S. 1051 (103rd): Medicare Dependent Hospital Relief Act of 1993

103rd Congress, 1993–1994. Text as of May 27, 1993 (Introduced).

Status & Summary | PDF | Source: GPO

S 1051 IS

103d CONGRESS

1st Session

S. 1051

To amend title XVIII of the Social Security Act to extend the period during which medicare-dependent, small rural hospitals receive additional payments under the medicare program for the operating costs of inpatient hospital services, to revise the criteria for determining whether hospitals are eligible for such additional payments, and to provide additional payments under the medicare program to other medicare-dependent hospitals.

IN THE SENATE OF THE UNITED STATES

May 27 (legislative day, APRIL 19), 1993

Mr. MACK (for himself and Mr. GRAHAM) 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 extend the period during which medicare-dependent, small rural hospitals receive additional payments under the medicare program for the operating costs of inpatient hospital services, to revise the criteria for determining whether hospitals are eligible for such additional payments, and to provide additional payments under the medicare program to other medicare-dependent hospitals.

    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 Dependent Hospital Relief Act of 1993’.

SEC. 2. SPECIAL TREATMENT FOR MEDICARE-DEPENDENT, SMALL RURAL HOSPITALS.

    (a) EXTENSION OF SPECIAL TREATMENT-

      (1) DETERMINATION OF PAYMENT AMOUNT- Section 1886(b)(3)(D) of the Social Security Act (42 U.S.C. 1395ww(b)(3)(D)) is amended by striking ‘March 31, 1993,’ and inserting ‘March 31, 1996,’.

      (2) ELIGIBILITY FOR DESIGNATION- Section 1886(d)(5)(G)(i) of such Act (42 U.S.C. 1395ww(d)(5)(G)(i)) is amended by striking ‘March 31, 1993,’ and inserting ‘March 31, 1996,’.

      (3) EFFECTIVE DATE- The amendments made by paragraphs (1) and (2) shall take effect as if included in the enactment of section 6003(f) of the Omnibus Budget Reconciliation Act of 1989.

    (b) REVISION OF CRITERIA FOR DESIGNATION-

      (1) IN GENERAL- Section 1886(d)(5)(G)(iii)(IV) of the Social Security Act (42 U.S.C. 1395ww(d)(5)(G)(iii)(IV)) is amended by striking ‘during the cost reporting period beginning during fiscal year 1987’ and inserting ‘during at least 2 of the cost reporting periods beginning on or after October 1, 1986, and ending on or before September 30, 1990,’.

      (2) EFFECTIVE DATE- The amendment made by paragraph (1) shall apply to cost reporting periods beginning on or after April 1, 1993.

SEC. 3. ADDITIONAL PAYMENT FOR OTHER MEDICARE DEPENDENT HOSPITALS.

    (a) IN GENERAL- Section 1886(d)(5) of the Social Security Act (42 U.S.C. 1395ww(d)(5)) is amended--

      (1) by redesignating subparagraphs (H) and (I) as subparagraphs (I) and (J); and

      (2) by inserting after subparagraph (G) the following new subparagraph:

    ‘(G)(i) For discharges occurring on or after October 1, 1993, and on or before September 30, 1995, the Secretary shall provide, in accordance with this subparagraph, for an additional payment amount for each subsection (d) hospital--

      ‘(I) that is not a medicare-dependent, small rural hospital (as defined in subparagraph (G)(iii)); and

      ‘(II) for which not less than 65 percent of its inpatient days or discharges during at least 2 of the cost reporting periods beginning on or after October 1, 1986, and ending on or before September 30, 1990, were attributable to inpatients entitled to benefits under part A.

    ‘(ii) The amount of the additional payment made under this subparagraph for each discharge shall be equal to 3 percent of the sum of--

      ‘(I) the amount determined under paragraph (1)(A)(iii); and

      ‘(II) the amount paid to the hospital under subparagraph (A) for that discharge.’.

    (b) APPLICABILITY TO HOSPITALS IN PUERTO RICO- Section 1886(d)(9)(D) of such Act (42 U.S.C. 1395ww(d)(9)(D)) is amended--

      (1) in clause (iv), by striking ‘Subparagraph (H)’ and inserting ‘Subparagraph (I)’;

      (2) by redesignating clause (iv) as clause (v); and

      (3) by inserting after clause (iii) the following new clause:

      ‘(iv) Subparagraph (G) (relating to additional payments for medicare-dependent hospitals).’.

    (c) EFFECTIVE DATE- The amendments made by subsections (a) and (b) shall apply to discharges occurring on or after October 1, 1993.