102 STAT. 770
PUBLIC LAW 100-360—JULY 1, 1988
of paragraph (3)(E) shall apply to subsection (d) Puerto Rico hospitals under this clause in the same manner as they apply to subsection (d) hospitals under such paragraph and, for purposes of this clause, any reference in such paragraph to a subsection (d) hospital is deemed a reference to a subsection (d) Puerto Rico hospital.'.". (4) SECTION 4005.—(A) Section 1886(d)(8)(B) of the Social Security Act, as added by section 4005(a)(l)(D) of OBRA, is amend42 USC 1395WW. ed— (i) by striking "The Secretary" and inserting "For purposes of this subsection, the Secretary", and (ii) by striking all that follows if' and inserting the Rural areas. following: "the rural county would otherwise be considered part of an urban area, under the standards for designating Metropolitan Statistical Areas (and for designating New England County Metropolitan Areas) published in the Federal Register on January 3, 1980, if the commuting rates used in determining outlying counties (or, for New England, similar recognized areas) were determined on the basis of the aggregate number of resident workers who commute to (and, if applicable under the standards, from) the central county or counties of all contiguous Metropolitan Statistical Areas (or New England County Metropolitan Areas),". (B) Section 1886(d)(8)(C) of the Social Security Act, as added by section 4005(a)(l)(D) of OBRA, is amended by striking "standardized amount" and inserting "standardized amounts'. (C) Section 4005(a) of OBRA is amended— 101 Stat. 1330-47. (i) in paragraph (I)(D), by striking "subparagraph" and inserting "subparagraphs", and 42 USC 1395WW (ii) in paragraph (3), by striking "This section, and the note. amendments made by paragraph (1)," and inserting "This o i l H Q 0 / » ^ 1 QTl
42 USC 1395tt.
42 USC 1395WW.
42 USC 1395WW note.
(D) Section 1883(d)(3) of the Social Security Act, as added by section 4005(b)(2)(B) of OBRA, is amended by inserting before the period at the end the following: ", except that such payment shall continue to be made in the period for those patients who are receiving extended care services at the time the hospital reaches the limit specified in this paragraph". (5) SECTION 4006.—(A) Section 1886(g)(3)(A)(iv) of the Social Security Act, as amended by section 4006(a) of OBRA, is amended by inserting "for payments attributable" after "15 percent". (B) Section 4006(a) of OBRA is amended— (i) by adding "and" at the end of subparagraph (A), and (ii) by redesignating subparagraphs (A) and (3) as paragraphs (1) and (2), respectively. (6) SECTION 4007.—Section 4007 of OBRA is amended— (A) in the second sentence of subsection (a), by striking "updata" and inserting "updated"; OB) by amending sul:^ection (b) to read aa follows: " 1) REQUIRING REPORTING OF STANDARDIZED COST REPORT ELEC0> TRONICALLY.—
"(1) IN GENERAL.—Section 1886(fKl) of the Social Security Act (42 U.S.C. 1395ww(f)(l)) is amended— "(A) by striking ', for a period ending not ecu'lier than September 30, 1988,', ^(B) by inserting '(A)' after '(f)(D', and
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