103 STAT. 1980 PUBLIC LAW 101-234—DEC. 13, 1989 consecutive days in which the individual is not provided inpatient hospital services or extended care services; and (D) the inpatient hospital deductible under section 1813(a)(1) of such Act shall not apply— (i) in the case of an individual who is receiving inpatient hospital services during a continuous period beginning before (and including) January 1, 1990, with respect to the spell of illness beginning on such date, if such a deductible was imposed on the individual for a period of hospitalization during 1989; (ii) for a spell of illness beginning during January 1990, if such a deductible was imposed on the individ- ual for a period of hospitalization that began in Decem- ber 1989; and (iii) in the case of a spell of illness of an individual that began before January 1, 1990. (2) HOSPICE CARE.— The restoration of section 1812(a)(4) of the Social Security Act, effected by subsection (a)(1), shall not apply to hospice care provided during the subsequent period (de- scribed in such section as in effect on December 31, 1989) with respect to which an election has been made before January 1, 1990. (3) TERMINATION OF HOLD HARMLESS PROVISIONS. — Section 42 USC I395e 104(b) of MCCA is amended by striking "or 1990" each place it ^°^- appears. (c) TERMINATION OF TRANSITIONAL ADJUSTMENTS IN PAYMENTS FOR INPATIENT HOSPITAL SERVICES. — 42 USC 1395WW (1) PPS HOSPITALS.—Section 104(c)(1) of MCCA is amended by °o^- inserting "and before January 1, 1990," after "October 1, 1988,". (2) PPS-EXEMPT HOSPITALS. — (A) IN GENERAL.— Section 104(c)(2) of MCCA is amended— (i) by inserting "and before January 1, 1990," after "January 1, 1989,"; and (ii) by striking the period at the end and inserting the following: ", without regard to whether any of such beneficiaries exhausted medicare inpatient hospital insurance benefits before January 1, 1989.". 42 USC 1395WW (B) TRANSITION.— The Secretary of Health and Human note. Services shall make an appropriate adjustment to the target amount established under section 1886(b)(3)(A) of the Social Security Act in the case of inpatient hospital services provided to an inpatient whose stay began before Janu- ary 1, 1990, in order to take into account the target amount that would have applied but for the amendments made by this title. 42 USC 1395c (d) EFFECTIVE DATE.—The provisions of this section shall take
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effect January 1, 1990, except that the amendments made by subsec- tion (c) shall be effective as if included in the enactment of MCCA. SEC. 102. REPEAL OF SUPPLEMENTAL MEDICARE PREMIUM AND FED- ERAL HOSPITAL INSURANCE CATASTROPHIC COVERAGE RESERVE FUND. 26 USC 59B and (a) IN GENERAL. —Sections 111 and 112 of MCCA are repealed and notes, 6050F and ^^j^e provisions of law amended by such sections are restored or 1395'i-la and revived as if such sections had not been enacted, note.
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