PAYMENTS FOR CAPITAL-RELATED COSTS OF INPATIENT HOSPITAL SERVICES.

SEC. 4001. PAYMENTS FOR CAPITAL-RELATED COSTS OF INPATIENT HOSPITAL SERVICES. (a) Reduction in Payments For Fiscal Year 1991.—Section 1886(g)(3)(A)(v) (42 U.S.C. 1395ww(g)(3)(A)(vi) is amended by striking “September 30, 1990” and inserting “September 30, 1991”. (b) Implementation of Prospective Payment for Capital-Related Costs.—Section 1886(g)(l)(A) (42 U.S.C. 1395ww(g)(l)) is amended by adding at the end the following: “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 percent reduction in the amount of payments attributable to capital-related costs that would otherwise have been made during such fiscal year had the amount of such payments been based on reasonable costs (as defined in section 1861(v)).”. (c) Exemption for Rural Primary Care Hospitals.—Section 1886(g)(3)(B) is amended by striking “subsection (d)(5)(D)(iii)).” and inserting “subsection (d)(5)(D)(iii) or a rural primary care hospital (as defined in section 1861(mm)(l)).”