'"Ci13Lib:csry C72S-0007S-o1c3u'ityBlvd. n or-tltiincs-e,. Marytepci 21244 110thcongress 2853 2dSession S. ToamendtitleXVIIIoftheSocialSecurityActtoremovethecapon disproportionateshareadjustmentpercentagesforcertainruralhospitals. IN THE SENATE OF THE UNITED STATES April14,2008 Ms.Landrieu(forherselfandMr.VlTTER)introducedthefollowingbill; whichwasreadtwiceandreferredtotheCommitteeonFinance A BILL To amend title XVIH ofthe Social SecurityAct to remove the cap on disproportionate share adjustment percent- agesforcertainruralhospitals. 1 BeitenactedhytheSenateandHouseofRepresenta- 2 tivesoftheUnitedStatesofAmericainCongressassembled, 3 SECTION1.REMOVALOFTHECAPONDISPROPORTIONATE 4 SHARE ADJUSTMENT PERCENTAGES FOR 5 CERTAINRURALHOSPITALS. 6 Section 1886(d)(5)(F)(xiv)(n) ofthe SocialSecurity 7 Act (42 U.S.C. 1395ww(d)(5)(F)(xiv)(n)) isamendedby 8 striking"12percent"andinserting"12percent. Thepre- 9 cedingsentence shallnotapplyto a hospitalthat, inthe 10 case of discharges occurring on or after April 1, 2004, ensLIBRARY IIIIIIII 2 l3llli 0DD1DL33 3 1 isclassifiedasaruralreferralcenterundersubparagraph 2 (C), that, inthe caseofdischarges occurringon or after 3 October 1, 2006, is classified as a medicare-dependant, 4 smallruralhospitalundersubparagraph (G)(iv), orthat, 5 in the case ofdischarges occurring on or after October 6 1,2008,islocatedinaruralareaandhasmorethan100 7 beds.". O •I Ci'5Library C2-07-13 ?KOGSocuityBlvd. o:-.ll!mr.fq, MRr/!?p:! 21244 S2853IS