[Congressional Bills 104th Congress]
[From the U.S. Government Publishing Office]
[S. 512 Introduced in Senate (IS)]







104th CONGRESS
  1st Session
                                 S. 512

To amend title XVIII of the Social Security Act to provide for a 5-year 
  extension of the medicare-dependent, small, rural hospital payment 
                  provisions, and for other purposes.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                March 7 (legislative day, March 6), 1995

 Mr. Grassley introduced the following bill; which was read twice and 
                  referred to the Committee on Finance

_______________________________________________________________________

                                 A BILL


 
To amend title XVIII of the Social Security Act to provide for a 5-year 
  extension of the medicare-dependent, small, rural hospital payment 
                  provisions, and for other purposes.

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

SECTION 1. MEDICARE-DEPENDENT, SMALL, RURAL HOSPITAL PAYMENT EXTENSION.

    (a) Special Treatment Extended.--
            (1) In general.--Section 1886(d)(5)(G) of the Social 
        Security Act (42 U.S.C. 1395ww(d)(5)(G)) is amended--
                    (A) in clause (i), by striking ``October 1, 1994'' 
                and inserting ``October 1, 1999''; and
                    (B) in clause (ii)(II), by striking ``October 1, 
                1994'' and inserting ``October 1, 1999''.
            (2) Extension of target amount.--Section 1886(b)(3)(D) of 
        the Social Security Act (42 U.S.C. 1395ww(b)(3)(D)) is 
        amended--
                    (A) in the matter preceding clause (i), by striking 
                ``September 30, 1994'' and inserting ``September 30, 
                1999'';
                    (B) in clause (ii), by striking ``and'' at the end;
                    (C) in clause (iii), by striking the period at the 
                end and inserting ``, and''; and
                    (D) by adding at the end the following new clause:
            ``(iv) with respect to discharges occurring in fiscal years 
        1995 through 1999, the target amount for the preceding year 
        increased by the applicable percentage increase under 
        subparagraph (B)(iv).''.
            (3) Permitting hospitals to decline reclassification.--
        Section 13501(e)(2) of the Omnibus Budget Reconciliation Act of 
        1993 (42 U.S.C. 1395ww note) is amended by striking ``or fiscal 
        year 1994'' and inserting ``, fiscal year 1994, fiscal year 
        1995, fiscal year 1996, fiscal year 1997, fiscal year 1998, or 
        fiscal year 1999''.
            (4) Technical correction.--Section 1886(d)(5)(G)(i) of the 
        Social Security Act (42 U.S.C. 1395ww(d)(5)(G)(i)), as amended 
        by paragraph (1), is amended by striking all that follows the 
        first period.
    (b) Effective Date.--The amendments made by this section shall 
apply with respect to discharges occurring on or after October 1, 1994.
                                 <all>