Page:United States Statutes at Large Volume 101 Part 1.djvu/812

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PUBLIC LAW 100-000—MMMM. DD, 1987

101 STAT. 782

J.

PUBLIC LAW 100-119—SEPT. 29, 1987

"(3) The budget transmitted pursuant to subsection (a) for a fiscal year shall include a budget baseline estimate made in accordance with section 251(a)(6) of the Balanced Budget and Emergency Deficit Control Act of 1985 and using economic and technical assumptions consistent with the current services budget submitted under section 1109 for the fiscal year. If such budget baseline estimate differs from the estimate in the current services budget, the President shall explain the differences. The budget transmitted pursuant to subsection (a) for such fiscal year shall include the information required by section 251(a)(2) of such Act (other than account-level detail) assuming that the deficit in such budget baseline were the amount estimated by the Director of the Office of Management and Budget on August 25 of the calendar year in which the fiscal year begins. "(4) Paragraphs (1) and (2) shall not apply with respect to fiscal year 1989 if the budget transmitted for such fiscal year provides for deficit reduction from a budget baseline deficit for such fiscal year (as defined by section 251(a)(6) of the Balanced Budget and Emergency Deficit Control Act of 1985 and based on laws in effect on January 1, 1988) equal to or greater than $36,000,000,000.". SEC. 107. SPECIAL RULES FOR MEDICARE PROGRAM.

42 USC 1395ww

note.

(a) TEMPORARY EXTENSION OF PAYMENT POLICIES FOR INPATIENT HOSPITAL SERVICES.—

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(1) IN GENERAL.—Notwithstanding any other provision of law, with respect to payment for inpatient hospital services under section 1886 of the Social Security Act: (A) TEMPORARY FREEZE IN PPS HOSPITAL RATES.—For pur-

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poses of subsection (d) of such section for discharges occurring during the period beginning on October 1, 1987, and ending on November 20, 1987 (in this paragraph referred to as the "extension period"), the applicable percentage increase under subsection (b)(3)(B) of such section with respect to fiscal year 1988 is deemed to be 0 percent. (B) TEMPORARY FREEZE IN PAYMENT BASIS.— (i) EXTENSION OF BLENDED DRG RATE.—For purposes of

subsection (d)(1) of such section, the "applicable combined adjusted DRG prospective payment rate" for discharges occurring— (I) during the extension period is the rate specified in subsection (d)(l)(D)(ii) of such section, or (II) after such period is the national adjusted prospective payment rate determined under subsection (d)(3) of such section. x:j.

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(ii) EXTENSION OF HOSPITAL-SPECIFIC PAYMENT.—For

the first 51 days of a hospital cost reporting period beginning during fiscal year 1988, payment shall be made under clause (ii) (rather than clause (iii)) of subsection (d)(1)(A) of such section (subject to clause (i) of this subparagraph). (C) TEMPORARY FREEZE IN AMOUNTS OF PAYMENT FOR

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CAPITAL.—For payments attributable to portions of cost reporting periods occurring during the extension period, the percent specified in subsection (g)(3)(A)(ii) of such section is deemed to be 3.5 percent. (D) TEMPORARY FREEZE IN RETURN ON EQUITY REDUC-

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TIGNS.—For the first 51 days of a cost reporting period beginning during fiscal year 1988, subsection (g)(2) of such