113 STAT. 1501A-330 PUBLIC LAW 106-113—APPENDIX F (3) by redesignating subclauses (V) and (VI) as subclauses (IV) and (V), respectively; and (4) in subclause (IV), as so redesignated, by striking "reduced by 5 percent" and inserting "reduced by 4 percent". (b) DATA COLLECTION. — (1) IN GENERAL.— The Secretary of Health and Human Services shall require any subsection (d) hospital (as defined in section 1886(d)(1)(B) of the Social Security Act (42 U.S.C. 1395ww(d)(l)(B))) to submit to the Secretary, in the cost reports submitted to the Secretary by such hospital for discharges occurring during a fiscal year, data on the costs incurred by the hospital for providing inpatient and outpatient hospital services for which the hospital is not compensated, including non-medicare bad debt, charity care, and charges for medicaid and indigent care. (2) EFFECTIVE DATE.— The Secretary shall require the submission of the data described in paragraph (1) in cost reports for cost reporting periods beginning on or after October 1, 2001. Subtitle C—PPS-Exempt Hospitals SEC. 121. WAGE ADJUSTMENT OF PERCENTILE CAP FOR PPS-EXEMPT HOSPITALS. (a) IN GENERAL.—Section 1886(b)(3)(H) (42 U.S.C. 1395ww(b)(3)(H)) is amended— (1) in clause (i), by inserting ", as adjusted under clause (iii)" before the period; (2) in clause (ii), by striking "clause (i)" and "such clause" and inserting "subclause (I)" and "such subclause" respectively; (3) by striking "(H)(i)" and inserting "(ii)(I)"; (4) by redesignating clauses (ii) and (iii) as subclauses (II) and (III); (5) by inserting after clause (ii), as so redesignated, the following new clause: "(iii) In applying clause (ii)(I) in the case of a hospital or unit, the Secretary shall provide for an appropriate adjustment to the labor-related portion of the amount determined under such subparagraph to take into account differences between average wage-related costs in the area of the hospital and the national average of such costs within the same class of hospital."; and (6) by inserting before clause (ii), as so redesignated, the following new clause: "(H)(i) In the case of a hospital or unit that is within a class of hospital described in clause (iv), for a cost reporting period beginning during fiscal years 1998 through 2002, the target amount for such a hospital or unit may not exceed the amount as updated up to or for such cost reporting period under clause (ii).". (b) EFFECTIVE DATE. —The amendments made by subsection (a) apply to cost reporting periods beginning on or after October 1, 1999.
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