Page:United States Statutes at Large Volume 113 Part 2.djvu/882

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113 STAT. 1501A-364 PUBLIC LAW 106-113—APPENDIX F "(ii) STANDARDIZING PER RESIDENT AMOUNTS. — The Secretary shall compute a standardized per resident amount for each such hospital by dividing the single per resident amount computed under clause (i) by an average of the 3 geographic index values (weighted by the national average weight for each of the work, practice expense, and malpractice components) as applied under section 1848(e) for 1999 for the fee schedule area in which the hospital is located. "(iii) COMPUTING OF WEIGHTED AVERAGE.—The Secretary shall compute the average of the standardized per resident amounts computed under clause (ii) for such hospitals, with the amount for each hospital weighted by the average number of full-time equivalent residents at such hospital (as determined under paragraph (4)). " (iv) COMPUTING NATIONAL AVERAGE PER RESIDENT AMOUNT. — The Secretary shall compute the national average per resident amount, for a hospital's cost reporting period that begins during fiscal year 2001, equal to the weighted average computed under clause (iii) increased by the estimated percentage increase in the consumer price index for all urban consumers during the period beginning with the month that represents the midpoint of the cost reporting periods described in clause (i) and ending with the midpoint of the hospital's cost reporting period that begins during fiscal year 2001. "(v) ADJUSTING FOR LOCALITY. —The Secretary shall compute the product of— "(I) the national average per resident amount computed under clause (iv) for the hospital, and "(II) the geographic index value average (described and applied under clause (ii)) for the fee schedule area in which the hospital is located. "(vi) COMPUTING LOCALITY ADJUSTED AMOUNT.— The locality adjusted national per resident amount for a hospital for— "(I) the cost reporting period beginning during fiscal year 2001 is the product computed under clause (v); or "(II) each subsequent cost reporting period is equal to the locality adjusted national per resident amount for the hospital for the previous cost reporting period (as determined under this clause) updated, through the midpoint of the period, by projecting the estimated percentage change in the consumer price index for all urban consumers during the 12-month period ending at that midpoint.", (b) CONFORMING AMENDMENTS.— Section 1886(h)(2)(D) (42 U.S.C. 1395ww(h)(2)(D)) is further amended— (1) in clause (i)— (A) by striking "PERIODS.— (i)" and inserting the following (and conforming the indentation of the succeeding matter accordingly): "PERIODS.— "(i) IN GENERAL.— "; and