PROVISIONS RELATING TO TARGET AMOUNT ADJUSTMENTS.

SEC. 6015. PROVISIONS RELATING TO TARGET AMOUNT ADJUSTMENTS. (a) Including New Base Period in Target Adjustments.—Section 1886(b)(4)(A) of the Social Security Act (42 U.S.C. 1395ww(b)(4)(A)) is amended by striking “deems appropriate,” and inserting “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”. (b) Publication of Instructions Relating to Exceptions and Adjustments in Target Amounts.—By not later than 180 days after the date of enactment of this Act, the Secretary of Health and Human Services shall publish instructions specifying the application process to be used in providing exceptions and adjustments under section 1886(b)(4)(A) of the Social Security Act. (c) Effective Date.—The amendment made by subsection (a) shall become effective with respect to cost reporting periods beginning on or after April 1, 1990.