PUBLIC LAW 106-113—APPENDIX F 113 STAT. 1501A-325 of the Social Security Act (42 U.S.C. 1395yy(e)(4)(G)(i)) to better account for medically complex patients. (d) INCREASE FOR FISCAL YEARS 2001 AND 2002. — (1) IN GENERAL.— For purposes of computing payments for covered skilled nursing facility services under paragraph (1) of section 1888(e) of the Social Security Act (42 U.S.C. 1395yy(e)) for covered skilled nursing facility services furnished during fiscal years 2001 and 2002, the Secretary of Health and Human Services shall increase by 4.0 percent for each such fiscal year the adjusted Federal per diem rate otherwise determined under paragraph (4) of such section (but for this section). (2) ADDITIONAL PAYMENT NOT BUILT INTO THE BASE. —The Secretary of Health and Human Services shall not include any additional payment made under this subsection in updating the Federal per diem rate under section 1888(e)(4) of that Act (42 U.S.C. 1395yy(e)(4)). SEC. 102. AUTHORIZING FACILITIES TO ELECT IMMEDIATE TRANSI- TION TO FEDERAL RATE. (a) IN GENERAL.—Section 1888(e) (42 U.S.C. 1395yy(e)) is amended— (1) in paragraph (1), in the matter preceding subparagraph (A), by striking "paragraph (7)" and inserting "paragraphs (7) and (11)"; and (2) by adding at the end the following new paragraph: "(11) PERMITTING FACILITIES TO WAIVE 3-YEAR TRANSI- TION. —Notwithstanding paragraph (1)(A), a facility may elect to have the amount of the payment for all costs of covered skilled nursing facility services for each day of such services furnished in cost reporting periods beginning no earlier than 30 days before the date of such election determined pursuant to paragraph (1)(B).". (b) EFFECTIVE DATE. —The amendments made by subsection (a) shall apply to elections made on or after December 15, 1999, except that no election shall be effective under such amendments for a cost reporting period beginning before January 1, 2000. SEC. 103. PART A PASS-THROUGH PAYMENT FOR CERTAIN AMBULANCE SERVICES, PROSTHESES, AND CHEMOTHERAPY DRUGS. (a) IN GENERAL. —Section 1888(e) (42 U.S.C. 1395yy(e)) is amended— (1) in paragraph (2)(A)(i)(II), by striking "services described in clause (ii)" and inserting "items and services described in clauses (ii) and (iii)"; (2) by adding at the end of paragraph (2)(A) the following new clause: "(iii) EXCLUSION OF CERTAIN ADDITIONAL ITEMS AND SERVICES.— Items and services described in this clause are the following: "(I) Ambulance services furnished to an individual in conjunction with renal dialysis services described in section 1861(s)(2)(F). "(II) Chemotherapy items (identified as of July 1, 1999, by HCPCS codes J9000-J9020; J9040- J9151; J9170-J9185; J9200-J9201; J9206^9208; J9211; J9230-J9245; and J9265-J9600 (and as subsequently modified by the Secretary)) and any
�
