to the extent that such 
wages and hours of such personnel are not shared with the hospital and 
are separately documented.
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