114 STAT. 2763A-492 PUBLIC LAW 106-554—APPENDIX F
(A) any increased costs incurred by subsection (d) hospitals (as defined in paragraph (1)(B) of section 1886(d) of the Social Security Act (42 U.S.C. 1395ww(d))) in providing inpatient hospital services to medicare beneficiaries under title XVIII of such Act during the period beginning on October 1, 1983, and ending on September 30, 1999, that were attributable to— (i) complying with new blood safety measure requirements; and (ii) providing such services using new technologies; (B) the extent to which the prospective payment system for such services under such section provides adequate and timely recognition of such increased costs; (C) the prospects for (and to the extent practicable, the magnitude of) cost increases that hospitals will incur in providing such services that are attributable to comply- ing with new blood safety measure requirements and providing such services using new technologies during the 10 years after the date of the enactment of this Act; and (D) the feasibility and advisability of establishing mechanisms under such payment system to provide for more timely and accurate recognition of such cost increases in the future. (2) CONSULTATION.— In conducting the study under this subsection, the Commission shall consult with representatives of the blood community, including— (A) hospitals; (B) organizations involved in the collection, processing, and delivery of blood; and (C) organizations involved in the development of new blood safety technologies. (3) REPORT. —Not later than 1 year after the date of the enactment of this Act, the Commission shall submit to Congress a report on the study conducted under paragraph (1) together with such recommendations for legislation and administrative action as the Commission determines appropriate. (e) ADJUSTMENT FOR INPATIENT CASE MIX CHANGES.— (1) IN GENERAL.— Section 1886(d)(3)(A) (42 U.S.C. 1395ww(d)(3)(A)) is amended by adding at the end the following new clause: "(vi) Insofar as the Secretary determines that the adjustments under paragraph (4)(C)(i) for a previous fiscal year (or estimates that such adjustments for a future fiscal year) did (or are likely to) result in a change in aggregate payments under this subsection during the fiscal year that are a result of changes in the coding or classification of discharges that do not reflect real changes in case mix, the Secretary may adjust the average standardized amounts computed under this paragraph for subsequent fiscal years so as to eliminate the effect of such coding or classification changes.". (2) EFFECTIVE DATE.— The amendment made by paragraph (1) shall apply to discharges occurring on or after October 1, 2001.
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