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Code · BILL · 116th Congress · H.R. 1354 (Introduced in House) — To amend titles XVIII and XIX of the Social Security Act to make improvements to the treatment of the United States t... · Sec. 202

Sec. 202. Rebasing target amount for hospitals in territories

273 words·~1 min read·/bill/116/hr/1354/ih/section-202

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Section 1886(b)(3) of the Social Security Act ( 42 U.S.C. 1395ww(b)(3) ) is amended by adding at the end the following new subparagraph: For each cost reporting period beginning on or after October 1, 2019, in the case of a hospital located in a territory of the United States, there shall be substituted for the target amount otherwise determined under subparagraph
(A)the rebased target amount (as defined in clause (ii)), if such substitution results in an amount of payment under this section to the hospital for such period that is greater than the amount of payment that would be made under this section to the hospital for such period if this subparagraph were not to apply. For purposes of this subparagraph, the term rebased target amount has the meaning given the term target amount in subparagraph (A), except that— there shall be substituted for the preceding 12-month cost reporting period the 12-month cost reporting period beginning during fiscal year 2015 (or, at the option of the hospital, beginning during fiscal year 2017); any reference in subparagraph (A)(i) to the first such cost reporting period is deemed a reference to the first cost reporting period following the 12-month cost reporting period beginning during fiscal year 2015 (or, at the option of the hospital, beginning during fiscal year 2017); and the applicable percentage increase shall only be applied under subparagraph (B)(ii) for cost reporting periods beginning on or after October 1, 2019. Nothing in this subparagraph shall affect any pending request by a hospital for a new target amount for any cost reporting period beginning during a fiscal year before fiscal year 2020. .
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Sec. 202
Rebasing target amount for hospitals in territories
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