The law › Title 42, The Public Health and Welfare › Chapter 7

42 U.S.C. 1395ww: Payments to hospitals for inpatient hospital services

Created in 1982 by Public Law 97-248. Changed by 55 later laws. 1 bill in this Congress would change it.

How it got hereLaws that created or changed it, newest first

2024American Relief Act, 2025

2024Consolidated Appropriations Act, 2024

2023Dr. Joanne Smith Memorial Rehabilitation Innovation Centers Act of 2022

2022Consolidated Appropriations Act, 2023

2022Further Continuing Appropriations and Extensions Act, 2023

2022Continuing Appropriations and Ukraine Supplemental Appropriations Act, 2023

2021American Rescue Plan Act of 2021

2020Consolidated Appropriations Act, 2021

2020Coronavirus Aid, Relief, and Economic Security Act" or the "CARES Act

2019Further Consolidated Appropriations Act, 2020

2018Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act" or the "SUPPORT for Patients and Communities Act

2018Consolidated Appropriations Act, 2018

2018Bipartisan Budget Act of 2018

201621st Century Cures Act

42 earlier laws

42 U.S.C. 1395wwPayments to hospitals for inpatient hospital services

(a)Determination of costs for inpatient hospital services; limitations; exemptions; "operating costs of inpatient hospital services" defined

(b)Computation of payment; definitions; exemptions; adjustments

(c)Payment in accordance with State hospital reimbursement control system; amount of payment; discontinuance of payments

(d)Inpatient hospital service payments on basis of prospective rates; Medicare Geographical Classification Review Boardadded to

(e)Proportional adjustments in applicable percentage increases

(f)Reporting of costs of hospitals receiving payments on basis of prospective rates

(g)Prospective payment for capital-related costs; return on equity capital for hospitals

(h)Payments for direct graduate medical education costsadded to

(i)Avoiding duplicative payments to hospitals participating in rural demonstration programs

(j)Prospective payment for inpatient rehabilitation services

(k)Payment to nonhospital providers

(l)Payment for nursing and allied health education for managed care enrollees

(m)Prospective payment for long-term care hospitals

(n)Incentives for adoption and meaningful use of certified EHR technology

(o)Hospital value-based purchasing program

(p)Adjustment to hospital payments for hospital acquired conditions

4 other parts

This CongressBills that change it or would

H.R. 4731Resident Physician Shortage Reduction Act of 2025introduced

past change
enacted this Congress
proposed

This Congress

H.R. 4731 Resident Physician Shortage Reduction Act of 2025 · introduced · would change (d), (h)

How it got here

2024

Pub. L. 118–158, §3202(b)(1)(A), substituted "April 1, 2025" for "January 1, 2025" in introductory provisions. (American Relief Act, 2025) Law text · (b)
Pub. L. 118–42, §307(b)(1)(A), substituted "January 1, 2025" for "October 1, 2024" in introductory provisions. (Consolidated Appropriations Act, 2024) Law text · (b)
Pub. L. 118–158, §3202(b)(1)(B), substituted "March 31, 2025" for "December 31, 2024". (American Relief Act, 2025) Law text · (b)
Pub. L. 118–42, §307(b)(1)(B), inserted "and the portion of fiscal year 2025 beginning on October 1, 2024, and ending on December 31, 2024," after "fiscal year 2024". (Consolidated Appropriations Act, 2024) Law text · (b)
Pub. L. 118–158, §3202(a)(1), substituted "April 1, 2025" for "January 1, 2025". (American Relief Act, 2025) Law text · (d)
Pub. L. 118–42, §307(a)(1), substituted "January 1, 2025" for "October 1, 2024". (Consolidated Appropriations Act, 2024) Law text · (d)
Pub. L. 118–158, §3202(a)(2), substituted "April 1, 2025" for "January 1, 2025". (American Relief Act, 2025) Law text · (d)
Pub. L. 118–42, §307(a)(2), substituted "January 1, 2025" for "October 1, 2024". (Consolidated Appropriations Act, 2024) Law text · (d)
Pub. L. 118–158, §3201(a)(1), substituted "April 1, 2025" for "January 1, 2025" in introductory provisions. (American Relief Act, 2025) Law text · (d)
Pub. L. 118–42, §306(a)(1), substituted "during the portion of fiscal year 2025 beginning on January 1, 2025, and ending on September 30, 2025, and in fiscal year 2026 and subsequent fiscal years" for "in fiscal year 2025 and subsequent fiscal years" in introductory provisions. (Consolidated Appropriations Act, 2024) Law text · (d)
Pub. L. 118–158, §3201(a)(2)(A), substituted "March 31, 2025" for "December 31, 2024" in introductory provisions. (American Relief Act, 2025) Law text · (d)
Pub. L. 118–42, §306(a)(2)(A), inserted "or portion of a fiscal year" after "for a fiscal year" and "and the portion of fiscal year 2025 beginning on October 1, 2024, and ending on December 31, 2024" after "through 2024" in introductory provisions. (Consolidated Appropriations Act, 2024) Law text · (d)
Pub. L. 118–158, §3201(a)(2)(B), substituted "March 31, 2025" for "December 31, 2024". (American Relief Act, 2025) Law text · (d)
Pub. L. 118–42, §306(a)(2)(B), inserted "and the portion of fiscal year 2025 beginning on October 1, 2024, and ending on December 31, 2024" after "through 2024". (Consolidated Appropriations Act, 2024) Law text · (d)
Pub. L. 118–158, §3201(a)(2)(C), substituted "April 1, 2025" for "January 1, 2025". (American Relief Act, 2025) Law text · (d)
Pub. L. 118–42, §306(a)(2)(C), substituted "the portion of fiscal year 2025 beginning on January 1, 2025, and ending on September 30, 2025, and fiscal year 2026" for "fiscal year 2025". (Consolidated Appropriations Act, 2024) Law text · (d)
Pub. L. 118–158, §3201(a)(3)(A), substituted "March 31, 2025" for "December 31, 2024" in introductory provisions. (American Relief Act, 2025) Law text · (d)
Pub. L. 118–42, §306(a)(3)(A), inserted "or during the portion of fiscal year 2025 beginning on October 1, 2024, and ending on December 31, 2024" after "through 2024" in introductory provisions. (Consolidated Appropriations Act, 2024) Law text · (d)
Pub. L. 118–158, §3201(a)(3)(B), substituted "March 31, 2025" for "December 31, 2024". (American Relief Act, 2025) Law text · (d)
Pub. L. 118–42, §306(a)(3)(B), inserted "and the portion of fiscal year 2025 beginning on October 1, 2024, and ending on December 31, 2024" after "through 2024". (Consolidated Appropriations Act, 2024) Law text · (d)

2023

Pub. L. 117–341 designated existing provisions as cl. (i), inserted heading, and added cls. (ii) to (vii). (Dr. Joanne Smith Memorial Rehabilitation Innovation Centers Act of 2022) Law text · (j)

2022

Pub. L. 117–328, §4102(b)(1)(A), substituted "October 1, 2024" for "December 24, 2022" in introductory provisions. (Consolidated Appropriations Act, 2023) Law text · (b)
Pub. L. 117–229, §102(b)(1)(A), substituted "December 24, 2022" for "December 17, 2022" in introductory provisions. (Further Continuing Appropriations and Extensions Act, 2023) Law text · (b)
Pub. L. 117–180, §102(b)(1)(A), substituted "December 17, 2022" for "October 1, 2022" in introductory provisions. (Continuing Appropriations and Ukraine Supplemental Appropriations Act, 2023) Law text · (b)
Pub. L. 117–328, §4102(b)(1)(B), substituted "fiscal year 2024" for "fiscal year 2022 and the portion of fiscal year 2023 beginning on October 1, 2022, and ending on December 23, 2022,". (Consolidated Appropriations Act, 2023) Law text · (b)
Pub. L. 117–229, §102(b)(1)(B), substituted "December 23, 2022" for "December 16, 2022,". (Further Continuing Appropriations and Extensions Act, 2023) Law text · (b)
Pub. L. 117–180, §102(b)(1)(B), inserted "and the portion of fiscal year 2023 beginning on October 1, 2022, and ending on December 16, 2022," after "through fiscal year 2022". (Continuing Appropriations and Ukraine Supplemental Appropriations Act, 2023) Law text · (b)
Pub. L. 117–328, §4122(b)(1), substituted "(h)(9), and (h)(10)" for "and (h)(9)". (Consolidated Appropriations Act, 2023) Law text · (d)
Pub. L. 117–328, §4122(b)(2), realigned margins. (Consolidated Appropriations Act, 2023) Law text · (d)
Pub. L. 117–328, §4122(b)(3), added cl. (xiii). (Consolidated Appropriations Act, 2023) Law text · (d)
Pub. L. 117–328, §4102(a)(1), substituted "October 1, 2024" for "December 24, 2022". (Consolidated Appropriations Act, 2023) Law text · (d)
Pub. L. 117–229, §102(a)(1), substituted "December 24, 2022" for "December 17, 2022". (Further Continuing Appropriations and Extensions Act, 2023) Law text · (d)
Pub. L. 117–180, §102(a)(1), substituted "December 17, 2022" for "October 1, 2022". (Continuing Appropriations and Ukraine Supplemental Appropriations Act, 2023) Law text · (d)
Pub. L. 117–328, §4102(a)(2), substituted "October 1, 2024" for "December 24, 2022". (Consolidated Appropriations Act, 2023) Law text · (d)
Pub. L. 117–229, §102(a)(2), substituted "December 24, 2022" for "December 17, 2022". (Further Continuing Appropriations and Extensions Act, 2023) Law text · (d)
Pub. L. 117–180, §102(a)(2), substituted "December 17, 2022" for "October 1, 2022". (Continuing Appropriations and Ukraine Supplemental Appropriations Act, 2023) Law text · (d)
Pub. L. 117–328, §4101(a)(1), substituted "in fiscal year 2025" for "during the portion of fiscal year 2023 beginning on December 24, 2022, and ending on September 30, 2023, and in fiscal year 2024" in introductory provisions. (Consolidated Appropriations Act, 2023) Law text · (d)
Pub. L. 117–229, §101(a)(1), substituted "December 24, 2022" for "December 17, 2022" in introductory provisions. (Further Continuing Appropriations and Extensions Act, 2023) Law text · (d)
Pub. L. 117–180, §101(a)(1), substituted "during the portion of fiscal year 2023 beginning on December 17, 2022, and ending on September 30, 2023, and in fiscal year 2024 and subsequent fiscal years" for "in fiscal year 2023 and subsequent fiscal years" in introductory provisions. (Continuing Appropriations and Ukraine Supplemental Appropriations Act, 2023) Law text · (d)
Pub. L. 117–328, §4101(a)(2)(A)(ii), which directed the substitution of "through 2024" for "through 2022 and the portion of fiscal year 2023 beginning on October 1, 2022, and ending on December 23, 2022' " in introductory provisions, was executed by making the substitution fo… (Consolidated Appropriations Act, 2023) Law text · (d)
Pub. L. 117–328, §4101(a)(2)(A)(i), struck out "or portion of a fiscal year" after "for a fiscal year" in introductory provisions. (Consolidated Appropriations Act, 2023) Law text · (d)
Pub. L. 117–229, §101(a)(2)(A), substituted "December 23, 2022" for "December 16, 2022" in introductory provisions. (Further Continuing Appropriations and Extensions Act, 2023) Law text · (d)
Pub. L. 117–180, §101(a)(2)(A), inserted "or portion of a fiscal year" after "for a fiscal year" and "and the portion of fiscal year 2023 beginning on October 1, 2022, and ending on December 16, 2022" after "through 2022" in introductory provisions. (Continuing Appropriations and Ukraine Supplemental Appropriations Act, 2023) Law text · (d)
Pub. L. 117–328, §4101(a)(2)(B), which directed the substitution of "through 2024" for "through 2022 and the portion of fiscal year 2023 beginning on October 1, 2022, and ending on December 23, 2022' ", was executed by making the substitution for "through 2022 and the po… (Consolidated Appropriations Act, 2023) Law text · (d)
Pub. L. 117–229, §101(a)(2)(B), which directed the substitution of "December 23, 2022" for "December 16, 2022' ", was executed by making the substitution for "December 16, 2022" to reflect the probable intent of Congress. (Further Continuing Appropriations and Extensions Act, 2023) Law text · (d)
Pub. L. 117–180, §101(a)(2)(B), inserted "and the portion of fiscal year 2023 beginning on October 1, 2022, and ending on December 16, 2022" after "through 2022". (Continuing Appropriations and Ukraine Supplemental Appropriations Act, 2023) Law text · (d)
Pub. L. 117–328, §4101(a)(2)(C), substituted "fiscal year 2025" for "the portion of fiscal year 2023 beginning on December 24, 2022, and ending on September 30, 2023, and fiscal year 2024". (Consolidated Appropriations Act, 2023) Law text · (d)
Pub. L. 117–229, §101(a)(2)(C), substituted "December 24, 2022" for "December 17, 2022". (Further Continuing Appropriations and Extensions Act, 2023) Law text · (d)
Pub. L. 117–180, §101(a)(2)(C), substituted "the portion of fiscal year 2023 beginning on December 17, 2022, and ending on September 30, 2023, and fiscal year 2024" for "fiscal year 2023". (Continuing Appropriations and Ukraine Supplemental Appropriations Act, 2023) Law text · (d)
Pub. L. 117–328, §4101(a)(3)(A), which directed the substitution of "through 2024" for "through 2022 or during the portion of fiscal year 2023 beginning on October 1, 2022, and ending on December 23, 2022' " in introductory provisions, was executed by making the substitution for… (Consolidated Appropriations Act, 2023) Law text · (d)
Pub. L. 117–229, §101(a)(3)(A), which directed the substitution of "December 23, 2022" for "December 16, 2022' " in introductory provisions, was executed by making the substitution for "December 16, 2022" to reflect the probable intent of Congress. (Further Continuing Appropriations and Extensions Act, 2023) Law text · (d)
Pub. L. 117–180, §101(a)(3)(A), inserted "or during the portion of fiscal year 2023 beginning on October 1, 2022, and ending on December 16, 2022" after "through 2022" in introductory provisions. (Continuing Appropriations and Ukraine Supplemental Appropriations Act, 2023) Law text · (d)
Pub. L. 117–328, §4101(a)(3)(B), which directed the substitution of "through 2024" for "through 2022 and the portion of fiscal year 2023 beginning on October 1, 2022, and ending on December 23, 2022' ", was executed by making the substitution for "through 2022 and the portio… (Consolidated Appropriations Act, 2023) Law text · (d)
Pub. L. 117–229, §101(a)(3)(B), which directed the substitution of "December 23, 2022" for "December 16, 2022' ", was executed by making the substitution for "December 16, 2022" to reflect the probable intent of Congress. (Further Continuing Appropriations and Extensions Act, 2023) Law text · (d)
Pub. L. 117–180, §101(a)(3)(B), inserted "and the portion of fiscal year 2023 beginning on October 1, 2022, and ending on December 16, 2022" after "through 2022". (Continuing Appropriations and Ukraine Supplemental Appropriations Act, 2023) Law text · (d)
Pub. L. 117–328, §4143(b), inserted at end "In applying the preceding sentence for each of 2010 through 2019, the Secretary shall not take into account any increase in the total amount of such additional payment amounts for such nursing and allied health education for portio… (Consolidated Appropriations Act, 2023) Law text · (h)
Pub. L. 117–328, §4122(a)(1), substituted "(9), and (10)" for "and (9)". (Consolidated Appropriations Act, 2023) Law text · (h)
Pub. L. 117–328, §4122(a)(2), substituted "(9), and (10)" for "and (9)". (Consolidated Appropriations Act, 2023) Law text · (h)
Pub. L. 117–328, §4122(c), inserted "paragraph (10)," after "paragraph (8),". (Consolidated Appropriations Act, 2023) Law text · (h)
Pub. L. 117–328, §4122(a)(3), added par. (10). (Consolidated Appropriations Act, 2023) Law text · (h)
Pub. L. 117–328, §4143(a), designated existing provisions as cl. (i), inserted heading, substituted "Subject to clause (ii), such ratio" for "Such ratio", and added cl. (ii). (Consolidated Appropriations Act, 2023) Law text · (l)
Pub. L. 117–328, §4125(b)(1)(A), substituted "subparagraphs (C) and (E)" for "subparagraph (C)". (Consolidated Appropriations Act, 2023) Law text · (s)
Pub. L. 117–328, §4125(c)(1), added cl. (iv). (Consolidated Appropriations Act, 2023) Law text · (s)
Pub. L. 117–328, §4125(b)(1)(C), added subpar. (E). Former subpar. (E) redesignated (F). (Consolidated Appropriations Act, 2023) Law text · (s)
Pub. L. 117–328, §4125(c)(2), which directed amendment of subpar. (E) by inserting ", including the quality measure of patients' perspective on care described in subparagraph (D)(iv)," after "shall report quality measures", was executed by making the insertion in subpar. (F) to r… (Consolidated Appropriations Act, 2023) Law text · (s)
Pub. L. 117–328, §4125(b)(1)(B), (D), redesignated subpar. (E) as (F) and substituted "subparagraphs (C) and (F)" for "subparagraph (C)". (Consolidated Appropriations Act, 2023) Law text · (s)
Pub. L. 117–328, §4125(a), added par. (5). (Consolidated Appropriations Act, 2023) Law text · (s)
Pub. L. 117–328, §4125(b)(2), added par. (6). (Consolidated Appropriations Act, 2023) Law text · (s)

2021

Pub. L. 117–2, §9831(b), substituted ", the amendments" for "and the amendments" and inserted ", and the amendments made by section 9831(a) of the American Rescue Plan Act of 2021" after "the Patient Protection and Affordable Care Act". (American Rescue Plan Act of 2021) Law text · (d)
Pub. L. 117–2, §9831(a)(1), substituted ", (iii), or (iv)" for "or (iii)". (American Rescue Plan Act of 2021) Law text · (d)
Pub. L. 117–2, §9831(a)(2), added cl. (iv). (American Rescue Plan Act of 2021) Law text · (d)

2020

Pub. L. 116–136 added cl. (iv). (Coronavirus Aid, Relief, and Economic Security Act" or the "CARES Act) Law text · (d)
Pub. L. 116–260, §126(b)(1), substituted "(h)(8), and (h)(9)" for "and (h)(8)". (Consolidated Appropriations Act, 2021) Law text · (d)
Pub. L. 116–260, §131(c)(1), substituted "paragraphs (2)(F)(iv) and (4)(H) of subsection (h)" for "subsection (h)(4)(H)". (Consolidated Appropriations Act, 2021) Law text · (d)
Pub. L. 116–260, §126(b)(2), redesignated cl. (x), relating to determining the hospital's number of full-time equivalent residents, as (xi) and realigned margins. (Consolidated Appropriations Act, 2021) Law text · (d), (xi)
Pub. L. 116–260, §126(b)(3), added cl. (xii). (Consolidated Appropriations Act, 2021) Law text · (d)
Pub. L. 116–260, §131(a), designated existing provisions as cl. (i) and added cls. (ii) to (v). (Consolidated Appropriations Act, 2021) Law text · (h)
Pub. L. 116–260, §126(a)(1), substituted "paragraphs (7), (8), and (9)" for "paragraphs (7) and (8)". (Consolidated Appropriations Act, 2021) Law text · (h)
Pub. L. 116–260, §131(b), designated existing provisions as subcl. (I) and added subcls. (II) to (V). (Consolidated Appropriations Act, 2021) Law text · (h)
Pub. L. 116–260, §126(a)(2), substituted "paragraphs (7), (8), and (9)" for "paragraphs (7) and (8)". (Consolidated Appropriations Act, 2021) Law text · (h)
Pub. L. 116–260, §127, substituted "Training programs in rural areas" for "Nonrural hospitals operating training programs in rural areas" in heading, designated existing provisions as subcl. (I), inserted heading, and substituted "For cost reporting periods beginning before O… (Consolidated Appropriations Act, 2021) Law text · (h)
Pub. L. 116–260, §131(c)(2)(A), substituted "a rural area or has" for "an rural area or has". (Consolidated Appropriations Act, 2021) Law text · (h)
Pub. L. 116–260, §131(c)(2)(B), substituted "under this paragraph, paragraph (8), clause (i), (ii), (iii), or (v) of paragraph (2)(F), or clause (i) or (vi) of paragraph (4)(H)." for "under this this paragraph, paragraph (8), paragraph (9), or paragraph (4)(H)(vi)." (Consolidated Appropriations Act, 2021) Law text · (h)
Pub. L. 116–260, §126(a)(3), (c), which amended subpar. (E) identically by inserting "paragraph (9)," after "paragraph (8),", was effectively undone by the subsequent amendment made by Pub. L. 116–260, §131(c)(2)(B). See above. (Consolidated Appropriations Act, 2021) Law text · (h)
Pub. L. 116–260, §126(a)(4), added par. (9). (Consolidated Appropriations Act, 2021) Law text · (h)

2019

Pub. L. 116–94, §108(1), in introductory provisions, inserted "for cost reporting periods beginning on or after October 1, 2020, costs related to hematopoietic stem cell acquisition for the purpose of an allogeneic hematopoietic stem cell transplant (as described in subsection (d)(5… (Further Consolidated Appropriations Act, 2020) Law text · (a)
Pub. L. 116–94, §108(2)(A), inserted "or payments under paragraph (5)(M) (beginning with fiscal year 2021)" after "fiscal year 1991)" and "or payments under paragraph (5)(M)" before period at end. (Further Consolidated Appropriations Act, 2020) Law text · (d)
Pub. L. 116–94, §108(2)(B), added subpar. (M). (Further Consolidated Appropriations Act, 2020) Law text · (d)

2018

Pub. L. 115–271, §6104(a), added subcl. (XII). (Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act" or the "SUPPORT for Patients and Communities Act) Law text · (b)
Pub. L. 115–123, §50205(b)(1)(A), substituted "October 1, 2022" for "October 1, 2017" in introductory provisions. (Bipartisan Budget Act of 2018) Law text · (b)
Pub. L. 115–123, §50205(b)(1)(B), substituted "through fiscal year 2022" for "through fiscal year 2017". (Bipartisan Budget Act of 2018) Law text · (b)
Pub. L. 115–123, §50205(a)(1), substituted "October 1, 2022" for "October 1, 2017". (Bipartisan Budget Act of 2018) Law text · (d)
Pub. L. 115–123, §50205(a)(2), substituted "October 1, 2022" for "October 1, 2017". (Bipartisan Budget Act of 2018) Law text · (d)
Pub. L. 115–123, §50205(a)(4), inserted concluding provisions. (Bipartisan Budget Act of 2018) Law text · (d)
Pub. L. 115–123, §50205(a)(3), added subcl. (I) and struck out former subcl. (I) which read as follows: "located in a rural area,". (Bipartisan Budget Act of 2018) Law text · (d)
Pub. L. 115–123, §53109(a)(1), added subcl. (IV) and redesignated former subcl. (IV) as (V). (Bipartisan Budget Act of 2018) Law text · (d), (V)
Pub. L. 115–123, §53109(a)(2)(A), inserted "The Secretary shall include in the proposed rule published for fiscal year 2019, a description of the effect of clause (ii)(IV)." after "this subparagraph." in introductory provisions. (Bipartisan Budget Act of 2018) Law text · (d)
Pub. L. 115–123, §53109(a)(2)(B), substituted "(III), and, in the case of proposed and final rules for fiscal year 2019 and subsequent fiscal years, (IV)" for "and (III)". (Bipartisan Budget Act of 2018) Law text · (d)
Pub. L. 115–123, §50204(a)(1), substituted "fiscal year 2023" for "fiscal year 2018" in introductory provisions. (Bipartisan Budget Act of 2018) Law text · (d)
Pub. L. 115–123, §50204(a)(2)(A), substituted "through 2022, 15 road miles) from another subsection (d) hospital and has—" for "through 2017, 15 road miles) from another subsection (d) hospital and has less than 800 discharges (or, with respect to fiscal years 2011 through 20… (Bipartisan Budget Act of 2018) Law text · (d)
Pub. L. 115–123, §50204(a)(2)(B), substituted "subparagraphs (B) and (D)" for "subparagraph (B)" and inserted "(except as provided in clause (i)(II) and subparagraph (D)(i))" after "regardless". (Bipartisan Budget Act of 2018) Law text · (d)
Pub. L. 115–141 added cl. (iii). (Consolidated Appropriations Act, 2018) Law text · (d)
Pub. L. 115–123, §50204(a)(3), substituted "through 2022" for "through 2017", "hospitals— (Bipartisan Budget Act of 2018) Law text · (d)
Pub. L. 115–123, §51005(a)(1), substituted "fiscal years 2016 through 2019" for "fiscal year 2016 or fiscal year 2017". (Bipartisan Budget Act of 2018) Law text · (m)
Pub. L. 115–123, §51005(a)(2), substituted "2020" for "2018". (Bipartisan Budget Act of 2018) Law text · (m)
Pub. L. 115–123, §51005(b)(1), substituted "Subject to clause (iv), in this paragraph" for "In this paragraph" in introductory provisions. (Bipartisan Budget Act of 2018) Law text · (m)
Pub. L. 115–123, §51005(b)(2), added cl. (iv). (Bipartisan Budget Act of 2018) Law text · (m)
Pub. L. 115–123, §50413, struck out "by requiring more stringent measures of meaningful use selected under this paragraph" after "quality over time" in concluding provisions. (Bipartisan Budget Act of 2018) Law text · (n)
Pub. L. 115–271, §6104(b), added cl. (iii). (Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act" or the "SUPPORT for Patients and Communities Act) Law text · (o)

2016

Pub. L. 114–255, §4002(b)(2), inserted after first sentence "The Secretary shall exempt an eligible hospital from the application of the payment adjustment under subclause (I) with respect to a fiscal year, subject to annual renewal, if the Secretary determines that compl… (21st Century Cures Act) Law text · (b)
Pub. L. 114–255, §15008(b), in concluding provisions, inserted "(as in effect as of such date)" after "clause (iv)" and "(or, in the case of a hospital described in clause (iv)(II), as so in effect, shall be classified under clause (vi) on and after the effective date of such cla… (21st Century Cures Act) Law text · (d)
Pub. L. 114–255, §15008(a), struck out subcl. (I) designation before "a hospital" and redesignated subcl. (II) as cl. (vi). (21st Century Cures Act) Law text · (d)
Pub. L. 114–255, §15008(a)(2), redesignated subcl. (II) of cl. (iv) as cl. (vi). (21st Century Cures Act) Law text · (d)
Pub. L. 114–255, §15008(d)(2), substituted "(d)(1)(B)(vi)" for "(d)(1)(B)(iv)(II)". (21st Century Cures Act) Law text · (m), (ii)
Pub. L. 114–255, §15010(a)(1), substituted "(F), and (G)" for "and (F)". (21st Century Cures Act) Law text · (m)
Pub. L. 114–255, §15009(a)(1), substituted ", (E), and (F)" for "and (E)". (21st Century Cures Act) Law text · (m)
Pub. L. 114–255, §15010(a)(2), substituted "the last sentence of subsection (d)(1)(B)" for "the amendment made by section 4417(a) of the Balanced Budget Act of 1997 (42 U.S.C. 1395ww note, Public Law 105–33)". (21st Century Cures Act) Law text · (m)
Pub. L. 114–255, §15009(a)(2), added subpar. (F). (21st Century Cures Act) Law text · (m)
Pub. L. 114–255, §15010(a)(3), added subpar. (G). (21st Century Cures Act) Law text · (m)
Pub. L. 114–255, §15004(b), added par. (7). (21st Century Cures Act) Law text · (m)
Pub. L. 114–255, §15002(a)(1), inserted "subject to subparagraph (D)," after "purposes of paragraph (1),". (21st Century Cures Act) Law text · (q)
Pub. L. 114–255, §15002(a)(2), (b), added subpars. (D) and (E). (21st Century Cures Act) Law text · (q), (E)
Pub. L. 114–255, §15001, added subsec. (t). (21st Century Cures Act) Law text · (t)

2015

Pub. L. 114–115, §4(b)(1), which directed substitution of "(n)(6)" for "(n)(6)(A)", was executed by making the substitution for "(n)(6)(B)" to reflect the probable intent of Congress and the intervening amendment by Pub. L. 114–113, §602(b)(1)(A). See below. (Patient Access and Medicare Protection Act) Law text · (b)
Pub. L. 114–113, §602(b)(1)(A), substituted "(n)(6)(B)" for "(n)(6)(A)". (Consolidated Appropriations Act, 2016) Law text · (b)
Pub. L. 114–115, §4(b)(2), inserted "(and, with respect to the application of subclause (I) for fiscal year 2017, for categories of subsection (d) hospitals, as established by the Secretary and posted on the Internet website of the Centers for Medicare & Medicaid Services… (Patient Access and Medicare Protection Act) Law text · (b)
Pub. L. 114–113, §602(b)(1)(B), substituted "an eligible hospital" for "a subsection (d) hospital". (Consolidated Appropriations Act, 2016) Law text · (b)
Pub. L. 114–10, §205(b)(1)(A), substituted "October 1, 2017" for "April 1, 2015" in introductory provisions. (Medicare Access and CHIP Reauthorization Act of 2015) Law text · (b)
Pub. L. 114–10, §205(b)(1)(B), substituted "through fiscal year 2017" for "through fiscal year 2014 and the portion of fiscal year 2015 before April 1, 2015". (Medicare Access and CHIP Reauthorization Act of 2015) Law text · (b)
Pub. L. 114–10, §205(a)(1), substituted "October 1, 2017" for "April 1, 2015". (Medicare Access and CHIP Reauthorization Act of 2015) Law text · (d)
Pub. L. 114–10, §205(a)(2), substituted "October 1, 2017" for "April 1, 2015". (Medicare Access and CHIP Reauthorization Act of 2015) Law text · (d)
Pub. L. 114–113, §601(2)(A), inserted "and before January 1, 2016," after "2004,". (Consolidated Appropriations Act, 2016) Law text · (d)
Pub. L. 114–113, §601(1), (2)(B), (3), added cl. (v). (Consolidated Appropriations Act, 2016) Law text · (d)
Pub. L. 114–10, §204(1), substituted "in fiscal year 2018 and subsequent fiscal years" for "in fiscal year 2015 (beginning on April 1, 2015), fiscal year 2016, and subsequent fiscal years" in introductory provisions. (Medicare Access and CHIP Reauthorization Act of 2015) Law text · (d)
Pub. L. 114–10, §204(2), substituted "fiscal years 2011 through 2017," for "fiscal years 2011 through 2014 and fiscal year 2015 (before April 1, 2015)," in two places. (Medicare Access and CHIP Reauthorization Act of 2015) Law text · (d)
Pub. L. 114–10, §204(3), substituted "fiscal years 2011 through 2017," for "fiscal years 2011 through 2014 and fiscal year 2015 (before April 1, 2015),". (Medicare Access and CHIP Reauthorization Act of 2015) Law text · (d)
Pub. L. 114–10, §411(b)(1)(A), substituted "clauses (ii) and (iii)" for "clause (ii)". (Medicare Access and CHIP Reauthorization Act of 2015) Law text · (j)
Pub. L. 114–10, §411(b)(1)(B), substituted "Subject to clause (iii), after" for "After" in introductory provisions. (Medicare Access and CHIP Reauthorization Act of 2015) Law text · (j)
Pub. L. 114–10, §411(b)(1)(C), added cl. (iii). (Medicare Access and CHIP Reauthorization Act of 2015) Law text · (j)
Pub. L. 114–10, §411(b)(2), substituted "subparagraphs (C)(iii) and (D) of paragraph (3)" for "paragraph (3)(D)". (Medicare Access and CHIP Reauthorization Act of 2015) Law text · (j)
Pub. L. 114–10, §411(e)(1), substituted "Subject to subparagraph (C), in implementing" for "In implementing" in introductory provisions. (Medicare Access and CHIP Reauthorization Act of 2015) Law text · (m)
Pub. L. 114–10, §411(e)(2), added subpar. (C). (Medicare Access and CHIP Reauthorization Act of 2015) Law text · (m)
Pub. L. 114–113, §231(1), substituted "subparagraphs (C) and (E)" for "subparagraph (C)". (Consolidated Appropriations Act, 2016) Law text · (m)
Pub. L. 114–113, §231(2), added subpar. (E). (Consolidated Appropriations Act, 2016) Law text · (m)
Pub. L. 114–10, §106(b)(2)(B), inserted before period at end ", and the hospital demonstrates (through a process specified by the Secretary, such as the use of an attestation) that the hospital has not knowingly and willfully taken action (such as to disable functionality) to… (Medicare Access and CHIP Reauthorization Act of 2015) Law text · (n)
Pub. L. 114–113, §602(a), substituted "hospital that is a subsection (d) hospital or a subsection (d) Puerto Rico hospital" for "subsection (d) hospital". (Consolidated Appropriations Act, 2016) Law text · (n)

2014

Pub. L. 113–93, §106(b)(1)(A), substituted "April 1, 2015" for "April 1, 2014" in introductory provisions. (Protecting Access to Medicare Act of 2014) Law text · (b)
Pub. L. 113–93, §106(b)(1)(B), substituted "through fiscal year 2014 and the portion of fiscal year 2015 before April 1, 2015" for "through fiscal year 2013 and the portion of fiscal year 2014 before April 1, 2014". (Protecting Access to Medicare Act of 2014) Law text · (b)
Pub. L. 113–93, §106(a)(1), substituted "April 1, 2015" for "April 1, 2014". (Protecting Access to Medicare Act of 2014) Law text · (d)
Pub. L. 113–93, §106(a)(2), substituted "April 1, 2015" for "April 1, 2014". (Protecting Access to Medicare Act of 2014) Law text · (d)
Pub. L. 113–93, §105(1), substituted "in fiscal year 2015 (beginning on April 1, 2015), fiscal year 2016, and subsequent fiscal years" for "in the portion of fiscal year 2014 beginning on April 1, 2014, fiscal year 2015, and subsequent fiscal years" in introductory provisions. (Protecting Access to Medicare Act of 2014) Law text · (d)
Pub. L. 113–93, §105(2), substituted "fiscal years 2011 through 2014 and fiscal year 2015 (before April 1, 2015)," for "fiscal years 2011, 2012, and 2013, and the portion of fiscal year 2014 before" in two places. (Protecting Access to Medicare Act of 2014) Law text · (d)
Pub. L. 113–93, §105(3), substituted "fiscal years 2011 through 2014 and fiscal year 2015 (before April 1, 2015)," for "fiscal years 2011, 2012, and 2013, and the portion of fiscal year 2014 before April 1, 2014,". (Protecting Access to Medicare Act of 2014) Law text · (d)
Pub. L. 113–185, §2(c)(2)(A), substituted "subparagraphs (C) and (F)" for "subparagraph (C)". (Improving Medicare Post-Acute Care Transformation Act of 2014" or the "IMPACT Act of 2014) Law text · (j)
Pub. L. 113–185, §2(c)(2)(B), substituted "Subject to subparagraph (G), for fiscal year 2014 and each subsequent fiscal year" for "For fiscal year 2014 and each subsequent rate year". (Improving Medicare Post-Acute Care Transformation Act of 2014" or the "IMPACT Act of 2014) Law text · (j)
Pub. L. 113–185, §2(c)(2)(C), inserted "and subparagraph (F)(i)" after "subparagraph (C)". (Improving Medicare Post-Acute Care Transformation Act of 2014" or the "IMPACT Act of 2014) Law text · (j)
Pub. L. 113–185, §2(c)(2)(D), added subpars. (F) and (G). (Improving Medicare Post-Acute Care Transformation Act of 2014" or the "IMPACT Act of 2014) Law text · (j), (G)
Pub. L. 113–185, §2(c)(3)(A), substituted "subparagraphs (C) and (F)" for "subparagraph (C)". (Improving Medicare Post-Acute Care Transformation Act of 2014" or the "IMPACT Act of 2014) Law text · (m)
Pub. L. 113–185, §2(c)(3)(B), substituted "Subject to subparagraph (G), for rate year" for "For rate year". (Improving Medicare Post-Acute Care Transformation Act of 2014" or the "IMPACT Act of 2014) Law text · (m)
Pub. L. 113–185, §2(c)(3)(C), inserted "and subparagraph (F)(i)" after "subparagraph (C)". (Improving Medicare Post-Acute Care Transformation Act of 2014" or the "IMPACT Act of 2014) Law text · (m)
Pub. L. 113–185, §2(c)(3)(D), added subpars. (F) and (G). (Improving Medicare Post-Acute Care Transformation Act of 2014" or the "IMPACT Act of 2014) Law text · (m), (G)
Pub. L. 113–93, §112(a), substituted "Medicare fee-for-service discharges" for "discharges" in subcls. (I) and (II). (Protecting Access to Medicare Act of 2014) Law text · (m)

2013

Pub. L. 113–67, §1106(b)(1)(A), substituted "April 1, 2014" for "October 1, 2013" in introductory provisions. Law text · (b)
Pub. L. 112–240, §606(b)(1)(A), substituted "October 1, 2013" for "October 1, 2012" in introductory provisions. (American Taxpayer Relief Act of 2012) Law text · (b)
Pub. L. 113–67, §1106(b)(1)(B), inserted "and the portion of fiscal year 2014 before April 1, 2014" after "through fiscal year 2013". Law text · (b)
Pub. L. 112–240, §606(b)(1)(B), substituted "through fiscal year 2013" for "through fiscal year 2012". (American Taxpayer Relief Act of 2012) Law text · (b)
Pub. L. 113–67, §1106(a)(1), substituted "April 1, 2014" for "October 1, 2013". Law text · (d)
Pub. L. 112–240, §606(a)(1), substituted "October 1, 2013" for "October 1, 2012". (American Taxpayer Relief Act of 2012) Law text · (d)
Pub. L. 113–67, §1106(a)(2), substituted "April 1, 2014" for "October 1, 2013". Law text · (d)
Pub. L. 112–240, §606(a)(2), substituted "October 1, 2013" for "October 1, 2012". (American Taxpayer Relief Act of 2012) Law text · (d)
Pub. L. 113–67, §1105(1), substituted "the portion of fiscal year 2014 beginning on April 1, 2014, fiscal year 2015, and subsequent fiscal years" for "fiscal year 2014 and subsequent fiscal years" in introductory provisions. Law text · (d)
Pub. L. 112–240, §605(1), substituted "2014" for "2013" in introductory provisions. (American Taxpayer Relief Act of 2012) Law text · (d)
Pub. L. 113–67, §1105(2), inserted "and the portion of fiscal year 2014 before" after "and 2013," in two places and "or portion of fiscal year" after "during the fiscal year". Law text · (d)
Pub. L. 112–240, §605(2), substituted ", 2012, and 2013" for "and 2012" in two places. (American Taxpayer Relief Act of 2012) Law text · (d)
Pub. L. 113–67, §1105(3)(B), which directed insertion of "or the portion of fiscal year" after "in the fiscal year", was executed by making the insertion after "in the fiscal year" both places appearing to reflect the probable intent of Congress. Law text · (d)
Pub. L. 113–67, §1105(3)(A), inserted "and the portion of fiscal year 2014 before April 1, 2014," after "and 2013,". Law text · (d)
Pub. L. 112–240, §605(3), substituted ", 2012, and 2013" for "and 2012". (American Taxpayer Relief Act of 2012) Law text · (d)
Pub. L. 113–67, §1206(c), added cl. (iv). Law text · (m)
Pub. L. 113–67, §1206(a)(1), added par. (6). Law text · (m)

2011

Pub. L. 112–40 substituted "quality improvement" for "utilization and quality control peer review" in introductory provisions. Law text · (f)

2010

Pub. L. 111–192, §102(a)(1), inserted "In applying the first sentence of this paragraph, the term 'other services related to the admission' includes all services that are not diagnostic services (other than ambulance and maintenance renal dialysis services) for which payment may be … (Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010) Law text · (a)
Pub. L. 111–148, §3401(a)(1), substituted "clauses (viii), (ix), (xi), and (xii)" for "clause (viii)". (Patient Protection and Affordable Care Act) Law text · (b)
Pub. L. 111–148, §3401(a)(2), inserted "of such applicable percentage increase (determined without regard to clause (ix), (xi), or (xii))" after "one-quarter". (Patient Protection and Affordable Care Act) Law text · (b)
Pub. L. 111–148, §3001(a)(2)(A), inserted at end "The Secretary may require hospitals to submit data on measures that are not used for the determination of value-based incentive payments under subsection (o)." (Patient Protection and Affordable Care Act) Law text · (b)
Pub. L. 111–148, §3001(a)(2)(B), substituted "for fiscal years 2008 through 2012" for "beginning with fiscal year 2008". (Patient Protection and Affordable Care Act) Law text · (b)
Pub. L. 111–148, §3001(a)(2)(C), substituted "information regarding measures submitted" for "data submitted". (Patient Protection and Affordable Care Act) Law text · (b)
Pub. L. 111–148, §3001(a)(2)(D), added subcls. (VIII) to (XI). (Patient Protection and Affordable Care Act) Law text · (b)
Pub. L. 111–148, §3401(a)(3), inserted "(determined without regard to clause (viii), (xi), or (xii))" after "otherwise applicable under clause (i)". (Patient Protection and Affordable Care Act) Law text · (b)
Pub. L. 111–148, §3001(a)(3), added cl. (x). (Patient Protection and Affordable Care Act) Law text · (b)
Pub. L. 111–148, §3401(a)(4), added cls. (xi) and (xii). (Patient Protection and Affordable Care Act) Law text · (b), (xii)
Pub. L. 111–148, §10319(a)(1), struck out "and" at end. (Patient Protection and Affordable Care Act) Law text · (b)
Pub. L. 111–152, §1105(a)(1)(A), placed subcl. (II), which was directed to be added by Pub. L. 111–148, §10319(a)(3), after subcl. (I) and struck out "and" at end. See Amendment note below. (Health Care and Education Reconciliation Act of 2010) Law text · (b)
Pub. L. 111–148, §10319(a)(3), which directed addition of subcl. (II) "after subclause (II)", could not be executed. See Amendment note above. Former subcl. (II) redesignated (III). (Patient Protection and Affordable Care Act) Law text · (b)
Pub. L. 111–152, §1105(a)(1)(B), added subcl. (III) and struck out former subcl. (III) which read "subject to clause (xiii), for each of fiscal years 2014 through 2019, by 0.2 percentage point." (Health Care and Education Reconciliation Act of 2010) Law text · (b)
Pub. L. 111–148, §10319(a)(2), (4), redesignated subcl. (II) as (III) and substituted "2014" for "2012". (Patient Protection and Affordable Care Act) Law text · (b)
Pub. L. 111–152, §1105(a)(1)(B), added subcls. (IV) and (V). (Health Care and Education Reconciliation Act of 2010) Law text · (b), (V)
Pub. L. 111–152, §1105(a)(2), struck out cl. (xiii) which read as follows: "Clause (xii) shall be applied with respect to any of fiscal years 2014 through 2019 by substituting '0.0 percentage points' for '0.2 percentage point', if for such fiscal year— (Health Care and Education Reconciliation Act of 2010) Law text · (b)
Pub. L. 111–148, §3401(a)(4), added cl. (xiii). (Patient Protection and Affordable Care Act) Law text · (b)
Pub. L. 111–148, §3124(b)(1)(A), substituted "October 1, 2012" for "October 1, 2011" in introductory provisions. (Patient Protection and Affordable Care Act) Law text · (b)
Pub. L. 111–148, §3124(b)(1)(B), substituted "through fiscal year 2012" for "through fiscal year 2011". (Patient Protection and Affordable Care Act) Law text · (b)
Pub. L. 111–148, §10324(a)(2), which directed the amendment of the third sentence of subsec. (d)(3)(E) by inserting "and the amendments made by section 10324(a)(1) of the Patient Protection and Affordable Care Act" after "2003", was executed by making the insertion in the fift… (Patient Protection and Affordable Care Act) Law text · (d)
Pub. L. 111–148, §10324(a)(1)(A), substituted "clause (ii) or (iii)" for "clause (ii)". (Patient Protection and Affordable Care Act) Law text · (d)
Pub. L. 111–148, §10324(a)(1)(B), added cl. (iii). (Patient Protection and Affordable Care Act) Law text · (d)
Pub. L. 111–148, §5504(b), designated existing provisions as subcl. (I), inserted ", and before July 1, 2010" after "1997", and added subcl. (II). (Patient Protection and Affordable Care Act) Law text · (d)
Pub. L. 111–148, §5506(b), which directed substitution of "subsections (h)(4)(H)(vi), (h)(7), and (h)(8)" for "subsections (h)(7) and (h)(8)" in second sentence, was executed by making the substitution in the third sentence to reflect the probable intent of Congress. (Patient Protection and Affordable Care Act) Law text · (d)
Pub. L. 111–148, §5503(b)(1), which directed the substitution, in second sentence, of "subsections (h)(7) and (h)(8)" for "subsection (h)(7)" and "they apply" for "it applies", was executed by making the substitution in the third sentence to reflect the probable intent of Congress. (Patient Protection and Affordable Care Act) Law text · (d)
Pub. L. 111–148, §5505(b), added cl. (x) relating to determining the hospital's number of full-time equivalent residents. (Patient Protection and Affordable Care Act) Law text · (d)
Pub. L. 111–148, §5503(b)(2), added cl. (x) relating to indirect teaching adjustment factor for additional payment amount attributable to resident positions. (Patient Protection and Affordable Care Act) Law text · (d)
Pub. L. 111–148, §3133(1), substituted "Subject to subsection (r), for" for "For" in introductory provisions. (Patient Protection and Affordable Care Act) Law text · (d)
Pub. L. 111–148, §3124(a)(1), substituted "October 1, 2012" for "October 1, 2011". (Patient Protection and Affordable Care Act) Law text · (d)
Pub. L. 111–148, §3124(a)(2), substituted "October 1, 2012" for "October 1, 2011". (Patient Protection and Affordable Care Act) Law text · (d)
Pub. L. 111–192, §102(a)(2), added subpar. (C). (Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010) Law text · (d)
Pub. L. 111–148, §3125(1), inserted "or (D)" after "subparagraph (B)". (Patient Protection and Affordable Care Act) Law text · (d)
Pub. L. 111–148, §3125(2), substituted "For discharges occurring in fiscal years 2005 through 2010 and for discharges occurring in fiscal year 2013 and subsequent fiscal years, the Secretary" for "The Secretary" in introductory provisions. (Patient Protection and Affordable Care Act) Law text · (d)
Pub. L. 111–148, §10314(1), substituted "1,600 discharges" for "1,500 discharges". (Patient Protection and Affordable Care Act) Law text · (d)
Pub. L. 111–148, §3125(3), inserted "(or, with respect to fiscal years 2011 and 2012, 15 road miles)" after "25 road miles" and "(or, with respect to fiscal years 2011 and 2012, 1,500 discharges of individuals entitled to, or enrolled for, benefits under part A)" after "800 discharges". (Patient Protection and Affordable Care Act) Law text · (d)
Pub. L. 111–148, §10314(2), substituted "1,600 discharges" for "1,500 discharges". (Patient Protection and Affordable Care Act) Law text · (d)
Pub. L. 111–148, §3125(4), added subpar. (D). (Patient Protection and Affordable Care Act) Law text · (d)
Pub. L. 111–148, §5505(a)(1)(A), substituted "Subject to subparagraphs (J) and (K), such rules" for "Such rules" in introductory provisions. (Patient Protection and Affordable Care Act) Law text · (h)
Pub. L. 111–148, §5504(a), substituted "shall be counted and that—" for "shall be counted and that all the time", inserted cl. (i) designation and "effective for cost reporting periods beginning before July 1, 2010, all the time;" before "so spent", substituted "; and" for period at end, added cl. … (Patient Protection and Affordable Care Act) Law text · (h)
Pub. L. 111–148, §5503(a)(1), substituted "paragraphs (7) and (8)" for "paragraph (7)". (Patient Protection and Affordable Care Act) Law text · (h)
Pub. L. 111–148, §5503(a)(2), substituted "paragraphs (7) and (8)" for "paragraph (7)". (Patient Protection and Affordable Care Act) Law text · (h)
Pub. L. 111–148, §5506(a), added cl. (vi). (Patient Protection and Affordable Care Act) Law text · (h)
Pub. L. 111–148, §5505(a)(1)(B), added subpars. (J) and (K). (Patient Protection and Affordable Care Act) Law text · (h), (K)
Pub. L. 111–148, §5505(a)(2), added subpar. (K). (Patient Protection and Affordable Care Act) Law text · (h)
Pub. L. 111–148, §5506(e), substituted "this paragraph, paragraph (8), or paragraph (4)(H)(vi)" for "paragraph or paragraph (8)". (Patient Protection and Affordable Care Act) Law text · (h)
Pub. L. 111–148, §5503(a)(3), inserted "or paragraph (8)" before period at end. (Patient Protection and Affordable Care Act) Law text · (h)
Pub. L. 111–148, §5503(a)(4), added par. (8). (Patient Protection and Affordable Care Act) Law text · (h)
Pub. L. 111–309 added subpar. (I). (Medicare and Medicaid Extenders Act of 2010) Law text · (h)
Pub. L. 111–148, §3401(d)(1), designated existing provisions as cl. (i), inserted heading and "subject to clause (ii)" after "establish an increase factor" in text, and added cl. (ii). (Patient Protection and Affordable Care Act) Law text · (j)
Pub. L. 111–152, §1105(c)(3), struck out cl. (i) designation and heading, redesignated subcls. (I) to (V) of former cl. (i) as cls. (i) to (v), respectively, and realigned margins. (Health Care and Education Reconciliation Act of 2010) Law text · (j)
Pub. L. 111–148, §3401(d)(2), added subpar. (D). (Patient Protection and Affordable Care Act) Law text · (j)
Pub. L. 111–148, §10319(c)(1), struck out "and" at end. (Patient Protection and Affordable Care Act) Law text · (j)
Pub. L. 111–152, §1105(c)(1)(A), placed subcl. (II), which was directed to be added by Pub. L. 111–148, §10319(c)(3), after subcl. (I) and struck out "and" at end. See Amendment note below. (Health Care and Education Reconciliation Act of 2010) Law text · (j)
Pub. L. 111–148, §10319(c)(3), which directed addition of subcl. (II) "after subclause (II)", could not be executed. See Amendment note above. Former subcl. (II) redesignated (III). (Patient Protection and Affordable Care Act) Law text · (j)
Pub. L. 111–152, §1105(c)(1)(B), added subcl. (III) and struck out former subcl. (III) which read as follows: "subject to clause (ii), for each of fiscal years 2014 through 2019, 0.2 percentage point." (Health Care and Education Reconciliation Act of 2010) Law text · (j)
Pub. L. 111–148, §10319(c)(2), (4), redesignated subcl. (II) as (III) and substituted "2014" for "2012". (Patient Protection and Affordable Care Act) Law text · (j)
Pub. L. 111–152, §1105(c)(1)(B), added subcls. (IV) and (V). (Health Care and Education Reconciliation Act of 2010) Law text · (j), (V)
Pub. L. 111–152, §1105(c)(2), struck out cl. (ii). Text read as follows: "Clause (i)(II) shall be applied with respect to any of fiscal years 2014 through 2019 by substituting '0.0 percentage points' for '0.2 percentage point', if for such fiscal year— (Health Care and Education Reconciliation Act of 2010) Law text · (j)
Pub. L. 111–148, §3004(b), added par. (7) and redesignated former par. (7) as (8). (Patient Protection and Affordable Care Act) Law text · (j), (8)
Pub. L. 111–148, §3401(c), added pars. (3) and (4). (Patient Protection and Affordable Care Act) Law text · (m), (4)
Pub. L. 111–152, §1105(b)(3), struck out subpar. (A) designation and heading before "For purposes", redesignated cl. (i) as subpar. (A), and realigned margin. (Health Care and Education Reconciliation Act of 2010) Law text · (m)
Pub. L. 111–148, §10319(b)(1)(A), substituted "rate year 2010" for "each of rate years 2010 and 2011" and struck out "and" at end. (Patient Protection and Affordable Care Act) Law text · (m)
Pub. L. 111–152, §1105(b)(3), redesignated cls. (ii) and (iii) as subpars. (B) and (C), respectively, and realigned margins. (Health Care and Education Reconciliation Act of 2010) Law text · (m), (iii)
Pub. L. 111–148, §10319(b)(1), (C), added cls. (ii) and (iii). Former cl. (ii) redesignated (iv). (Patient Protection and Affordable Care Act) Law text · (m), (iii)
Pub. L. 111–152, §1105(b)(3), redesignated cl. (iv) as subpar. (D) and realigned margin. (Health Care and Education Reconciliation Act of 2010) Law text · (m)
Pub. L. 111–152, §1105(b)(1), added cl. (iv) and struck out former cl. (iv), which read as follows: "subject to subparagraph (B), for each of rate years 2014 through 2019, 0.2 percentage point." (Health Care and Education Reconciliation Act of 2010) Law text · (m)
Pub. L. 111–148, §10319(b)(1)(B), (D), redesignated cl. (ii) as (iv) and substituted "2014" for "2012". (Patient Protection and Affordable Care Act) Law text · (m)
Pub. L. 111–152, §1105(b)(3), redesignated cls. (v) and (vi) as subpars. (E) and (F), respectively, and realigned margins. (Health Care and Education Reconciliation Act of 2010) Law text · (m), (vi)
Pub. L. 111–152, §1105(b)(1)(B), added cls. (v) and (vi). (Health Care and Education Reconciliation Act of 2010) Law text · (m), (vi)
Pub. L. 111–152, §1105(b)(3), redesignated cl. (ii) of former subpar. (A) as subpar. (B) and realigned margin. (Health Care and Education Reconciliation Act of 2010) Law text · (m)
Pub. L. 111–152, §1105(b)(2), struck out subpar. (B). Prior to amendment, text read as follows: "Subparagraph (A)(iv) shall be applied with respect to any of rate years 2014 through 2019 by substituting '0.0 percentage points' for '0.2 percentage point', if for such rate year— (Health Care and Education Reconciliation Act of 2010) Law text · (m)
Pub. L. 111–148, §10319(b)(2), substituted "(A)(iv)" for "(A)(ii)" in introductory provisions. (Patient Protection and Affordable Care Act) Law text · (m)
Pub. L. 111–152, §1105(b)(3), redesignated cls. (iii) to (vi) of former subpar. (A) as subpars. (C) to (F), respectively, and realigned margins. (Health Care and Education Reconciliation Act of 2010) Law text · (m)
Pub. L. 111–148, §3004(a), added par. (5). (Patient Protection and Affordable Care Act) Law text · (m)
Pub. L. 111–148, §3001(a)(1), added subsec. (o). (Patient Protection and Affordable Care Act) Law text · (o)
Pub. L. 111–148, §10335, inserted ", other than measures of readmissions," after "shall select measures". (Patient Protection and Affordable Care Act) Law text · (o)
Pub. L. 111–148, §3008(a), added subsec. (p). (Patient Protection and Affordable Care Act) Law text · (p)
Pub. L. 111–148, §3025(a), added subsec. (q). (Patient Protection and Affordable Care Act) Law text · (q)
Pub. L. 111–148, §10309, in introductory provisions, substituted "the Secretary shall make payments (in addition to the payments described in paragraph (2)(A)(ii)) for such a discharge to such hospital under subsection (d) (or section 1395f(b)(3) of this title, as the case may be) i… (Patient Protection and Affordable Care Act) Law text · (q)
Pub. L. 111–148, §3133(2), added subsec. (r). (Patient Protection and Affordable Care Act) Law text · (r)
Pub. L. 111–152, §1104(1), substituted "2014" for "2015". (Health Care and Education Reconciliation Act of 2010) Law text · (r)
Pub. L. 111–152, §1104(2)(A), substituted "2014" for "2015" in introductory provisions. (Health Care and Education Reconciliation Act of 2010) Law text · (r)
Pub. L. 111–152, §1104(2)(B)(i), (ii), (iv), inserted "2014," after "years" in heading and "2014," after "each of fiscal years" in introductory provisions and substituted "minus 0.1 percentage points for fiscal year 2014 and minus 0.2 percentage points for each of fiscal years… (Health Care and Education Reconciliation Act of 2010) Law text · (r)
Pub. L. 111–148, §10316(1)(A), (D), struck out "(divided by 100)" after "change" in introductory provisions and inserted concluding provisions. (Patient Protection and Affordable Care Act) Law text · (r)
Pub. L. 111–152, §1104(2)(B)(iii), substituted "on the Health Care and Education Reconciliation Act of 2010" for "on such Act". (Health Care and Education Reconciliation Act of 2010) Law text · (r)
Pub. L. 111–148, §10316(1)(B), substituted "2013" for "2012". (Patient Protection and Affordable Care Act) Law text · (r)
Pub. L. 111–148, §10316(1)(C), substituted comma for period at end. (Patient Protection and Affordable Care Act) Law text · (r)
Pub. L. 111–152, §1104(2)(C), substituted "minus 0.2 percentage points for each of fiscal years 2018 and 2019" for "and, for each of 2018 and 2019, minus 1.5 percentage points" in concluding provisions. (Health Care and Education Reconciliation Act of 2010) Law text · (r)
Pub. L. 111–148, §10316(2), struck out "(divided by 100)" after "change" in introductory provisions, substituted "2013" for "2012" in subcl. (I), substituted comma for period at end of subcl. (II), and inserted concluding provisions. (Patient Protection and Affordable Care Act) Law text · (r)
Pub. L. 111–148, §3401(f), added subsec. (s). (Patient Protection and Affordable Care Act) Law text · (s)
Pub. L. 111–152, §1105(d)(3), struck out subpar. (A) designation and heading, redesignated cls. (i) to (v) of former subpar. (A) as subpars. (A) to (E), respectively, and realigned margins. (Health Care and Education Reconciliation Act of 2010) Law text · (s)
Pub. L. 111–148, §10319(e)(1), struck out "and" at end. (Patient Protection and Affordable Care Act) Law text · (s)
Pub. L. 111–152, §1105(d)(1)(A), placed cl. (ii), which was directed to be added by Pub. L. 111–148, §10319(e)(3), after cl. (i) and struck out "and" at end. See Amendment note below. (Health Care and Education Reconciliation Act of 2010) Law text · (s)
Pub. L. 111–148, §10319(e)(3), which directed addition of cl. (ii) "after clause (ii)", could not be executed. See Amendment note above. Former cl. (ii) redesignated (iii). (Patient Protection and Affordable Care Act) Law text · (s)
Pub. L. 111–152, §1105(d)(1)(B), added cl. (iii) and struck out former cl. (iii) which read as follows: "subject to subparagraph (B), for each of the rate years beginning in 2014 through 2019, 0.2 percentage point." (Health Care and Education Reconciliation Act of 2010) Law text · (s)
Pub. L. 111–148, §10319(e)(2), (4), redesignated cl. (ii) as (iii) and substituted "2014" for "2012". (Patient Protection and Affordable Care Act) Law text · (s)
Pub. L. 111–152, §1105(d)(1)(B), added cls. (iv) and (v). (Health Care and Education Reconciliation Act of 2010) Law text · (s), (v)
Pub. L. 111–152, §1105(d)(2), struck out subpar. (B). Prior to amendment, text read as follows: "Subparagraph (A)(ii) shall be applied with respect to any of rate years 2014 through 2019 by substituting '0.0 percentage points' for '0.2 percentage point', if for such rate year— (Health Care and Education Reconciliation Act of 2010) Law text · (s)
Pub. L. 111–148, §10322(a), added par. (4). (Patient Protection and Affordable Care Act) Law text · (s)

2009

Pub. L. 111–5, §4102(b)(1)(A), inserted "(or, beginning with fiscal year 2015, by one-quarter)" after "2.0 percentage points". (American Recovery and Reinvestment Act of 2009) Law text · (b)
Pub. L. 111–5, §4102(b)(1)(B), added cl. (ix). (American Recovery and Reinvestment Act of 2009) Law text · (b)
Pub. L. 111–5, §4102(a)(1), added subsec. (n). (American Recovery and Reinvestment Act of 2009) Law text · (n)

2008

Pub. L. 110–275, §122(b)(1), substituted "subparagraphs (I) and (L)" for "subparagraph (I)" in introductory provisions. (Medicare Improvements for Patients and Providers Act of 2008) Law text · (b)
Pub. L. 110–275, §122(b)(2), substituted "Subject to subparagraph (L), for" for "For" in introductory provisions. (Medicare Improvements for Patients and Providers Act of 2008) Law text · (b)
Pub. L. 110–275, §122(a), added subpar. (L). (Medicare Improvements for Patients and Providers Act of 2008) Law text · (b)

2007

Pub. L. 110–161, §225(a), added cl. (v). (Consolidated Appropriations Act, 2008) Law text · (h)
Pub. L. 110–161, §225(b)(1), added subpar. (D) and redesignated former subpar. (D) as (E). (Consolidated Appropriations Act, 2008) Law text · (h), (E)
Pub. L. 110–173, §115(a)(1), inserted at end "The increase factor to be applied under this subparagraph for each of fiscal years 2008 and 2009 shall be 0 percent." (Medicare, Medicaid, and SCHIP Extension Act of 2007) Law text · (j)
Pub. L. 110–173, §114(e)(1), added subsec. (m). (Medicare, Medicaid, and SCHIP Extension Act of 2007) Law text · (m)

2006

Pub. L. 109–171, §5001(a)(1)(A), substituted "2006" for "2007". (Deficit Reduction Act of 2005) Law text · (b)
Pub. L. 109–171, §5001(a)(1)(B), substituted "for each subsequent fiscal year, subject to clause (viii)," for "for fiscal year 2008 and each subsequent fiscal year,". (Deficit Reduction Act of 2005) Law text · (b)
Pub. L. 109–171, §5001(a)(2)(A), substituted "for fiscal years 2005 and 2006" for "for each of fiscal years 2005 through 2007". (Deficit Reduction Act of 2005) Law text · (b)
Pub. L. 109–171, §5001(a)(2)(B), substituted "For fiscal years 2005 and 2006, each" for "Each". (Deficit Reduction Act of 2005) Law text · (b)
Pub. L. 109–432, §205(b)(1), realigned margins. (Tax Relief and Health Care Act of 2006) Law text · (b)
Pub. L. 109–171, §5001(a)(3), added cl. (viii). (Deficit Reduction Act of 2005) Law text · (b)
Pub. L. 109–432, §109(a)(2), inserted "(including medication errors)" after "quality of care". (Tax Relief and Health Care Act of 2006) Law text · (b)
Pub. L. 109–171, §5003(b)(1), inserted "subject to subparagraph (K)," after "(d)(5)(G))," in introductory provisions. (Deficit Reduction Act of 2005) Law text · (b)
Pub. L. 109–171, §5003(a)(2)(A)(i), substituted "occurring" for "beginning" and "October 1, 2011" for "October 1, 2006" in introductory provisions. (Deficit Reduction Act of 2005) Law text · (b)
Pub. L. 109–171, §5003(a)(2)(A)(ii), substituted "through fiscal year 2011" for "through fiscal year 2005". (Deficit Reduction Act of 2005) Law text · (b)
Pub. L. 109–171, §5003(b)(2), added subpar. (K). (Deficit Reduction Act of 2005) Law text · (b)
Pub. L. 109–432, §106(c)(1), struck out cl. (iv) which read as follows: "The Secretary shall include recommendations with respect to adjustments to weighting factors under clause (i) in the annual report to Congress required under subsection (e)(3)(B) of this section." (Tax Relief and Health Care Act of 2006) Law text · (d)
Pub. L. 109–171, §5001(c)(1), added subpar. (D). (Deficit Reduction Act of 2005) Law text · (d)
Pub. L. 109–171, §5002(a), inserted concluding provisions. (Deficit Reduction Act of 2005) Law text · (d)
Pub. L. 109–171, §5003(d), inserted "or, in the case of discharges occurring on or after October 1, 2006, as a medicare-dependent, small rural hospital under subparagraph (G)(iv)" before period at end. (Deficit Reduction Act of 2005) Law text · (d)
Pub. L. 109–171, §5003(a)(1)(A), substituted "October 1, 2011" for "October 1, 2006". (Deficit Reduction Act of 2005) Law text · (d)
Pub. L. 109–171, §5003(c), inserted "(or 75 percent in the case of discharges occurring on or after October 1, 2006)" after "50 percent". (Deficit Reduction Act of 2005) Law text · (d)
Pub. L. 109–171, §5003(a)(1)(B), substituted "October 1, 2011" for "October 1, 2006" and inserted "or for discharges in the fiscal year" after "for the cost reporting period". (Deficit Reduction Act of 2005) Law text · (d)
Pub. L. 109–171, §5001(c)(2), inserted ", including the selection and revision of codes under paragraph (4)(D)" before period at end. (Deficit Reduction Act of 2005) Law text · (d)
Pub. L. 109–432, §106(c)(2), struck out par. (3) which read as follows: "The Secretary, not later than April 1, 1987, for fiscal year 1988 and not later than March 1 before the beginning of each fiscal year (beginning with fiscal year 1989), shall report to the Congress the Secretar… (Tax Relief and Health Care Act of 2006) Law text · (e)

2003

Pub. L. 108–173, §501(a), added subcls. (XIX) and (XX) and struck out former subcl. (XIX) which read as follows: "for fiscal year 2004 and each subsequent fiscal year, the market basket percentage increase for hospitals in all areas." (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (b), (XX)
Pub. L. 108–173, §501(b), added cl. (vii). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (b)
Pub. L. 108–173, §736(a)(9), substituted "the amount" for "the the amount". (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (b)
Pub. L. 108–173, §407(a), added cl. (iii). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (b)
Pub. L. 108–173, §502(b), substituted "1999," for "1999 or" and inserted ", or the Medicare Prescription Drug, Improvement, and Modernization Act of 2003" before comma at end. (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §402(b)(2), struck out "or" before "the enactment of section 303" and inserted ", or the enactment of section 402(a)(1) of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003" before period at end. (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §401(b)(2)(A), inserted ", for fiscal years before fiscal year 1997," before "a regional adjusted DRG prospective payment rate" in introductory provisions. (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §401(b)(3), substituted "in an urban area" for "in an other urban area". (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §401(a), designated existing provisions as subcl. (I), substituted "Subject to subclause (II), for discharges" for "For discharges", and added subcl. (II). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §401(b)(1)(A), (B), (2)(B), in heading, struck out "in different areas" after "hospitals" and, in introductory provisions, inserted ", for fiscal years before fiscal year 1997," before "a regional DRG prospective payment rate" and struck out ", each of" before "w… (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §401(b)(1)(C)(i), inserted "for fiscal years before fiscal year 2004," before "for hospitals" in introductory provisions. (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §401(b)(1)(C)(ii), struck out "and" at end. (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §401(b)(1)(D)(i), inserted "for fiscal years before fiscal year 2004," before "for hospitals" in introductory provisions. (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §401(b)(1)(D)(ii), substituted "; and" for period at end. (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §401(b)(1)(E), added cl. (iii). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §403(a), designated existing provisions as cl. (i), inserted cl. heading, substituted "Except as provided in clause (ii), the Secretary" for "The Secretary", inserted at end "The Secretary shall apply the previous sentence for any period as if the amendments made… (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §422(b)(1)(A), substituted "Subject to clause (ix), for discharges" for "For discharges" in introductory provisions. (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §502(a)(1), struck out "and" at end. (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §502(a)(2), inserted "and before April 1, 2004," after "on or after October 1, 2002," and substituted semicolon for period at end. (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §502(a)(3), added subcls. (VIII) to (XII). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §422(b)(1)(B), inserted at end "The provisions of subsection (h)(7) shall apply with respect to the first sentence of this clause in the same manner as it applies with respect to subsection (h)(4)(F)(i)." (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §422(b)(1)(C), added cl. (ix). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §402(b)(1)(A), inserted "subject to clause (xiv) and" before "for discharges occurring". (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §402(b)(1)(B), substituted "Subject to clause (xiv), the formula" for "The formula". (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §402(b)(1)(C), substituted "Subject to clause (xiv), for purposes" for "For purposes" in introductory provisions. (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §402(a), added cl. (xiv). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §503(b)(2)(A), inserted at end "Such mechanism shall be modified to meet the requirements of clause (viii)." (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §503(b)(1), inserted "(applying a threshold specified by the Secretary that is the lesser of 75 percent of the standardized amount (increased to reflect the difference between cost and charges) or 75 percent of one standard deviation for the diagnosis-rela… (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §503(d)(1), struck out "subject to paragraph (4)(C)(iii)," before "provide for additional payment". (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §503(a), added cl. (vii). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §503(b)(2)(B), added cl. (viii). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §503(c), added cl. (ix). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §406(b), inserted "or the determination of the applicable percentage increase under paragraph (12)(A)(ii)" after "to subsection (e)(1)". (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §401(c)(1)(B), added cl. (ii) and concluding provisions and struck out former cl. (ii) which read as follows: "for discharges beginning in a fiscal year beginning on or after October 1, 1997, 50 percent (and for discharges between October 1, 1987, and September 3… (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §§401(c)(1)(A), 504(1)(A), substituted "the applicable Puerto Rico percentage (specified in subparagraph (E))" for "for discharges beginning on or after October 1, 1997, 50 percent (and for discharges between October 1, 1987, and September 30, 1997, 75 percent… (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §504(1)(B), which directed the substitution of "the applicable Federal percentage (specified in subparagraph (E))" for "for discharges beginning in a fiscal year beginning on or after October 1, 1997, 50 percent (and for discharges between October 1, 1987, an… (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §401(c)(2)(A), designated existing provisions as subcl. (I), substituted "For discharges in a fiscal year after fiscal year 1988 and before fiscal year 2004, the Secretary" for "The Secretary", and added subcl. (II). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §401(c)(2)(B), inserted "(or for fiscal year 2004 and thereafter, the average standardized amount)" after "each of the average standardized amounts". (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §401(c)(2)(C), struck out "for hospitals located in an urban or rural area, respectively" after "reduced under clause (ii))". (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §403(b), designated existing provisions as subcl. (I), substituted "paragraph (3)(E)(i)" for "paragraph (3)(E)", and added subcl. (II). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §504(2), added subpar. (E). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §406(a), added par. (12). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §505(a), added par. (13). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
Pub. L. 108–173, §736(a)(15), inserted closing parenthesis after "(as defined in subsection (d)(5)(D)(iii)". (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (g)
Pub. L. 108–173, §711(1), in heading, inserted "and 2004 through 2013" after "and 2002" and, in text, inserted "or during the period beginning with fiscal year 2004 and ending with fiscal year 2013" after "during fiscal year 2001 or fiscal year 2002". (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (h)
Pub. L. 108–173, §711(2), substituted "For the" for "For a" and struck out "fiscal year 2004, or fiscal year 2005," after "during fiscal year 2003,". (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (h)
Pub. L. 108–173, §736(c)(6), struck out "and" at end. (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (h)
Pub. L. 108–173, §422(a)(1), inserted "subject to paragraph (7)," after "October 1, 1997,". (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (h)
Pub. L. 108–173, §422(a)(2), inserted "and subject to paragraph (7)" after "subparagraphs (F) and (G)". (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (h)
Pub. L. 108–173, §422(a)(3), added par. (7). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (h)

2000

Pub. L. 106–554, §1(a)(6) [title III, §301(a)(1)], substituted "for hospitals in all areas," for "minus 1.1 percentage points for hospitals (other than sole community hospitals) in all areas, and the market basket percentage increase for sole community hospitals,". (Consolidated Appropriations Act, 2001) Law text · (b)
Pub. L. 106–554, §1(a)(6) [title III, §301(a)(2)(B)], struck out "and" at end. (Consolidated Appropriations Act, 2001) Law text · (b)
Pub. L. 106–554, §1(a)(6) [title III, §301(a)(2)(A)], which directed amendment of subcl. (XVII) by "striking 'minus 1.1 percentage points' and inserting 'minus 0.55 percentage points; and", was executed as if an end quotation mark for the inserted material followed "points", to reflect the probable… (Consolidated Appropriations Act, 2001) Law text · (b)
Pub. L. 106–554, §1(a)(6) [title III, §301(a)(5)], added subcl. (XVIII). Former subcl. (XVIII) redesignated (XIX). (Consolidated Appropriations Act, 2001) Law text · (b)
Pub. L. 106–554, §1(a)(6) [title III, §301(a)(3), (4)], redesignated subcl. (XVIII) as (XIX) and substituted "fiscal year 2004" for "fiscal year 2003". (Consolidated Appropriations Act, 2001) Law text · (b)
Pub. L. 106–554, §1(a)(6) [title III, §307(a)(1)(A)], inserted "subject to subparagraph (J)," after "2002,". (Consolidated Appropriations Act, 2001) Law text · (b)
Pub. L. 106–554, §1(a)(6) [title II, §213(a)(1)], in introductory provisions, substituted "there shall be substituted for the amount otherwise determined under subsection (d)(5)(D)(i), if such substitution results in a greater amount of payment under this section for the hospi… (Consolidated Appropriations Act, 2001) Law text · (b)
Pub. L. 106–554, §1(a)(6) [title II, §213(a)(2)], substituted "the amount otherwise applicable to the hospital under subsection (d)(5)(D)(i) (referred to in this clause as the 'subsection (d)(5)(D)(i) amount')" for "target amount otherwise applicable to the hospital under s… (Consolidated Appropriations Act, 2001) Law text · (b)
Pub. L. 106–554, §1(a)(6) [title II, §213(a)(3)], substituted "subsection (d)(5)(D)(i) amount" for "subparagraph (C) target amount". (Consolidated Appropriations Act, 2001) Law text · (b), (III)
Pub. L. 106–554, §1(a)(6) [title III, §307(a)(1)(B)], added subpar. (J). (Consolidated Appropriations Act, 2001) Law text · (b)
Pub. L. 106–554, §1(a)(4) [div. B, title I, §152(a)], added subcl. (III). (Consolidated Appropriations Act, 2001) Law text · (d)
Pub. L. 106–554, §1(a)(4) [div. B, title I, §152(b)], substituted "For purposes of subclauses (II) and (III) of subparagraph (B)(v)" for "For purposes of subparagraph (B)(v)(II)". (Consolidated Appropriations Act, 2001) Law text · (d)
Pub. L. 106–554, §1(a)(6) [title III, §302(c)], inserted "or of section 302 of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000" after "Balanced Budget Refinement Act of 1999". (Consolidated Appropriations Act, 2001) Law text · (d)
Pub. L. 106–554, §1(a)(6) [title III, §303(c)], substituted "1989," for "1989 or" and inserted ", or the enactment of section 303 of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000" after "Omnibus Budget Reconciliation Act of 1990". (Consolidated Appropriations Act, 2001) Law text · (d)
Pub. L. 106–554, §1(a)(6) [title III, §301(e)(1)], added cl. (vi). (Consolidated Appropriations Act, 2001) Law text · (d)
Pub. L. 106–554, §1(a)(6) [title III, §304(c)(2)], in third sentence, substituted "Not less often than once every 3 years the Secretary (through such survey or otherwise) shall measure" for "To the extent determined feasible by the Secretary, such survey shall measure". (Consolidated Appropriations Act, 2001) Law text · (d)
Pub. L. 106–554, §1(a)(6) [title V, §533(b)(3)], substituted "technology (including a new medical service or technology under paragraph (5)(K))," for "technology,". (Consolidated Appropriations Act, 2001) Law text · (d)
Pub. L. 106–554, §1(a)(6) [title III, §302(d)], realigned margins. (Consolidated Appropriations Act, 2001) Law text · (d)
Pub. L. 106–554, §1(a)(6) [title III, §302(a)(1)], struck out "and" at end. (Consolidated Appropriations Act, 2001) Law text · (d)
Pub. L. 106–554, §1(a)(6) [title III, §302(a)(4)], added subcl. (VI). Former subcl. (VI) redesignated (VII). (Consolidated Appropriations Act, 2001) Law text · (d)
Pub. L. 106–554, §1(a)(6) [title III, §302(a)(2), (3)], redesignated subcl. (VI) as (VII) and substituted "2002" for "2001". (Consolidated Appropriations Act, 2001) Law text · (d)
Pub. L. 106–554, §1(a)(6) [title III, §303(d)(1)], struck out "and before October 1, 1997," before "the Secretary shall provide" in introductory provisions. (Consolidated Appropriations Act, 2001) Law text · (d)
Pub. L. 106–554, §1(a)(6) [title II, §211(b)(5)(A)], inserted "or, for discharges occurring on or after April 1, 2001, is equal to the percent determined in accordance with clause (xiii)" after "5 percent". (Consolidated Appropriations Act, 2001) Law text · (d)
Pub. L. 106–554, §1(a)(6) [title II, §211(b)(3)(A)], inserted "or, for discharges occurring on or after April 1, 2001, is equal to the percent determined in accordance with clause (xii)" after "4 percent". (Consolidated Appropriations Act, 2001) Law text · (d)
Pub. L. 106–554, §1(a)(6) [title II, §211(b)(4)], inserted "or, for discharges occurring on or after April 1, 2001, the greater of the percentages determined under clause (x) or (xi)" after "clause (viii)". (Consolidated Appropriations Act, 2001) Law text · (d)
Pub. L. 106–554, §1(a)(6) [title II, §211(b)(2)(A)], inserted "or, for discharges occurring on or after April 1, 2001, is equal to the percent determined in accordance with clause (xi)" after "clause (viii)". (Consolidated Appropriations Act, 2001) Law text · (d)
Pub. L. 106–554, §1(a)(6) [title II, §211(b)(1)(A)], inserted "or, for discharges occurring on or after April 1, 2001, is equal to the percent determined in accordance with clause (x)" after "10 percent". (Consolidated Appropriations Act, 2001) Law text · (d)
Pub. L. 106–554, §1(a)(6) [title II, §211(a)(1)], inserted "(or 15 percent, for discharges occurring on or after April 1, 2001)" after "30 percent". (Consolidated Appropriations Act, 2001) Law text · (d)
Pub. L. 106–554, §1(a)(6) [title II, §211(a)(2)], inserted "(or 15 percent, for discharges occurring on or after April 1, 2001)" after "40 percent". (Consolidated Appropriations Act, 2001) Law text · (d)
Pub. L. 106–554, §1(a)(6) [title II, §211(a)(3)], inserted "(or 15 percent, for discharges occurring on or after April 1, 2001)" after "45 percent". (Consolidated Appropriations Act, 2001) Law text · (d)
Pub. L. 106–554, §1(a)(6) [title III, §303(a)(1)], struck out "each of" after "during" and inserted "and 2 percent, respectively" after "3 percent". (Consolidated Appropriations Act, 2001) Law text · (d)
Pub. L. 106–554, §1(a)(6) [title III, §303(a)(2)], substituted "3 percent" for "4 percent". (Consolidated Appropriations Act, 2001) Law text · (d)
Pub. L. 106–554, §1(a)(6) [title II, §211(b)(1)(B)], added cl. (x). (Consolidated Appropriations Act, 2001) Law text · (d)
Pub. L. 106–554, §1(a)(6) [title II, §211(b)(2)(B)], added cl. (xi). (Consolidated Appropriations Act, 2001) Law text · (d)
Pub. L. 106–554, §1(a)(6) [title II, §211(b)(3)(B)], added cl. (xii). (Consolidated Appropriations Act, 2001) Law text · (d)
Pub. L. 106–554, §1(a)(6) [title II, §211(b)(5)(B)], added cl. (xiii). (Consolidated Appropriations Act, 2001) Law text · (d)
Pub. L. 106–554, §1(a)(6) [title II, §212(a)], inserted ", or two of the three most recently audited cost reporting periods for which the Secretary has a settled cost report," after "1987". (Consolidated Appropriations Act, 2001) Law text · (d)
Pub. L. 106–554, §1(a)(6) [title V, §533(b)(1)], added subpars. (K) and (L). (Consolidated Appropriations Act, 2001) Law text · (d), (L)
Pub. L. 106–554, §1(a)(6) [title III, §304(a)], added cls. (v) and (vi). (Consolidated Appropriations Act, 2001) Law text · (d), (vi)
Pub. L. 106–554, §1(a)(6) [title V, §511], in heading substituted "for" for "in fiscal year 2001 at 70 percent of" and in text inserted ", and for the cost reporting period beginning during fiscal year 2002 shall not be less than 85 percent," after "70 percent". (Consolidated Appropriations Act, 2001) Law text · (h)
Pub. L. 106–554, §1(a)(6) [title III, §305(b)(1)(A)], inserted "other than a facility making an election under subparagraph (F)" before "in a cost reporting period" in introductory provisions. (Consolidated Appropriations Act, 2001) Law text · (j)
Pub. L. 106–554, §1(a)(6) [title III, §305(b)(1)(B)], inserted "or, in the case of a facility making an election under subparagraph (F), for any cost reporting period described in such subparagraph," after "2002,". (Consolidated Appropriations Act, 2001) Law text · (j)
Pub. L. 106–554, §1(a)(6) [title III, §305(b)(1)(C)], added subpar. (F). (Consolidated Appropriations Act, 2001) Law text · (j)
Pub. L. 106–554, §1(a)(6) [title III, §305(b)(2)], inserted "but not taking into account any payment adjustment resulting from an election permitted under paragraph (1)(F)" after "paragraphs (4) and (6)". (Consolidated Appropriations Act, 2001) Law text · (j)
Pub. L. 106–554, §1(a)(6) [title III, §305(a)], substituted "98 percent for fiscal year 2001 and 100 percent for fiscal year 2002" for "98 percent". (Consolidated Appropriations Act, 2001) Law text · (j)
Pub. L. 106–554, §1(a)(6) [title V, §512(a)], substituted "the ratio of—" and cls. (i) and (ii) for "the Secretary's estimate of the ratio of the amount of payments made under section 1395x(v) of this title to the hospital for nursing and allied health education activities for th… (Consolidated Appropriations Act, 2001) Law text · (l)

1999

Pub. L. 106–113, §1000(a)(6) [title III, §321(k)(15)(A)], inserted a comma after "paragraph (2)" in concluding provisions. (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (b)
Pub. L. 106–113, §1000(a)(6) [title I, §122(1)], substituted "Except as provided in subparagraph (E), in addition to" for "In addition to". (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (b)
Pub. L. 106–113, §1000(a)(6) [title I, §122(2)], added subpar. (E). (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (b)
Pub. L. 106–113, §1000(a)(6) [title IV, §406], added subcls. (XVI) and (XVII), redesignated former subcl. (XVII) as (XVIII), and struck out former subcl. (XVI) which read as follows: "for each of fiscal years 2001 and 2002, the market basket percentage increase… (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (b)
Pub. L. 106–113, §1000(a)(6) [title III, §321(k)(15)(B)(i)], substituted comma for semicolon at end. (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (b)
Pub. L. 106–113, §1000(a)(6) [title III, §321(k)(15)(B)(ii)], substituted "year," for "year;". (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (b)
Pub. L. 106–113, §1000(a)(6) [title IV, §405(1)], inserted "subject to subparagraph (I)," before "the term 'target amount' means" in introductory provisions. (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (b)
Pub. L. 106–113, §1000(a)(6) [title IV, §404(b)(1)(A)], substituted "and before October 1, 2006," for "and before October 1, 2001," in introductory provisions. (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (b)
Pub. L. 106–113, §1000(a)(6) [title III, §321(b)(2)], substituted "and for discharges beginning on or after October 1, 1997, and before October 1, 2001," for "and for cost reporting periods beginning on or after October 1, 1997, and before October 1, 2001," in introductory provisions. (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (b)
Pub. L. 106–113, §1000(a)(6) [title IV, §404(b)(1)(B)], substituted "fiscal year 2005" for "fiscal year 2000". (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (b)
Pub. L. 106–113, §1000(a)(6) [title I, §121(a)], added cl. (i), redesignated former cl. (i) as subcl. (I) of cl. (ii) and inserted ", as adjusted under clause (iii)" after "fiscal year 1996", redesignated former cl. (ii) as subcl. (II) of cl. (ii) and substituted "sub… (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (b)
Pub. L. 106–113, §1000(a)(6) [title IV, §405(2)], added subpar. (I). (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (b)
Pub. L. 106–113, §1000(a)(6) [title III, §321(f)], struck out "or unit" after "(and in the case of a hospital". (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (b)
Pub. L. 106–113, §1000(a)(6) [title III, §321(h)], inserted "(as estimated by the Secretary)" after "median". (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (b)
Pub. L. 106–113, §1000(a)(6) [title I, §111(c)], inserted "or any additional payments under such paragraph resulting from the application of section 111 of the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999" after "Balanced Budget Act of 1997". (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (d)
Pub. L. 106–113, §1000(a)(6) [title I, §111(a)], added subcl. (V), redesignated former subcl. (V) as (VI), and substituted "2001" for "2000" in subcl. (VI). (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (d), (VI)
Pub. L. 106–113, §1000(a)(6) [title IV, §407(b)(2)], inserted "(or, 130 percent of such number in the case of a hospital located in a rural area)" after "may not exceed the number". (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (d)
Pub. L. 106–113, §1000(a)(6) [title IV, §407(a)(2)], inserted at end "Rules similar to the rules of subsection (h)(4)(F)(ii) shall apply for purposes of this clause." (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (d)
Pub. L. 106–113, §1000(a)(6) [title III, §321(k)(16)], inserted a comma after "1986" in introductory provisions. (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (d)
Pub. L. 106–113, §1000(a)(6) [title I, §112(a)(1)], substituted "during each of fiscal years 2000 and 2001" for "during fiscal year 2000". (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (d)
Pub. L. 106–113, §1000(a)(6) [title I, §112(a)(2)–(4)], redesignated subcl. (V) as (IV), substituted "reduced by 4 percent" for "reduced by 5 percent", and struck out former subcl. (IV) which read as follows: "during fiscal year 2001, such additional payment amount shall … (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (d)
Pub. L. 106–113, §1000(a)(6) [title I, §112(a)(3)], redesignated subcl. (VI) as (V). Former subcl. (V) redesignated (IV). (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (d), (VI)
Pub. L. 106–113, §1000(a)(6) [title IV, §404(a)(1)], substituted "October 1, 2006," for "October 1, 2001,". (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (d)
Pub. L. 106–113, §1000(a)(6) [title III, §321(b)(1)(A)], substituted "or discharges occurring on or after October 1, 1997, and before October 1, 2001," for "or beginning on or after October 1, 1997, and before October 1, 2001,". (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (d)
Pub. L. 106–113, §1000(a)(6) [title IV, §404(a)(2)], substituted "October 1, 2006," for "October 1, 2001,". (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (d)
Pub. L. 106–113, §1000(a)(6) [title III, §321(b)(1)(B)], substituted "or discharges occurring on or after October 1, 1997, and before October 1, 2001," for "or beginning on or after October 1, 1997, and before October 1, 2001,". (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (d)
Pub. L. 106–113, §1000(a)(6) [title IV, §402(a)], designated existing provisions as cl. (i), substituted "described in clause (ii)" for "published in the Federal Register on January 3, 1980", and added cl. (ii). (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (d)
Pub. L. 106–113, §1000(a)(6) [title IV, §401(a)], added subpar. (E). (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (d)
Pub. L. 106–113, §1000(a)(6) [title III, §321(k)(17)], inserted a comma after "1987" in introductory provisions. (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (d)
Pub. L. 106–113, §1000(a)(6) [title III, §321(e)], substituted "October 1, 2002," for "September 30, 2002," in last sentence. (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (g)
Pub. L. 106–113, §1000(a)(6) [title III, §311(a)(1), (b)(1)], inserted heading and substituted "a subsequent clause" for "clause (ii)" and "the approved FTE resident amount determined" for "the amount determined". (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (h)
Pub. L. 106–113, §1000(a)(6) [title III, §311(b)(2)], inserted heading and realigned margins. (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (h)
Pub. L. 106–113, §1000(a)(6) [title III, §311(a)(2)], added cls. (iii) and (iv). (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (h), (iv)
Pub. L. 106–113, §1000(a)(6) [title III, §311(a)(3), (4)], added subpar. (E) and redesignated former subpar. (E) as (F). (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (h), (F)
Pub. L. 106–113, §1000(a)(6) [title V, §541(b)(1)], inserted ", subject to clause (iii)," after "shall equal" in introductory provisions. (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (h)
Pub. L. 106–113, §1000(a)(6) [title V, §541(b)(2), (3)], added cl. (iii) and redesignated former cl. (iii) as (iv). (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (h), (iv)
Pub. L. 106–113, §1000(a)(6) [title IV, §407(a)(1)], designated existing provisions as cl. (i), inserted heading, realigned margins, and added cl. (ii). (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (h)
Pub. L. 106–113, §1000(a)(6) [title IV, §407(b)(1)], inserted "(or, 130 percent of such number in the case of a hospital located in a rural area)" after "may not exceed the number". (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (h)
Pub. L. 106–113, §1000(a)(6) [title IV, §407(c)(1)], added cl. (iv). (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (h)
Pub. L. 106–113, §1000(a)(6) [title III, §312(a)(1)], substituted "Subject to subparagraph (G)(v), the initial residency period" for "The initial residency period" in concluding provisions. (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (h)
Pub. L. 106–113, §1000(a)(6) [title III, §312(a)(2)(A)], substituted "(iv), and (v)" for "and (iv)". (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (h)
Pub. L. 106–113, §1000(a)(6) [title III, §312(a)(2)(B)], added cl. (v). (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (h)
Pub. L. 106–113, §1000(a)(6) [title I, §125(a)(1)], struck out ", day of inpatient hospital services, or other unit of payment defined by the Secretary" before period at end. (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (j)
Pub. L. 106–113, §1000(a)(6) [title I, §125(a)(3)], added subpar. (E). (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (j)
Pub. L. 106–113, §1000(a)(6) [title I, §125(a)(2)], amended cl. (i) generally. Prior to amendment, cl. (i) read as follows: "classes of patients of rehabilitation facilities (each in this subsection referred to as a 'case mix group'), based on such factors as the Secretary dee… (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (j)
Pub. L. 106–113, §1000(a)(6) [title V, §541(a)], added subsec. (l). (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (l)

1997

Pub. L. 105–33, §4421(b)(1), inserted "and other than a rehabilitation facility described in subsection (j)(1)" after "subsection (d)(1)(B)" in introductory provisions. (Balanced Budget Act of 1997) Law text · (b)
Pub. L. 105–33, §4415(b)(1), inserted "plus the amount, if any, provided under paragraph (2)" before "except that in no case" in concluding provisions. (Balanced Budget Act of 1997) Law text · (b)
Pub. L. 105–33, §4415(a), added cls. (i) and (ii) and concluding provisions and struck out former cls. (i) and (ii) and former concluding provisions which read as follows: (Balanced Budget Act of 1997) Law text · (b)
Pub. L. 105–33, §4415(c)(3), added subpar. (B). Former subpar. (B) redesignated (C). (Balanced Budget Act of 1997) Law text · (b)
Pub. L. 105–33, §4415(c)(1), (2), redesignated subpar. (B) as (C) and substituted "greater than 110 percent of the target amount" for "greater than the target amount" and "exceed 110 percent of the target amount" for "exceed the target amount". (Balanced Budget Act of 1997) Law text · (b)
Pub. L. 105–33, §4415(b)(2), added par. (2). (Balanced Budget Act of 1997) Law text · (b)
Pub. L. 105–33, §§4413(a)(1), 4416(2), in introductory provisions, substituted "subparagraph (C) and succeeding subparagraph," for "subparagraphs (C), (D), and (E)," and inserted "and in paragraph (7)(A)(ii)," before "for purposes of this subsection". (Balanced Budget Act of 1997) Law text · (b)
Pub. L. 105–33, §4421(b)(2), inserted "and subsection (j)" after "For purposes of subsection (d)" in introductory provisions. (Balanced Budget Act of 1997) Law text · (b)
Pub. L. 105–33, §4401(a), added subcls. (XIII) to (XVII) and struck out former subcl. (XIII) which read as follows: "for fiscal year 1998 and each subsequent fiscal year, the market basket percentage increase for hospitals in all areas." (Balanced Budget Act of 1997) Law text · (b)
Pub. L. 105–33, §4411(a)(1), added subcls. (VI) and (VII) and redesignated former subcl. (VI) as (VIII). (Balanced Budget Act of 1997) Law text · (b)
Pub. L. 105–33, §4411(a)(2), added cl. (vi). (Balanced Budget Act of 1997) Law text · (b)
Pub. L. 105–33, §4204(a)(2)(A), substituted "September 30, 1994, and for cost reporting periods beginning on or after October 1, 1997, and before October 1, 2001," for "September 30, 1994," in introductory provisions. (Balanced Budget Act of 1997) Law text · (b)
Pub. L. 105–33, §4204(a)(2)(B)–(D), added cl. (iv). (Balanced Budget Act of 1997) Law text · (b)
Pub. L. 105–33, §4413(a)(2), (b), added subpars. (F) and (G). (Balanced Budget Act of 1997) Law text · (b), (G)
Pub. L. 105–33, §4414, added subpar. (H). (Balanced Budget Act of 1997) Law text · (b)
Pub. L. 105–33, §4419(a)(1), in first sentence, substituted "The Secretary shall provide for an exception and adjustment to (and in the case of a hospital or unit described in subsection (d)(1)(B)(iii), may provide an exemption from)" for "The Secretary shall provide for an ex… (Balanced Budget Act of 1997) Law text · (b)
Pub. L. 105–33, §4411(b), inserted at end "In making such reductions, the Secretary shall treat the applicable update factor described in paragraph (3)(B)(vi) for a fiscal year as being equal to the market basket percentage for that year." (Balanced Budget Act of 1997) Law text · (b)
Pub. L. 105–33, §4416(1), added par. (7). (Balanced Budget Act of 1997) Law text · (b)
Pub. L. 105–33, §4417(a)(1), inserted at end "A hospital that was classified by the Secretary on or before September 30, 1995, as a hospital described in clause (iv) shall continue to be so classified notwithstanding that it is located in the same building as, or on the same camp… (Balanced Budget Act of 1997) Law text · (d)
Pub. L. 105–33, §4417(b)(1), designated existing provisions as subcl. (I) and added subcl. (II). (Balanced Budget Act of 1997) Law text · (d)
Pub. L. 105–33, §4418(a)(1), designated existing provisions as subcl. (I), substituted ", or" for semicolon at end, and added subcl. (II). (Balanced Budget Act of 1997) Law text · (d)
Pub. L. 105–33, §4418(a)(2), added subpar. (E). (Balanced Budget Act of 1997) Law text · (d)
Pub. L. 105–33, §4621(a)(2), inserted at end "except that the Secretary shall not take into account any reduction in the amount of additional payments under paragraph (5)(B)(ii) resulting from the amendment made by section 4621(a)(1) of the Balanced Budget Act of 1997,". (Balanced Budget Act of 1997) Law text · (d)
Pub. L. 105–33, §4405(c), substituted "exceed the sum of the applicable DRG prospective payment rate plus any amounts payable under subparagraphs (B) and (F)" for "exceed the applicable DRG prospective payment rate". (Balanced Budget Act of 1997) Law text · (d)
Pub. L. 105–33, §4405(a), inserted ", for cases qualifying for additional payment under subparagraph (A)(i)," before "the amount paid to the hospital". (Balanced Budget Act of 1997) Law text · (d)
Pub. L. 105–33, §4621(a)(1), amended cl. (ii) generally. Prior to amendment, cl. (ii) read as follows: "For purposes of clause (i)(II), the indirect teaching adjustment factor for discharges occurring on or after October 1, 1988, is equal to 1.89 × (((1 + r) to the nth power)… (Balanced Budget Act of 1997) Law text · (d)
Pub. L. 105–33, §4621(b)(2), amended cl. (iv) generally. Prior to amendment, cl. (iv) read as follows: "In determining such adjustment, the Secretary shall continue to count interns and residents assigned to outpatient services of the hospital or providing services at any ent… (Balanced Budget Act of 1997) Law text · (d)
Pub. L. 105–33, §4621(b)(1), added cls. (v) to (viii). (Balanced Budget Act of 1997) Law text · (d)
Pub. L. 105–33, §4201(c)(4)(A), inserted "as in effect on September 30, 1997" before period at end. (Balanced Budget Act of 1997) Law text · (d)
Pub. L. 105–33, §4201(c)(4)(B), inserted "as in effect on September 30, 1997" after "section 1395i–4(i)(1) of this title" and substituted "(as defined in section 1395i–4(d) of this title)" for "(as defined in section 1395i–4(g) of this title)". (Balanced Budget Act of 1997) Law text · (d)
Pub. L. 105–33, §4403(a)(1), inserted "and before October 1, 1997" after "May 1, 1986" in introductory provisions. (Balanced Budget Act of 1997) Law text · (d)
Pub. L. 105–33, §4403(a)(2), substituted "Subject to clause (ix), the amount" for "The amount". (Balanced Budget Act of 1997) Law text · (d)
Pub. L. 105–33, §4405(b), inserted ", for cases qualifying for additional payment under subparagraph (A)(i)," before "the amount paid to the hospital". (Balanced Budget Act of 1997) Law text · (d)
Pub. L. 105–33, §4403(a)(3), added cl. (ix). (Balanced Budget Act of 1997) Law text · (d)
Pub. L. 105–33, §4204(a)(1), substituted "October 1, 1994, or beginning on or after October 1, 1997, and before October 1, 2001," for "October 1, 1994,". (Balanced Budget Act of 1997) Law text · (d), (ii)
Pub. L. 105–33, §4407(1), inserted "not taking in account the effect of subparagraph (J)," after "in a fiscal year,". (Balanced Budget Act of 1997) Law text · (d)
Pub. L. 105–33, §4407(2), added subpar. (J). (Balanced Budget Act of 1997) Law text · (d)
Pub. L. 105–33, §4644(a)(1), substituted "August 1" for "September 1". (Balanced Budget Act of 1997) Law text · (d)
Pub. L. 105–33, §4406(1), struck out "in a fiscal year beginning on or after October 1, 1987," after "inpatient hospital discharges" in introductory provisions. (Balanced Budget Act of 1997) Law text · (d)
Pub. L. 105–33, §4406(2), substituted "for discharges beginning on or after October 1, 1997, 50 percent (and for discharges between October 1, 1987, and September 30, 1997, 75 percent)" for "75 percent". (Balanced Budget Act of 1997) Law text · (d)
Pub. L. 105–33, §4406(3), substituted "for discharges beginning in a fiscal year beginning on or after October 1, 1997, 50 percent (and for discharges between October 1, 1987 and September 30, 1997, 25 percent)" for "25 percent". (Balanced Budget Act of 1997) Law text · (d)
Pub. L. 105–33, §4644(c)(1), substituted "the first day of the 13-month period ending on September 30 of the preceding fiscal year." for "the first day of the preceding fiscal year." (Balanced Budget Act of 1997) Law text · (d)
Pub. L. 105–33, §4202(a), added cl. (iii) and redesignated former cl. (iii) as (iv). (Balanced Budget Act of 1997) Law text · (d), (iv)
Pub. L. 105–33, §4622, added par. (11). (Balanced Budget Act of 1997) Law text · (d)
Pub. L. 105–33, §4022(b)(1)(A)(i), struck out par. (2) which related to appointment, composition, and responsibilities of the Prospective Payment Assessment Commission. (Balanced Budget Act of 1997) Law text · (e)
Pub. L. 105–33, §4022(b)(1)(A)(ii), redesignated subpar. (B) as par. (3) and struck out subpar. (A) which read as follows: "The Commission, not later than the March 1 before the beginning of each fiscal year (beginning with fiscal year 1986), shall report its recommendations to Cong… (Balanced Budget Act of 1997) Law text · (e)
Pub. L. 105–33, §4644(b)(1)(A), substituted "April 1" for "May 1". (Balanced Budget Act of 1997) Law text · (e)
Pub. L. 105–33, §4644(b)(1)(B), substituted "August 1" for "September 1". (Balanced Budget Act of 1997) Law text · (e)
Pub. L. 105–33, §4022(b)(1)(A)(i), struck out par. (6) which related to appointments, membership, responsibilities, compensation, access to records and information, audits, and appropriations concerning the Prospective Payment Assessment Commission. (Balanced Budget Act of 1997) Law text · (e)
Pub. L. 105–33, §4402, inserted at end "In addition to the reduction described in the preceding sentence, for discharges occurring on or after October 1, 1997, the Secretary shall apply the budget neutrality adjustment factor used to determine the Federal capital payment rate in … (Balanced Budget Act of 1997) Law text · (g)
Pub. L. 105–33, §4201(c)(1), substituted "critical access" for "rural primary care". (Balanced Budget Act of 1997) Law text · (g)
Pub. L. 105–33, §4412, added par. (4). (Balanced Budget Act of 1997) Law text · (g)
Pub. L. 105–33, §4625(b), inserted concluding provisions. (Balanced Budget Act of 1997) Law text · (h)
Pub. L. 105–33, §4624, added subpar. (D). (Balanced Budget Act of 1997) Law text · (h)
Pub. L. 105–33, §4623, added subpars. (F) to (H). (Balanced Budget Act of 1997) Law text · (h)
Pub. L. 105–33, §4627(a), substituted "Subject to clauses (ii), (iii), and (iv)" for "Subject to clauses (ii) and (iii)" in cl. (i) and added cl. (iv). (Balanced Budget Act of 1997) Law text · (h)
Pub. L. 105–33, §4626(a), added par. (6). (Balanced Budget Act of 1997) Law text · (h)
Pub. L. 105–33, §4421(a), added subsec. (j). (Balanced Budget Act of 1997) Law text · (j)
Pub. L. 105–33, §4625(a), added subsec. (k). (Balanced Budget Act of 1997) Law text · (k)

1994

Pub. L. 103–432, §110(a), inserted "(or, in the case of a hospital that is not a subsection (d) hospital, during the 1 day)" after "3 days". · (a)
Pub. L. 103–432, §105(b), substituted "(adjusted to exclude any portion of a cost reporting period beginning during fiscal year 1993 for which the applicable percentage increase is determined under subparagraph (I))" for "(taking into account any portion of the 12-month c… · (b)
Pub. L. 103–432, §105(a)(2), substituted "September 30, 1994" for "March 31, 1993" in introductory provisions. · (b)
Pub. L. 103–432, §101(c), inserted at end "For discharges occurring on or after October 1, 1994, the Secretary shall adjust the ratio of the labor portion to non-labor portion of each average standardized amount to equal such ratio for the national average of all standardize… · (d)
Pub. L. 103–432, §110(c), substituted "October 1, 1988" for "May 1, 1986". · (d)
Pub. L. 103–432, §102(b)(1)(B)(i), substituted "that is located in a rural area and designated" for "that is designated". · (d)
Pub. L. 103–432, §102(b)(1)(B)(ii), substituted "in the case of a hospital located in a rural area and designated" for "in the case of a hospital designated". · (d)
Pub. L. 103–432, §105(a)(1), substituted "the 36-month period beginning with the first day of the cost reporting period that begins" for "the first 3 12-month cost reporting periods that begin". · (d)
Pub. L. 103–432, §109, designated existing provisions as cl. (i) and added cl. (ii). · (d)
Pub. L. 103–432, §101(b)(1)(A), substituted "paragraph (10)" for "paragraph (1)". · (d)
Pub. L. 103–432, §101(b)(1)(B), added cl. (v). · (d)
Pub. L. 103–432, §101(b)(2)(A), substituted "the factor used to adjust the DRG prospective payment rate for area differences in hospital wage levels that applies" for "the area wage index applicable". · (d)
Pub. L. 103–432, §101(a)(1), inserted "(to the extent the Secretary determines appropriate)" after "taking into account". · (d)
Pub. L. 103–432, §101(b)(2)(B), added cl. (ii) and redesignated former cl. (ii) as (iii). · (d), (iii)
Pub. L. 103–432, §108, substituted "health facility management, reimbursement of health facilities or other providers of services which reflect the scope of the Commission's responsibilities" for "hospital reimbursement, hospital financial management". · (e)
Pub. L. 103–432, §153(a), inserted "or any successor examination" after "Medical Sciences". · (h)

1993

Pub. L. 103–66, §13501(a)(1)(A), substituted "percentage increase minus 2.5 percentage points for hospitals" for "percentage increase for hospitals" and "percentage increase minus 1.0 percentage point" for "percentage increase plus 1.5 percentage points". · (b)
Pub. L. 103–66, §13501(a)(1)(B), substituted "percentage increase minus 2.5 percentage points for hospitals" for "percentage increase for hospitals" and struck out "and" at end. · (b)
Pub. L. 103–66, §13501(a)(1)(C), struck out "and each subsequent fiscal year" after "1996", inserted "minus 2.0 percentage points" after "percentage increase", and substituted a comma for period at end. · (b)
Pub. L. 103–66, §13501(a)(1)(D), added subcls. (XII) and (XIII). · (b), (XIII)
Pub. L. 103–66, §13501(a)(2)(B)(i), struck out ", (C), (D)," after "subparagraphs (A)". · (b)
Pub. L. 103–66, §13502(a)(1), struck out "and" at end of subcl. (III), in subcl. (IV), substituted "a subsequent fiscal year ending on or before September 30, 1993," for "subsequent fiscal years" and a comma for the period at end, and added subcls. (V) and (VI). · (b)
Pub. L. 103–66, §13501(a)(2)(A), added cl. (iv). · (b)
Pub. L. 103–66, §13502(a)(2), added cl. (v). · (b)
Pub. L. 103–66, §13501(a)(2)(B)(ii), struck out "or" at end. · (b)
Pub. L. 103–66, §13501(a)(2)(B)(iii), substituted "period beginning before fiscal year 1994, the target" for "period, the target", "subparagraph (B)(iv)" for "subparagraph (B)(ii)", and a comma for period at end. · (b)
Pub. L. 103–66, §13501(a)(2)(B)(iv), added cls. (iii) and (iv). · (b), (iv)
Pub. L. 103–66, §13501(a)(2)(B)(v), substituted "period beginning before fiscal year 1994, the target" for "period, the target", "subparagraph (B)(iv)" for "subparagraph (B)(ii)", and ", and" for period at end. · (b)
Pub. L. 103–66, §13501(a)(2)(B)(vi), added cl. (iii). · (b)
Pub. L. 103–66, §13502(b), designated existing provisions as cl. (i) and added cl. (ii). · (b)
Pub. L. 103–66, §13501(f), amended cl. (iii) generally. Prior to amendment, cl. (iii) read as follows: "beginning on or after April 1, 1988, and ending on September 30, 1993,, the sum of (I) 85 percent of the national adjusted DRG prospective payment rate determined under pa… · (d)
Pub. L. 103–66, §13501(c)(1), substituted "For discharges occurring during fiscal years ending on or before September 30, 1997, the Secretary" for "The Secretary". · (d)
Pub. L. 103–66, §13501(c)(2), substituted ", or, for discharges in fiscal years beginning on or after October 1, 1994, exceed the applicable DRG prospective payment rate plus a fixed dollar amount determined by the Secretary." for period at end. · (d)
Pub. L. 103–66, §13501(c)(3), substituted "shall (except as payments under clause (i) are required to be reduced to take into account the requirements of clause (v)) approximate" for "shall approximate". · (d)
Pub. L. 103–66, §13501(c)(4), added cls. (v) and (vi). · (d), (vi)
Pub. L. 103–66, §13506, inserted "or providing services at any entity receiving a grant under section 254c of this title that is under the ownership or control of the hospital (if the hospital incurs all, or substantially all, of the costs of the services furnished by such in… · (d)
Pub. L. 103–66, §13501(e)(1)(A), which directed amendment of subsec. (d)(5)(G) in clause (i) in the matter preceding subclause (I), by striking "ending on or before March 31, 1993," and all that follows and inserting "before October 1, 1994, in the case of a subsection (d) hos… · (d)
Pub. L. 103–66, §13501(e)(1)(B), (C), added cl. (ii) and redesignated former cls. (ii) and (iii) as (iii) and (iv), respectively. · (d)
Pub. L. 103–66, §13501(b)(1), added cl. (iv). · (d)
Pub. L. 103–66, §13501(a)(3), inserted at end "For discharges occurring after September 30, 1993, the Secretary shall reduce by 7.4 percent the unadjusted standard Federal capital payment rate (as described in 42 CFR 412.308(c), as in effect on August 10, 1993) and shall (for hos… · (g)
Pub. L. 103–66, §13563(a)(1), designated existing provisions as cl. (i), substituted "Except as provided in clause (ii), for each" for "For each", and added cl. (ii). · (h)
Pub. L. 103–66, §13563(b)(1)(A), struck out "plus one year" after "board eligibility" in introductory provisions. · (h)
Pub. L. 103–66, §13563(b)(1)(B), inserted "or a preventive medicine residency or fellowship program" after "fellowship program". · (h)
Pub. L. 103–66, §13563(a)(2), added subpar. (H) and redesignated former subpar. (H) as (I). · (h), (I)
Pub. L. 103–66, §13563(c)(1), added subpar. (J). · (h)

1990

Pub. L. 101–508, §4003(a), struck out period at end of first sentence and inserted ", and includes the costs of all services for which payment may be made under this subchapter that are provided by the hospital (or by an entity wholly owned or operated by the hospital) to the patien… · (a)
Pub. L. 101–508, §4005(a)(1), added cl. (ii) and struck out former cl. (ii) which read as follows: "in the case of cost reporting periods beginning on or after October 1, 1982, and before October 1, 1984, 25 percent of the amount by which the amount of the operating costs exc… · (b)
Pub. L. 101–508, §4002(a)(1)(A), struck out "and" after semicolon at end. · (b)
Pub. L. 101–508, §4002(c)(1)(A), substituted "in a large urban or other urban area, and the market basket percentage increase minus 0.7 percentage point for hospitals located in a rural area" for "in all areas". · (b)
Pub. L. 101–508, §4002(a)(1)(C), added subcl. (VI). Former subcl. (VI) redesignated (IX). · (b)
Pub. L. 101–508, §4002(a)(1)(B)(i), substituted "1994" for "1991". · (b)
Pub. L. 101–508, §4002(c)(1)(B), substituted "in a large urban or other urban area, and the market basket percentage increase minus 0.6 percentage point for hospitals located in a rural area" for "in all areas". · (b)
Pub. L. 101–508, §4002(a)(1)(C), added subcl. (VII). · (b)
Pub. L. 101–508, §4002(c)(1)(C), substituted "in a large urban or other urban area, and the market basket percentage increase minus 0.55 for hospitals located in a rural area," for "in all areas, and". · (b)
Pub. L. 101–508, §4002(a)(1)(C), added subcl. (VIII). · (b)
Pub. L. 101–508, §4002(c)(1)(E), added subcl. (IX). Former subcl. (IX) redesignated (XI). · (b)
Pub. L. 101–508, §4002(c)(1)(D)(i), substituted "1996" for "1994". · (b)
Pub. L. 101–508, §4002(a)(1)(B)(ii), redesignated subcl. (VI) as (IX). · (b)
Pub. L. 101–508, §4002(c)(1)(E), added subcl. (X). · (b)
Pub. L. 101–508, §4002(c)(1)(D)(ii), redesignated subcl. (IX) as (XI). · (b)
Pub. L. 101–508, §4002(c)(2)(A)(i), substituted "(A), (C), (D), and (E)," for "(A) and (E)," in introductory provisions. · (b)
Pub. L. 101–508, §4002(c)(2)(A)(ii), substituted "subparagraph (B)(ii)" for "subparagraph (B)(i)". · (b), (D)
Pub. L. 101–508, §4005(c)(1)(B), inserted at end "The Secretary shall announce a decision on any request for an exemption, exception, or adjustment under this paragraph not later than 180 days after receiving a completed application from the intermediary for such exemption, excep… · (b)
Pub. L. 101–508, §4005(c)(2), added subpar. (B) and redesignated former subpar. (B) as (C). · (b), (C)
Pub. L. 101–508, §4008(f)(1), substituted "payments under the State system as compared to aggregate payments which would have been made under the national system since" for "rate of increase from" in last sentence. · (c)
Pub. L. 101–508, §4002(e)(1), substituted "beginning on or after April 1, 1988, and ending on September 30, 1993," for "beginning on or after October 1, 1987, is equal to the national adjusted DRG prospective payment rate determined under paragraph (3) for such discharges, o… · (d)
Pub. L. 101–508, §4002(c)(2)(B)(i), substituted "large urban or other area" for "rural, large urban, or other urban area" in text of cl. (iii)(II) as amended by Pub. L. 103–66, §13501(f). See 1993 Amendment note above. · (d)
Pub. L. 101–403 substituted "October 20, 1990" for "September 30, 1990". · (d)
Pub. L. 101–508, §4002(b)(4)(B), substituted "1989 or the enactment of section 4002(b) of the Omnibus Budget Reconciliation Act of 1990." for "1989." · (d)
Pub. L. 101–508, §4002(b)(4)(A), struck out period at end and inserted ", except that the Secretary shall not exclude additional payments under such paragraph made as a result of the enactment of section 6003(c) of the Omnibus Budget Reconciliation Act of 1989." · (d)
Pub. L. 101–508, §4002(b)(3)(A), struck out "and before October 1, 1995," after "October 1, 1986,". · (d)
Pub. L. 101–508, §4002(c)(2)(B)(ii)(I), substituted "and ending on or before September 30, 1994, the Secretary" for "the Secretary". · (d)
Pub. L. 101–508, §4002(c)(2)(B)(ii)(II), (III), added cls. (iii) and (iv) and redesignated former cl. (iii) as (v). · (d), (e), (f), (g), (h), (i), (j), (k), (l), (m), (n), (o), (p), (q), (r), (s), (t), (u), (v)
Pub. L. 101–508, §4002(c)(2)(B)(iii), substituted "by a factor equal to the proportion of payments under this subsection (as estimated by the Secretary) based on DRG prospective payment amounts which are additional payments described in paragraph (5)(A) (relating to outlier payme… · (d)
Pub. L. 101–508, §4002(b)(3)(B)(B), substituted "occurring on or after October 1, 1986," through the end of cl. (ii) for "occurring—" and subcls. (I) and (II) which read as follows: · (d)
Pub. L. 101–508, §4002(c)(2)(B)(iv)(I), which directed amendment of cl. (i) by substituting "a large urban area" for "an urban area (or," and all that follows through "area)," was executed by making the substitution for "an urban area (or, for discharges occurring on or after … · (d)
Pub. L. 101–508, §4002(c)(2)(B)(iv)(II), substituted "a large urban area" for "an urban area". · (d)
Pub. L. 101–508, §4002(c)(2)(B)(v), substituted "other areas" for "a rural area" in introductory provisions and in subcl. (I). · (d)
Pub. L. 101–508, §4002(g)(2)(A), struck out subpar. (D) which read as follows: "The Commission (established under subsection (e)(2) of this section) shall consult with and make recommendations to the Secretary with respect to the need for adjustments under subparagraph (C), based… · (d)
Pub. L. 101–508, §4002(b)(3)(B)(A), amended cl. (ii) generally. Prior to amendment, cl. (ii) read as follows: "For purposes of clause (i)(II), the indirect teaching adjustment factor for discharges occurring— · (d)
Pub. L. 101–508, §4008(m)(2)(A), substituted "For purposes of this subchapter, the term" for "The term" at beginning. · (d)
Pub. L. 101–508, §4002(b)(3)(A), struck out "and before October 1, 1995," after "May 1, 1986,". · (d)
Pub. L. 101–508, §4002(b)(2), substituted "35 percent" for "30 percent". · (d)
Pub. L. 101–508, §4002(b)(1)(A), substituted "greater than 20.2—" and subdivs. (a) to (d) for "greater than 20.2, (P−20.2)(.65)+5.62, or". · (d)
Pub. L. 101–508, §4002(b)(1)(B), substituted "hospital—" and subdivs. (a) to (c) for "hospital, (P−15)(.6)+2.5,". · (d)
Pub. L. 101–508, §4002(h)(1)(A)(i), substituted "area, or by treating hospitals located in one urban area as being located in another urban area—" for "area—". · (d)
Pub. L. 101–508, §4002(h)(1)(A)(ii), amended subcl. (II) generally. Prior to amendment, subcl. (II) read as follows: "reduces the wage index for that urban area by more than 1 percentage point (as applied under this subsection), the Secretary shall calculate and apply such… · (d)
Pub. L. 101–508, §4002(h)(1)(A)(iii), (iv), redesignated cls. (iii) and (iv) as (ii) and (iii), respectively, and struck out former cl. (ii) which read as follows: "If the application of subparagraph (B) or a decision of the Medicare Geographic Classification Review B… · (d)
Pub. L. 101–508, §4002(c)(2)(B)(vi), struck out "for hospitals located in an urban area" after "determined under paragraph (3)" and struck out at end "The Secretary shall make such adjustment in payments under this section to hospitals located in rural areas as are necessary to a… · (d)
Pub. L. 101–508, §4002(h)(2)(B)(i), substituted "Geographic" for "Geographical". · (d)
Pub. L. 101–508, §4002(h)(2)(B)(ii), substituted "representative" for "representatives" and struck out "1 member shall be a member of the Prospective Payment Assessment Commission, and at least" after "At least". · (d)
Pub. L. 101–508, §4002(h)(2)(B)(iii), substituted "initial" for "all". · (d)
Pub. L. 101–508, §4002(h)(2)(B)(iv), substituted "Appeal of decisions of the Board shall be subject to the provisions of section 557b of title 5" for "A decision of the Board shall be final unless the unsuccessful applicant appeals such decision to the Secretary by not … · (d)
Pub. L. 101–508, §4002(g)(1), designated existing provisions as subpar. (A) and added subpars. (B) and (C). · (e)
Pub. L. 101–508, §4002(g)(2)(B), substituted "The Commission" for "In addition to carrying out its functions under subsection (d)(4)(D) of this section, the Commission". · (e)
Pub. L. 101–508, §4002(g)(2)(C), substituted "Congress" for "the Secretary" and inserted before period at end ", together with its general recommendations under paragraph (2)(B) regarding the effectiveness and quality of health care delivery systems in the United States". · (e)
Pub. L. 101–508, §4002(g)(2)(D), designated existing provisions as subpar. (A) and added subpar. (B). · (e)
Pub. L. 101–508, §4002(g)(2)(E), substituted "recommendations" for "recommendation" in subpars. (A) and (B) and inserted at end "To the extent that the Secretary's recommendations under paragraph (4) differ from the Commission's recommendations for that fiscal year, the Secretary sh… · (e)
Pub. L. 101–508, §4002(g)(2)(F), redesignated cls. (ii) and (iii) as (i) and (ii), respectively, and struck out former cl. (i) which read as follows: "The Office shall report annually to the Congress on the functioning and progress of the Commission and on the status of the asses… · (e)
Pub. L. 101–508, §4001(b), inserted at end "Aggregate payments made under subsection (d) and this subsection during fiscal years 1992 through 1995 shall be reduced in a manner that results in a reduction (as estimated by the Secretary) in the amount of such payments equal to a 10… · (g)
Pub. L. 101–508, §4001(a), substituted "September 30, 1991" for "September 30, 1990". · (g)
Pub. L. 101–508, §4001(c), substituted "subsection (d)(5)(D)(iii) or a rural primary care hospital (as defined in section 1395x(mm)(1) of this title)" for "subsection (d)(5)(D)(iii))". · (g)

1989

Pub. L. 101–239, §6011(a), struck out "or," after "equity capital," and substituted "October 1, 1987), or costs with respect to administering blood clotting factors to individuals with hemophilia" for "October 1, 1987)". · (a)
Pub. L. 101–239, §6004(b)(1)(A), substituted "(C), (D), and (E)" for "(C) and (D)" in introductory provisions. · (b)
Pub. L. 101–239, §6003(f)(2)(i), substituted "subparagraphs (C) and (D)" for "subparagraph (C)" in introductory provisions. · (b)
Pub. L. 101–239, §6003(e)(1)(B)(i), substituted "(A) Except as provided in subparagraph (C), for purposes of this subsection" for "(A) For purposes of this subsection" in introductory provisions. · (b)
Pub. L. 101–239, §6003(a)(1), added subcl. (V), redesignated former subcl. (V) as (VI), and substituted "fiscal year 1991" for "fiscal year 1990" in subcl. (VI). · (b), (VI)
Pub. L. 101–239, §6004(b)(1)(B), substituted "For purposes of subparagraphs (A) and (E)" for "For purposes of subparagraph (A)" in introductory provisions. · (b)
Pub. L. 101–239, §6003(e)(1)(B)(ii), added subpar. (C). · (b)
Pub. L. 101–239, §6003(f)(2)(ii), added subpar. (D). · (b)
Pub. L. 101–239, §6004(b)(1)(C), added subpar. (E). · (b)
Pub. L. 101–239, §6015(a), substituted "deems appropriate, including the assignment of a new base period which is more representative, as determined by the Secretary, of the reasonable and necessary cost of inpatient services and" for "deems appropriate,". · (b)
Pub. L. 101–239, §6022, substituted "the aggregate rate of increase from October 1, 1984, to the most recent date for which annual data are available" for "the aggregate payment or payments per inpatient admission or discharge during the three cost reporting periods beginning on or … · (c)
Pub. L. 101–239, §6004(a)(1), added cl. (v). · (d)
Pub. L. 101–239, §6003(h)(6), substituted "October 1, 1990, and October 1, 1993 (and at least every 12 months thereafter)" for "October 1, 1990 (and at least every 36 months thereafter)" and inserted at end "Any adjustments or updates made under this subparagraph for a fiscal yea… · (d)
Pub. L. 101–239, §6003(b), designated existing provisions as cl. (i) and added cls. (ii) to (iv). · (d)
Pub. L. 101–239, §6003(e)(1)(A)(i), (ii), (iv), (2)(B), redesignated former cl. (i)(I) as cl. (i), redesignated former cl. (i)(II) as cl. (ii) and substituted "clause (i)" for "subclause (I)" in three places, and redesignated former cls. (ii), (iii), and (iv) as subpars. (D), (I)… · (d)
Pub. L. 101–239, §6003(e)(1)(A)(iv), amended former subpar. (C)(ii) generally, redesignating it as subpar. (D) and substituting cls. (i) to (iv) relating to payments to sole community hospitals for cost reporting periods beginning on or after Apr. 1, 1990, for former single parag… · (d)
Pub. L. 101–239, §6003(g)(2)(A), added subcl. (III). · (d)
Pub. L. 101–239, §6003(g)(2)(B), added cl. (v). · (d)
Pub. L. 101–239, §6003(e)(1)(A)(iii), redesignated subpar. (D) as (E). · (d)
Pub. L. 101–239, §6003(c)(3), substituted "30 percent" for "25 percent". · (d)
Pub. L. 101–239, §6003(c)(1)(A), substituted "the applicable formula described in clause (vii)" for "the following formula: (P−15)(.5)+2.5, where 'P' is the hospital's disproportionate patient percentage (as defined in clause (vi))". · (d)
Pub. L. 101–239, §6003(c)(2)(A)(ii), inserted "in subclause (IV) or (V) or" after "described". · (d)
Pub. L. 101–239, §6003(c)(2)(A)(i), (iii), (iv), added subcls. (IV) to (VI). · (d)
Pub. L. 101–239, §6003(c)(2)(B), added subcl. (II), redesignated former subcls. (II) and (III) as (III) and (IV), respectively, and substituted "area and is not described in subclause (II)" for "area" in subcl. (IV). · (d)
Pub. L. 101–239, §6003(c)(1)(B), added cl. (vii). · (d)
Pub. L. 101–239, §6003(c)(2)(C), added cl. (viii). · (d)
Pub. L. 101–239, §6003(f)(1), added subpar. (G). · (d)
Pub. L. 101–239, §6003(e)(1)(A)(i), redesignated subpar. (C)(iv) as subpar. (H). · (d)
Pub. L. 101–239, §6004(a)(2), struck out "(including exceptions and adjustments that may be appropriate with respect to hospitals involved extensively in treatment for and research on cancer)" after "deems appropriate". · (d)
Pub. L. 101–239, §6003(e)(1)(A)(ii), redesignated subpar. (C)(iii) as subpar. (I). · (d)
Pub. L. 101–239, §6003(h)(3), amended subpar. (C) generally. Prior to amendment, subpar. (C) read as follows: · (d)
Pub. L. 101–239, §6003(h)(2), substituted "subparagraph (B) or a decision of the Medicare Geographic Classification Review Board or the Secretary under paragraph (10)," for "subparagraph (B)" in two places. · (d)
Pub. L. 101–239, §6003(h)(4), added cl. (iv). · (d)
Pub. L. 101–239, §6003(h)(2)(B), substituted "(B) and (C) or a decision of the Medicare Geographic Classification Review Board or the Secretary under paragraph (10)" for "(B) and (C)" in three places. · (d)
Pub. L. 101–239, §6003(e)(2)(C), substituted "subparagraph (D)(iii)" for "subparagraph (D)(v)". · (d)
Pub. L. 101–239, §6003(e)(2)(D)(ii), redesignated cl. (v) as (iii). Former cl. (iii) redesignated (iv). · (d)
Pub. L. 101–239, §6003(e)(2)(D)(i), (ii), redesignated former cl. (iii) as (iv), substituted "Subparagraph (H)" for "Subparagraph (C)(iii)", and struck out former cl. (iv) which read as follows: "Subparagraph (E) (relating to payments for costs of certified registered nurse a… · (d)
Pub. L. 101–239, §6003(e)(2)(D)(iii), redesignated cl. (v) as (iii). · (d)
Pub. L. 101–239, §6003(h)(1), added par. (10). · (d)
Pub. L. 101–234, §301(b)(3), (c)(3), amended cl. (iv) identically, substituting "(as the case may be)" for "(as the case may) be". · (g)
Pub. L. 101–239, §6002, added cl. (v). · (g)
Pub. L. 101–239, §6003(e)(2)(E), substituted "subsection (d)(5)(D)(iii)" for "subsection (d)(5)(C)(ii)". · (g)
Pub. L. 101–239, §6003(g)(4), added subsec. (i). · (i)

1988

Pub. L. 100–485, §608(d)(18)(A), substituted "for hospitals" for "for for hospitals" before "located in other urban areas". · (b)
Pub. L. 100–360, §411(b)(1)(A), substituted "for hospitals located in other urban areas" for "other hospitals". · (b)
Pub. L. 100–485, §608(d)(18)(A), substituted "for hospitals" for "for for hospitals" before "located in other urban areas". · (b)
Pub. L. 100–360, §411(b)(1)(A), (B), substituted "percentage points" for "percent" in three places and "for hospitals located in other urban areas" for "other hospitals". · (b)
Pub. L. 100–360, §411(b)(1)(C), inserted "increase" after "market basket percentage". · (b)
Pub. L. 100–360, §411(b)(1)(G), substituted "if the average standardized amount (described in clause (i)(I) or clause (ii)(I) of paragraph (3)(D)) for hospitals within the region of, and in the same rural, large urban, or other urban area as, the hospital is greater than the… · (d)
Pub. L. 100–647, §1018(r)(1), struck out Pub. L. 99–514, §1895(b)(1), (2). Previously, Pub. L. 99–509, §9307(c)(1)(A), struck out Pub. L. 99–514, §1895(b)(1)(A). See 1986 Amendment note below. · (d)
Pub. L. 100–647, §8401, substituted "1995" for "1990". · (d)
Pub. L. 100–647, §1018(r)(1), struck out Pub. L. 99–514, §1895(b)(1), (2). Previously, Pub. L. 99–509, §9307(c)(1)(B)(i), as amended by Pub. L. 100–203, §4009(j)(6)(A), struck out Pub. L. 99–514, §1895(b)(2)(A). See 1986 Amendment note below. · (d)
Pub. L. 100–360, §411(b)(1)(D), substituted "the publications described in subsection (e)(5)" for "the publication described in subsection (e)(5)(B)" in second sentence. · (d)
Pub. L. 100–360, §411(b)(1)(H)(i), struck out at end "For purposes of payment under this subsection, a hospital is considered to be located in an urban area or large urban area, respectively, if the hospital is paid under this subsection at the rate for hospitals located in such an area." · (d)
Pub. L. 100–647, §1018(r)(1), struck out Pub. L. 99–514, §1895(b)(1), (2). Previously, Pub. L. 99–509, §9307(c)(1)(A), struck out Pub. L. 99–514, §1895(b)(1)(B). See 1986 Amendment note below. · (d)
Pub. L. 100–360, §411(b)(1)(E)(i), as added by Pub. L. 100–485, §608(d)(18)(B), substituted "occurring" for "occuring" in first sentence. · (d)
Pub. L. 100–360, §411(b)(1)(E)(ii), formerly §411(b)(1)(E), as redesignated by Pub. L. 100–485, §608(d)(18)(B), made technical correction to Pub. L. 100–203, §4002(c)(1)(B)(iii), see 1987 Amendment note below. · (d)
Pub. L. 100–360, §411(b)(1)(F), substituted "in other urban areas" for "in urban areas". · (d)
Pub. L. 100–647, §1018(r)(1), struck out Pub. L. 99–514, §1895(b)(1), (2). Previously, Pub. L. 99–509, §9307(c)(1)(A), struck out Pub. L. 99–514, §1895(b)(1)(C). See 1986 Amendment note below. · (d)
Pub. L. 100–647, §8401, substituted "1995" for "1990". · (d), (II)
Pub. L. 100–647, §1018(r)(1), struck out Pub. L. 99–514, §1895(b)(1), (2). Previously, Pub. L. 99–509, §9307(c)(1)(B)(i), as amended by Pub. L. 100–203, §4009(j)(6)(A), struck out Pub. L. 99–514, §1895(b)(2)(B). See 1986 Amendment note below. · (d)
Pub. L. 100–647, §8401, substituted "1995" for "1990". · (d), (II)
Pub. L. 100–647, §8401, substituted "1995" for "1990". · (d)
Pub. L. 100–647, §1018(r)(1), struck out Pub. L. 99–514, §1895(b)(1), (2). See 1986 Amendment note below. · (d)
Pub. L. 100–360, §411(b)(4)(C)(i), made technical correction to directory language of Pub. L. 100–203, §4005(a)(1)(D), see 1987 Amendment note below. · (d)
Pub. L. 100–360, §411(b)(4)(A)(i), substituted "For purposes of this subsection, the Secretary" for "The Secretary". · (d)
Pub. L. 100–360, §411(b)(4)(A)(ii), substituted "the rural county would otherwise be considered part of an urban area, under the standards for designating Metropolitan Statistical Areas (and for designating New England County Metropolitan Areas) published in the Federal Register on January 3, 1980,… · (d)
Pub. L. 100–647, §8403(a)(2), added subpar. (C). Former subpar. (C) redesignated (D). · (d)
Pub. L. 100–360, §411(b)(4)(B), substituted "standardized amounts" for "standardized amount". · (d)
Pub. L. 100–647, §8403(a)(1), redesignated former subpar. (C) as (D) and substituted "subparagraphs (B) and (C)" for "subparagraph (B)" wherever appearing. · (d)
Pub. L. 100–360, §411(b)(3), added Pub. L. 100–203, §4004(a)(2), see 1987 Amendment note below. · (d)
Pub. L. 100–360, §411(b)(8)(B), amended Pub. L. 100–203, §4009(d)(1), see 1987 Amendment note below. · (e)
Pub. L. 100–360, §411(b)(6)(B), added Pub. L. 100–203, §4007(b)(1)(A), (B), see 1987 Amendment note below. · (f)
Pub. L. 100–360, §411(b)(6)(B), added Pub. L. 100–203, §4007(b)(1)(C), see 1987 Amendment note below. · (f)
Pub. L. 100–360, §411(b)(5)(B), made technical amendment to Pub. L. 100–203, §4006(a), see 1987 Amendment note below. · (g)
Pub. L. 100–360, §411(b)(5)(A), inserted "for payments attributable" after "15 percent". · (g)

1987

Pub. L. 100–203, §4009(j)(1), inserted a comma after "educational activities". · (a)
Pub. L. 100–203, §4006(b)(2)(A), substituted "other capital-related costs (as defined by the Secretary for periods before October 1, 1987)" for "with respect to costs incurred in cost reporting periods beginning prior to October 1 of 1987 (or of such later year as the Secretary may, in his discreti… · (a)
Pub. L. 100–203, §4002(e)(1), struck out "subparagraph (A) for 12-month cost reporting periods beginning during a fiscal year and for purposes of" after "For purposes of". · (b)
Pub. L. 100–203, §4002(a), struck out "and for fiscal year 1988, the market basket percentage increase (as defined in clause (ii)) minus 2.0 percentage points, and" after "1.15 percent,". · (b)
Pub. L. 100–203, §4002(a), added subcls. (III) to (V) and struck out former subcl. (III) which read "for fiscal year 1989 and subsequent fiscal years, the percentage determined by the Secretary pursuant to subsection (e)(4) of this section." · (b)
Pub. L. 100–203, §4002(e)(2), (3), added cl. (ii), redesignated former cl. (ii) as (iii), and substituted "For purposes of this subparagraph" for "For purposes of clause (i)". · (b), (iii)
Pub. L. 100–203, §4002(d), inserted before period at end ", or, if greater for discharges occurring during the period beginning on April 1, 1988, and ending on September 30, 1990, the sum of (I) 85 percent of the national adjusted DRG prospective payment rate determined unde… · (d)
Pub. L. 100–203, §4009(j)(6)(A), made technical amendment to Pub. L. 99–509, §9307(c)(1)(B). See 1986 Amendment note below. · (d)
Pub. L. 100–203, §4003(c), substituted "1990" for "1989". · (d)
Pub. L. 100–203, §4002(f)(1)(A), inserted sentence at end providing that hospital is considered located in urban area or large urban area, respectively, if it is paid under this subsection at rate for hospitals located in such area. · (d)
Pub. L. 100–203, §4002(b), in second sentence inserted definition of "large urban area". · (d)
Pub. L. 100–203, §4002(c)(1)(A), substituted "large urban, other urban, or rural areas" for "urban or rural areas" in second sentence. · (d)
Pub. L. 100–203, §4002(c)(1)(B), (C), as amended by Pub. L. 100–360, §411(b)(1)(E)(ii), designated existing provisions as cl. (i), substituted "For discharges occuring [sic] in a fiscal year beginning before October 1, 1987, the Secretary" for "The Secretary" and "the fiscal y… · (d)
Pub. L. 100–203, §4003(c), substituted "1990" for "1989" in subcls. (I) and (II). · (d)
Pub. L. 100–203, §4003(a)(2), inserted "and by section 4003(a)(1) of the Omnibus Budget Reconciliation Act of 1987" after "Amendments of 1985" in subcls. (I) and (II). · (d)
Pub. L. 100–203, §4009(j)(6)(A), made technical amendment to Pub. L. 99–509, §9307(c)(1)(B). See 1986 Amendment note below. · (d)
Pub. L. 100–203, §4002(c)(1)(D)(i), substituted "hospitals in different areas" for "urban and rural hospitals" in heading. · (d)
Pub. L. 100–203, §4002(c)(1)(D)(ii), (iii), inserted "(or, for discharges occurring on or after April 1, 1988, in a large urban area or other urban area)" after first reference to "urban area", and in subcl. (I) inserted "such" before "an urban area". · (d)
Pub. L. 100–203, §4004(a)(1), formerly §4004(a), as redesignated by Pub. L. 100–360, §411(b)(3), inserted at end "Not later than October 1, 1990 (and at least every 36 months thereafter), the Secretary shall update the factor under the preceding sentence on the basis of a survey … · (d)
Pub. L. 100–203, §4003(c), substituted "1990" for "1989" in subcls. (I) and (II). · (d)
Pub. L. 100–203, §4003(a)(1), substituted "1.89" for "2" in subcl. (I) and "1.43" for "1.5" in subcl. (II). · (d)
Pub. L. 100–203, §4005(d)(1)(A), substituted "275" for "500". · (d)
Pub. L. 100–203, §4009(j)(2), inserted "index" after "case mix" in two places. · (d)
Pub. L. 100–203, §4005(c)(1), substituted "1990" for "1988" in second sentence and inserted after second sentence "A subsection (d) hospital that meets the criteria for classification as a sole community hospital and otherwise qualifies for the adjustment authorized by the pr… · (d)
Pub. L. 100–203, §4003(c), substituted "1990" for "1989". · (d)
Pub. L. 100–203, §4009(j)(3)(A), substituted "such net inpatient care revenues" for second reference to "such revenues". · (d)
Pub. L. 100–203, §4003(b)(1), substituted "25 percent" for "15 percent". · (d)
Pub. L. 100–203, §4009(j)(3)(B), substituted "clause (v)" for "subclause (III)". · (d)
Pub. L. 100–203, §4003(b)(2), struck out "the lesser of 15 percent, or" after "is equal to". · (d)
Pub. L. 100–203, §4009(j)(6)(A), made technical amendment to Pub. L. 99–509, §9307(c)(1)(B)(ii). See 1986 Amendment note below. · (d)
Pub. L. 100–203, §4005(a)(1), as amended by Pub. L. 100–360, §411(b)(4)(C)(i), designated existing provisions as subpar. (A), redesignated former subpar. (A) and cls. (i) and (ii) as cl. (i) and subcls. (I) and (II), respectively, redesignated former subpar. (B) and cls. (i) and (ii… · (d)
Pub. L. 100–203, §4002(c)(2), substituted "a large urban area," for "an urban area, and" in subcl. (I), added subcl. (II), and redesignated former subcl. (II) as (III). · (d)
Pub. L. 100–203, §4009(j)(4), realigned margin of introductory provisions. · (d)
Pub. L. 100–203, §4004(a)(2), as added by Pub. L. 100–360, §411(b)(3), inserted at end "The second and third sentences of paragraph (3)(E) shall apply to subsection (d) Puerto Rico hospitals under this clause in the same manner as they apply to subsection (d) hospitals under … · (d)
Pub. L. 100–203, §4002(f)(1)(B), struck out "or determine" after "recommend". · (e)
Pub. L. 100–203, §4002(f)(1)(C), substituted "for each fiscal year (beginning with fiscal year 1988)" for "for fiscal year 1988", struck out "and shall determine for each subsequent fiscal year the percentage change which will apply for purposes of this section as the applicable per… · (e)
Pub. L. 100–203, §4009(j)(6)(B), amended Pub. L. 99–509, §9302(a)(2)(C). See 1986 Amendment note below. · (e)
Pub. L. 100–203, §4002(f)(1)(D), struck out "or determination" after "recommendation" in subpars. (A) and (B). · (e)
Pub. L. 100–203, §4009(d)(1), as amended by Pub. L. 100–360, §411(b)(8)(B), substituted "include individuals with national recognition for their expertise in health economics, hospital reimbursement, hospital financial management, and other related fields, who provide a mix of di… · (e)
Pub. L. 100–203, §4083(b)(1), inserted at end "For purposes of pay (other than pay of members of the Commission) and employment benefits, rights, and privileges, all personnel of the Commission shall be treated as if they were employees of the United States Senate." · (e)
Pub. L. 100–203, §4007(b)(1)(A), (B), as added by Pub. L. 100–360, §411(b)(6)(B), inserted subpar. (A) designation and struck out ", for a period ending not earlier than September 30, 1988," after "shall maintain". · (f)
Pub. L. 100–203, §4007(b)(1)(C), as added by Pub. L. 100–360, §411(b)(6)(B), added subpar. (B). · (f)
Pub. L. 100–93 amended par. (3) generally. Prior to amendment, par. (3) read as follows: "The provisions of paragraphs (2), (3), and (4) of section 1395y(d) of this title shall apply to determinations under paragraph (2) of this subsection in the same manner as they apply to determi… · (f)
Pub. L. 100–203, §4006(b)(1), amended par. (1) generally. Prior to amendment, par. (1) read as follows: "If the Congress does not enact legislation, after April 20, 1983, and before October 1, 1987, respecting the payment under this subchapter for capital-related costs for inpatient… · (g)
Pub. L. 100–203, §4006(a), as amended by Pub. L. 100–360, §411(b)(5)(B), substituted "on or after October 1, 1987, and before January 1, 1988," for ", and", at end of cl. (ii), added cls. (iii) and (iv), and struck out former cl. (iii) which read as follows: "10 perce… · (g)
Pub. L. 100–203, §4006(b)(2)(B), struck out subpar. (C) which read as follows: "If the Secretary provides, under subsection (a)(4) of this section, for the inclusion of other capital-related costs in operating costs of inpatient hospital services, the Secretary shall provide— · (g)
Pub. L. 100–203, §4009(j)(5), substituted "subparagraph (D)" for "subparagraph (E)". · (h)

1986

Pub. L. 99–509, §9320(g)(1), struck out ", costs of anesthesia services provided by a certified registered nurse anesthetist," after "approved educational activities". · (a)
Pub. L. 99–509, §9303(c), substituted "October 1 of 1987 (or of such later year as the Secretary may, in his discretion, select)" for "October 1, 1987". · (a)
Pub. L. 99–349 substituted "1987" for "1986". · (a)
Pub. L. 99–272, §9107(a)(2), inserted "a return on equity capital," after "anesthetist," and "other" before "capital-related costs". · (a)
Pub. L. 99–272, §9101(b), amended subpar. (B) generally. Prior to amendment, subpar. (B) read as follows: "For purposes of subparagraph (A) and subsection (d) of this section and except as provided in subsection (e) of this section, the 'applicable percentage increase' for any 12… · (b)
Pub. L. 99–509, §9302(a)(1), amended subcl. (II) generally. Prior to amendment, subcl. (II) read as follows: "for fiscal years 1987 and 1988, a percentage determined by the Secretary pursuant to subsection (e)(4) of this section, but not to exceed the market basket percent… · (b)
Pub. L. 99–514, §2, substituted "Internal Revenue Code of 1986" for "Internal Revenue Code of 1954". · (b)
Pub. L. 99–272, §9109(a), added par. (7). · (c)
Pub. L. 99–272, §9102(a), substituted "1987" for "1986" in cls. (ii) and (iii). · (d)
Pub. L. 99–272, §9102(b), struck out ", or discharges occurring" after "periods beginning" in introductory provision, and "and" after "percent;" in cl. (ii), added cl. (iii), redesignated former cl. (iii) as (iv), and in cl. (iv) substituted "on or after October 1, 1986, and befo… · (d)
Pub. L. 99–272, §9102(c), struck out "cost reporting periods beginning, or" before "discharges occurring" in introductory provision, in cl. (i) substituted "1986" for "1985", and in cl. (ii) substituted "1986" and "1987" for "1985" and "1986", respectively. · (d)
Pub. L. 99–509, §9307(c)(1)(A), struck out Pub. L. 99–514, §1895(b)(1)(A), which had directed the striking out of "(taking into account, for discharges occurring after September 30, 1986, the amendments made by section 9104(a) of the Medicare and Medicaid Budget Reconciliation… · (d)
Pub. L. 99–272, §9104(b)(1), inserted "(taking into account, for discharges occurring after September 30, 1986, the amendments made by section 9104(a) of the Medicare and Medicaid Budget Reconciliation Amendments of 1985)" after "medical education costs". · (d)
Pub. L. 99–509, §9306(c), substituted "1989" for "1988". · (d)
Pub. L. 99–509, §9307(c)(1)(B)(i), as amended by Pub. L. 100–203, §4009(j)(6)(A), struck out Pub. L. 99–514, §1895(b)(2)(A), which had directed that cl. (iv) was to be struck out. · (d)
Pub. L. 99–272, §9105(b), added cl. (iv). · (d)
Pub. L. 99–509, §9302(a)(2)(A), (c), substituted "1986, 1987, and 1988" for "and 1986" and inserted provisions relating to the computation of urban and rural averages with respect to discharges occurring on or after October 1, 1987. · (d)
Pub. L. 99–509, §9307(c)(1)(A), struck out Pub. L. 99–514, §1895(b)(1)(B), which had directed insertion of "If the formula under paragraph (5)(B) for determining payments for the indirect costs of medical education is changed for any fiscal year, the Secretary shall readjust the standardized amount… · (d)
Pub. L. 99–272, §9101(c)(1), substituted "for each of fiscal years 1985 and 1986" for "for fiscal year 1985". · (d)
Pub. L. 99–509, §9302(b)(1), inserted "for hospitals located in an urban area and for hospitals located in a rural area" after "subparagraph (A)", and inserted before the period "for hospitals located in such respective area". · (d)
Pub. L. 99–272, §9104(b)(2), inserted "for fiscal year 1985" after "neutrality" in heading, designated existing provision as cl. (i), substituted "For discharges occurring in fiscal year 1985, the Secretary" for "The Secretary", and added cl. (ii). · (d)
Pub. L. 99–509, §9306(c), substituted "1989" for "1988" in subcls. (I) and (II). · (d)
Pub. L. 99–509, §9307(c)(1)(A), struck out Pub. L. 99–514, §1895(b)(1)(C), which had directed a general amendment of cl. (ii) to read as follows: "The Secretary shall further reduce each of the average standardized amounts by a proportion equal to the proportion (estimated by the Secretary) of the … · (d)
Pub. L. 99–509, §9307(c)(1)(B)(i), as amended by Pub. L. 100–203, §4009(j)(6)(A), struck out Pub. L. 99–514, §1895(b)(2)(B), which had added cl. (iii) reading as follows: "The Secretary shall further reduce each of the average standardized amounts by reducing the standardize… · (d)
Pub. L. 99–272, §9104(b)(3), inserted "or reduced" after "(B), and adjusted". · (d), (ii)
Pub. L. 99–509, §9302(e)(1), substituted "in fiscal year 1988 and at least annually" for "in fiscal year 1986 and at least every four fiscal years". · (d)
Pub. L. 99–272, §9104(a), amended subpar. (B) generally. Prior to amendment, subpar. (B) read as follows: "The Secretary shall provide for an additional payment amount for subsection (d) hospitals with indirect costs of medical education, in an amount computed in the same manner … · (d)
Pub. L. 99–509, §9306(c), substituted "1989" for "1988" in subcls. (I) and (II). · (d)
Pub. L. 99–509, §9302(d)(1)(A), designated existing provisions as subcl. (I) and added subcl. (II). · (d)
Pub. L. 99–272, §9106(a), inserted "and which shall not require a rural osteopathic hospital to have more than 3,000 discharges in a year in order to be classified as a rural referral center" before the period in second sentence. · (d)
Pub. L. 99–272, §9105(c), struck out ", and of public or other hospitals that serve a significantly disproportionate number of patients who have low income or are entitled to benefits under part A of this subchapter" after "in rural areas)". · (d)
Pub. L. 99–509, §9304(b)(1), inserted "(other than under paragraph (9))" after "established under this subsection" in first sentence. · (d)
Pub. L. 99–509, §9304(b)(2), inserted "(other than under paragraph (9))" after "this subsection" in second and third sentences. · (d)
Pub. L. 99–509, §9302(e)(4), substituted "1988" for "1986". · (d)
Pub. L. 99–272, §9111(a), inserted provision authorizing the Secretary to adjust amount of payments to sole community hospitals that realize a significant increase in operating costs in a cost reporting period attributable to addition of new inpatient facilities or services. · (d)
Pub. L. 99–509, §9320(g)(2), struck out subpar. (E) which read as follows: "The Secretary shall provide for an additional payment amount for any subsection (d) hospital equal to the reasonable costs incurred by such hospital for anesthesia services provided by a certified registe… · (d)
Pub. L. 99–272, §9105(a), added subpar. (F). · (d)
Pub. L. 99–509, §9306(c), substituted "1989" for "1988". · (d)
Pub. L. 99–509, §9306(b)(1), inserted "or is described in the second sentence of subclause (III)" after "100 or more beds". · (d)
Pub. L. 99–509, §9306(b)(2), inserted "and is not described in the second sentence of clause (v)" after "rural area". · (d)
Pub. L. 99–509, §9306(a), inserted at end "A hospital located in a rural area and with 500 or more beds also 'serves a significantly disproportionate number of low income patients' for a cost reporting period if the hospital has a disproportionate patient percentage (as define… · (d)
Pub. L. 99–514, §1895(b)(2)(A), formerly §1895(b)(2)(C), as amended by Pub. L. 99–509, §9307(c)(1)(B)(ii), as amended by Pub. L. 100–203, §4009(j)(6)(A), which directed the substitution of "supplemental" for "supplementary" and "period" for "fiscal year", was repealed by P… · (d)
Pub. L. 99–509, §9304(a), added par. (9). · (d)
Pub. L. 99–509, §9304(c), added subpar. (C). · (e)
Pub. L. 99–509, §9302(e)(3), designated existing provisions as subpar. (A) and added subpar. (B). · (e)
Pub. L. 99–272, §9101(c)(2), struck out "(instead of the applicable percentage increase described in subsection (b)(3)(B) of this section)" after "should be used". · (e)
Pub. L. 99–509, §9321(e)(2)(A), substituted "March" for "April". · (e)
Pub. L. 99–509, §9302(a)(2)(B), (e)(2), substituted "recommend for fiscal year 1988 an appropriate change factor for inpatient hospital services for discharges in that fiscal year and shall determine for each subsequent fiscal year" for "determine for each fiscal year (beginning wit… · (e)
Pub. L. 99–272, §9101(c)(3), substituted "fiscal year 1987" for "fiscal year 1986". · (e)
Pub. L. 99–509, §9302(a)(2)(C), as amended by Pub. L. 100–203, §4009(j)(6)(B), inserted "recommendation or" before "determination" in subpars. (A) and (B). · (e)
Pub. L. 99–509, §9321(e)(2)(B), substituted "May" for "June". · (e)
Pub. L. 99–272, §9127(a), substituted "17 individuals" for "15 individuals". · (e)
Pub. L. 99–349 substituted "1987" for "1986" in two places. · (g)
Pub. L. 99–272, §9107(a)(1), designated existing provision as subpar. (A), inserted "the applicable percentage (described in subparagraph (B)) of", and added subpar. (B). · (g)
Pub. L. 99–514, §1895(b)(3), realigned margins of subpar. (B). · (g)
Pub. L. 99–509, §9303(a), added par. (3). · (g)
Pub. L. 99–509, §9303(b), inserted "and a subsection (d) Puerto Rico hospital" after "subsection (d) hospital". · (g)
Pub. L. 99–272, §9202(a), added subsec. (h). · (h)
Pub. L. 99–514, §1895(b)(9)(A), substituted "subparagraph (B)" for "paragraph (B)". · (h)
Pub. L. 99–514, §1895(b)(9)(B), (C), redesignated subpar. (E) as (D) and in cl. (ii) inserted "but before July 1, 1987,". · (h)
Pub. L. 99–509, §9314(a), added subpar. (E). · (h)
Pub. L. 99–514, §1895(b)(9)(C), redesignated former subpar. (E) as (D). · (h)
Pub. L. 99–514, §1895(b)(9)(D), substituted "The" for "As used in this paragraph, the". · (h)

1984

Pub. L. 98–369, §2354(b)(42), substituted "disproportionate" for "disportionate". · (a)
Pub. L. 98–369, §2312(b), temporarily inserted ", costs of anesthesia services provided by a certified registered nurse anesthetist" after "approved educational activities". See Effective and Termination Dates of 1984 Amendments note below. · (a)
Pub. L. 98–369, §2354(b)(43), inserted "of" after "in the case". · (b)
Pub. L. 98–369, §2310(a), substituted "one-quarter of 1 percentage point" for "1 percentage point" and inserted provision that in determining the percentage change under subsec. (e) of this section with respect to discharges occurring in any cost reporting period or fiscal year b… · (b)
Pub. L. 98–369, §2315(a), substituted "(D), and (E)" for "and (D)". · (c)
Pub. L. 98–369, §2315(b), struck out "Standard" before "Metropolitan" in provision following cl. (ii). · (d)
Pub. L. 98–369, §2311(b), inserted provision for determining the region a hospital located in a Metropolitan Statistical Area would be deemed to be located. · (d)
Pub. L. 98–369, §2354(b)(44), substituted "(C))" for "(C),". · (d)
Pub. L. 98–369, §2307(b)(1), inserted provision that in determining such adjustment the Secretary not distinguish between those interns and residents who are employees of a hospital and those who furnish services to a hospital but are not employees of such hospital. · (d)
Pub. L. 98–617 substituted "August 17, 1984" for "30 days after July 18, 1984" before "for implementation by". · (d)
Pub. L. 98–369, §2311(a), inserted provisions permitting a hospital classified as a rural hospital to appeal to the Secretary for reclassification as a rural referral center on the basis of criteria established and published by the Secretary and requiring the Secretary to make a final determination… · (d)
Pub. L. 98–369, §2312(a), temporarily added subpar. (E). See Effective and Termination Dates of 1984 Amendments note below. · (d)
Pub. L. 98–369, §2311(c), added par. (8). · (d)
Pub. L. 98–369, §2313(a), inserted "(without regard to the provisions of title 5 governing appointments in the competitive service)" after "appointed by the Director". · (e)
Pub. L. 98–369, §2315(c)(1), struck out "for public comment" after "have published" in provisions preceding subpar. (A). · (e)
Pub. L. 98–369, §2315(c)(2), inserted "for public comment" after "that fiscal year". · (e)
Pub. L. 98–369, §2313(b)(3), inserted provision that section 10(a)(1) of the Federal Advisory Committee Act not apply to any portion of a Commission meeting if the Commission, by majority vote, determines such portion of such meeting should be closed. · (e)
Pub. L. 98–369, §2313(b)(1), amended cl. (i) generally, substituting provision authorizing the Commission to employ and fix the compensation of an Executive Director, subject to the approval of the Director of the Office, and such other personnel, not to exceed 25, as necessar… · (e)
Pub. L. 98–369, §2313(b)(2), inserted "(without regard to section 5 of title 41)" after "Commission". · (e)
Pub. L. 98–369, §2313(b)(4), inserted provision relating to payment of physician comparability allowance in the same manner as provided under section 5948 of title 5 and providing that for such purpose subsec. (i) of such section apply to the Commission in the same manner as it a… · (e)
Pub. L. 98–369, §2313(d), added subpar. (J). · (e)

1983

Pub. L. 98–21, §601(a)(1), added subpar. (D). · (a)
Pub. L. 98–21, §601(a)(2), inserted provision that term "operating costs of inpatient hospital services" does not include costs of approved educational activities, or, with respect to costs incurred in cost reporting periods beginning prior to Oct. 1, 1986, capital-related costs, as… · (a)
Pub. L. 97–448, §309(b)(13), substituted "as such costs are determined" for "and such costs are determined". · (a)
Pub. L. 98–21, §601(b)(1), (2), in provisions preceding subpar. (A), substituted "Notwithstanding section 1395f(b) of this title but subject to the provisions of section 1395e of this title" for "Notwithstanding section 1395f(b) of this title, but subject to the provisions of sectio… · (b)
Pub. L. 98–21, §601(b)(3), inserted "(other than on the basis of a DRG prospective payment rate determined under subsection (d))" after "payable under this subchapter" in provisions following subpar. (B). · (b)
Pub. L. 97–448, §309(b)(14), substituted "section 1395f(b) of this title," for "sections 1395f(b) of this title" in provisions preceding subpar. (A). · (b)
Pub. L. 98–21, §601(b)(4), struck out par. (2) which provided that par. (1) would not apply to cost reporting periods of hospitals beginning on or after Oct. 1, 1985. · (b)
Pub. L. 98–21, §601(b)(5)–(8), inserted "and subsection (d) of this section and except as provided in subsection (e) of this section" after "subparagraph (A)", inserted "or fiscal year" after "cost reporting period" each place it appears, inserted "before the beginning of the per… · (b)
Pub. L. 98–21, §601(b)(9), added par. (6) and repealed a prior par. (6) which directed the Secretary to provide for an adjustment under this paragraph in the amount of payment otherwise provided a hospital under this subsection in the case of a hospital which, as of Aug. 15, 1982, w… · (b)
Pub. L. 97–448, §309(b)(15), substituted "under this subchapter (taking into account any limitation under subsection (a) of this section)" for "under this subsection" in provisions preceding cl. (i). · (b)
Pub. L. 98–21, §601(c)(1), added subpars. (D) and (E) and provisions following subpar. (E). · (c)
Pub. L. 98–21, §601(c)(2)(A), substituted "meets the requirements of subparagraphs (A), (D), and (E) of paragraph (1) and, if applicable, the requirements of paragraph (5)," for "meets the requirement of paragraph (1)(A)". · (c)
Pub. L. 98–21, §601(c)(2)(B), inserted "(or, if applicable, in paragraph (5))". · (c)
Pub. L. 98–21, §601(c)(3), added pars. (4) to (6). · (c)
Pub. L. 98–21, §601(d)(2), (e), added subsec. (d) and redesignated former subsec. (d), relating to the elimination of lesser-of-cost-or-charges provisions, as subsec. (j) of section 1814 of act Aug. 14, 1935, which is classified to subsec. (j) of section 1395f of this title. · (d)
Pub. L. 98–21, §601(e), added subsecs. (e) to (g). · (e), (f), (g)

1982

Pub. L. 97–248, §110, added subsec. (d). · (d)

Text, outline and history from the official U.S. Code (2024 edition) on GovInfo, published by the Office of the Law Revision Counsel. Changes made after that edition appear under This Congress.