REDUCTION IN PAYMENTS FOR HOME HEALTH SERVICES.

SEC. 13564. REDUCTION IN PAYMENTS FOR HOME HEALTH SERVICES. (a) In General.— (1) No changes in cost limits.— The Secretary of Health and Human Services shall not provide for any change in the per visit cost limits for home health services under section 1861(v)(1)(L) of such Act for cost reporting periods beginning on or after July 1, 1994, and before July 1, 1996, except as may be necessary to take into account the amendment made by subsection (b)(1). The effect of the preceding sentence shall not be considered by the Secretary in making adjustments pursuant to section 1861(v)(1)(L)(ii) of such Act to the payment limits for such services during such cost reporting periods. (2) Delay in updates.— Section 1861(v)(1)(L)(iii) (42 U.S.C. 1395x(v)(1)(L)(iii)) is amended by striking thereafter,” and inserting “thereafter (but not for cost reporting periods beginning on or after July 1, 1994, and before July 1, 1996),”. (b) Elimination of Add-On for Overhead of Hospital-Based Home Health Agencies.— (1) General rule.— The first sentence of section 1861(v)(1)(L)(ii) (42 U.S.C. 1395x(v)(1)(L)(ii)) is amended by striking “, with appropriate adjustment for administrative and general costs of hospital-based agencies”. (2) Effective date.— The amendment made by paragraph (1) shall apply to cost reporting periods beginning on or after October 1, 1993.