[Congressional Bills 109th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4207 Introduced in House (IH)]







109th CONGRESS
  1st Session
                                H. R. 4207

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


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            November 2, 2005

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

_______________________________________________________________________

                                 A BILL


 
 To amend title XVIII of the Social Security Act to provide for equity 
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 ``Puerto Rico Hospitals Medicare DSH 
Equity Act of 2005''.

SEC. 2. CALCULATION OF MEDICARE DSHH 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, 2005, subclause (I) of paragraph (5)(F)(vi) shall be 
                applied by substituting for the numerator described in 
                such subclause the number of subsection (d) Puerto Rico 
                hospital's patient days for a cost reporting period 
                which were made up of patients who (for such days) were 
                entitled to benefits under part A of this title and 
                either were eligible in Puerto Rico on a categorically 
                needy basis or medically needy basis as aged, blind or 
                disabled for medical assistance under title XIX.''.
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