[Congressional Bills 108th Congress]
[From the U.S. Government Publishing Office]
[S. 2260 Introduced in Senate (IS)]







108th CONGRESS
  2d Session
                                S. 2260

To amend title XVIII of the Social Security Act to provide for fairness 
in the calculation of medicare disproportionate share hospital payments 
                     for hospitals in Puerto Rico.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                             March 30, 2004

 Mr. Santorum 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 fairness 
in the calculation of medicare disproportionate share hospital payments 
                     for hospitals in Puerto Rico.

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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Medicare DSH Payments for Puerto 
Rico Hospitals Fairness Act of 2004''.

SEC. 2. CALCULATION OF MEDICARE DSH PAYMENTS FOR PPS HOSPITALS IN 
              PUERTO RICO.

    Section 1886(d)(9)(D)(iii) of the Social Security Act (42 U.S.C. 
1395ww(d)(9)(D)(iii)) is amended to read as follows:
            ``(iii) Subparagraph (F) (relating to disproportionate 
        share payments), except that for this purpose--
                    ``(I) the sum described in clause (ii) of this 
                subparagraph shall be substituted for the sum referred 
                to in paragraph (5)(F)(ii)(I); and
                    ``(II) for discharges occurring on or after October 
                1, 2004, subclause (I) of paragraph (5)(F)(vi) shall be 
                applied by substituting for the numerator described in 
                such subclause the number of a subsection (d) Puerto 
                Rico hospital's patient days for a cost reporting 
                period that are made up of patients who (for such days) 
                were entitled to benefits under part A of this title 
                and were recipients of aid under the State plan 
                approved under title XVI that provides for grants to 
                States for aid to the aged, blind, or disabled.''.
                                 <all>