II 110th CONGRESS 2d Session S. 2853 IN THE SENATE OF THE UNITED STATES April 14, 2008 Ms. Landrieu (for herself and Mr. Vitter) 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 remove the cap on disproportionate share adjustment percentages for certain rural hospitals.

1.

Removal of the cap on disproportionate share adjustment percentages for certain rural hospitals

Section 1886(d)(5)(F)(xiv)(II) of the Social Security Act (42 U.S.C. 1395ww(d)(5)(F)(xiv)(II)) is amended by striking 12 percent and inserting 12 percent. The preceding sentence shall not apply to a hospital that, in the case of discharges occurring on or after April 1, 2004, is classified as a rural referral center under subparagraph (C), that, in the case of discharges occurring on or after October 1, 2006, is classified as a medicare-dependant, small rural hospital under subparagraph (G)(iv), or that, in the case of discharges occurring on or after October 1, 2008, is located in a rural area and has more than 100 beds..