REVISION OF THE INDIRECT MEDICAL EDUCATION (IME) ADJUSTMENT PERCENTAGE.

SEC. 502. REVISION OF THE INDIRECT MEDICAL EDUCATION (IME) ADJUSTMENT PERCENTAGE.(a) In General.—Section 1886(d)(5)(B)(ii) (42 U.S.C. 1395ww(d)(5)(B)(ii)) is amended—(1) in subclause (VI), by striking “and” after the semicolon at the end; (2) in subclause (VII)—(A) by inserting “and before April 1, 2004,” after “on or after October 1, 2002,”; and (B) by striking the period at the end and inserting a semicolon; and(3) by adding at the end the following new subclauses:“(VIII) on or after April 1, 2004, and before October 1, 2004, ‘c’ is equal to 1.47; “(IX) during fiscal year 2005, ‘c’ is equal to 1.42;“(X) during fiscal year 2006, ‘c’ is equal to 1.37;“(XI) during fiscal year 2007, ‘c’ is equal to 1.32; and“(XII) on or after October 1, 2007, ‘c’ is equal to 1.35.”.(b) Conforming Amendment Relating to Determination of Standardized Amount.—Section 1886(d)(2)(C)(i) (42 U.S.C. 1395ww(d)(2)(C)(i)) is amended—(1) by striking “1999 or” and inserting “1999,”; and(2) by inserting “, or the Medicare Prescription Drug, Improvement, and Modernization Act of 2003” after “2000”.117 STAT. 2291(c) Effective Date.—The amendments made by this section shall apply to discharges occurring on or after April 1, 2004.