[Congressional Bills 105th Congress]
[From the U.S. Government Publishing Office]
[S. 372 Introduced in Senate (IS)]







105th CONGRESS
  1st Session
                                 S. 372

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


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                           February 27, 1997

 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 
reinstatement 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 
              REINSTATEMENT.

    (a) Special Treatment Reinstated.--
            (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, 2002''; and
                    (B) in clause (ii)(II), by striking ``October 1, 
                1994'' and inserting ``October 1, 2002''.
            (2) Reinstatement 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, 
                2002'';
                    (B) in clause (ii), by striking ``and'' at the end;
                    (C) in clause (iii), by striking the period at the 
                end and inserting a comma; and
                    (D) by inserting after clause (iii) the following:
            ``(iv) with respect to discharges occurring in fiscal year 
        1998, the target amount for the cost reporting period beginning 
        in fiscal year 1994 increased by the applicable percentage 
        increases under subparagraph (B)(iv) which would have occurred 
        in each of fiscal years 1995 through 1997 if this subparagraph 
        had been in effect for such fiscal years; and
            ``(v) with respect to discharges occurring in fiscal years 
        1999 through 2002, 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 
        1998, fiscal year 1999, fiscal year 2000, fiscal year 2001, or 
        fiscal year 2002''.
    (b) Effective Date.--The amendments made by this section shall 
apply with respect to discharges occurring on or after October 1, 1997.
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