[Congressional Bills 105th Congress]
[From the U.S. Government Publishing Office]
[S. 776 Introduced in Senate (IS)]







105th CONGRESS
  1st Session
                                 S. 776

   To amend title XVIII of the Social Security Act to provide for an 
  increase in update for certain hospitals with a high proportion of 
                           medicare patients.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                              May 21, 1997

 Mr. Graham (for himself and Mr. Mack) 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 an 
  increase in update for certain hospitals with a high proportion of 
                           medicare patients.

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

SECTION 1. INCREASE IN UPDATE FOR CERTAIN HOSPITALS WITH A HIGH 
              PROPORTION OF MEDICARE PATIENTS.

    Section 1886(b)(3) of the Social Security Act (42 U.S.C. 
1395ww(b)(3)) is amended by adding at the end the following:
    ``(F)(i) For purposes of subsection (d), in the case of a medicare-
dependent hospital described in clause (ii), the applicable percentage 
increase otherwise determined under subparagraph (B)(i) shall be 
increased by--
            ``(I) 0.5 percentage points for discharges occurring during 
        cost reporting periods beginning during fiscal year 1998, and
            ``(II) 0.3 percentage points for discharges occurring 
        during cost reporting periods beginning during fiscal year 
        1999.
    ``(ii) A hospital described in this clause with respect to a cost 
reporting period is a subsection (d) hospital meeting the following 
requirements:
            ``(I) Not less than 60 percent of the hospital's inpatient 
        days during the most recent cost reporting period for which 
        data is available were attributable to inpatients entitled to 
        benefits under part A.
            ``(II) The hospital does not receive any additional payment 
        amount under subsection (d)(5)(F) (relating to payments for 
        hospitals serving a disproportionate number of low-income 
        patients) with respect to discharges occurring during the 
        fiscal year.
            ``(III) The hospital does not receive any additional 
        payment amount under subsection (d)(5)(B) (relating to payment 
        for the indirect costs of medical education) or subsection (h) 
        (relating to payment for direct medical education costs).
            ``(IV) In the case of a hospital located in a rural area, 
        the hospital has more than 100 beds.''.

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