Pub. L. 100-203, tit. IV, pt. 2, subpt. A, sec. 4012

PAYMENTS FOR HOSPITAL SERVICES.

EnactedYear: 1987Length: 226 wordsOfficial source
SEC. 4012. PAYMENTS FOR HOSPITAL SERVICES. (a) In General.— Section 1866(a)(1) of such Act (42 U.S.C. 1395cc(a)(1)) is amended by inserting immediately after subparagraph (N) the following new subparagraph: “(O) in the case of hospitals and skilled nursing facilities, to accept as payment in full for inpatient hospital and extended101 STAT. 1330–61 care services that are covered under this title and are furnished to any individual enrolled with an eligible organization with a risk-sharing contract under section 1876 the amounts (in the case of hospitals) or limits (in the case of skilled nursing facilities) that would be made as a payment in full under this title if the individuals were not so enrolled.”. (b) Repeal.— Section 1876(g)(4) of the Social Security Act (42 U.S.C. 1395mm(g)(4)) is repealed. (c) Implementation.— The Secretary of Health and Human Services shall provide (in machine readable form) to eligible organizations under section 1876 of the Social Security Act medicare DRG rates for payments required by the amendment made by paragraph (2) and data on cost pass-through items for all inpatient services provided to medicare beneficiaries enrolled with such organizations. (d) Effective Date.— The amendments made by subsections (a) and (b) shall apply to admissions occurring on or after April 1, 1988, or, if later, the earliest date the Secretary can provide the information required under subsection (c) in machine readable form.
Pub. L. 100-203, tit. IV, pt. 2, subpt. A, sec. 4012: PAYMENTS FOR HOSPITAL SERVICES. | Justis AI