Page:United States Statutes at Large Volume 102 Part 1.djvu/830

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PUBLIC LAW 100-000—MMMM. DD, 1988

102 STAT. 792

42 USC 1396a.

42 USC 1396a note.

State and local governments.

ehildren and youth.

PUBLIC LAW 100-360—JULY 1, 1988 "(1) by striking ', or' at the end of subclause (IX) and inserting a semicolon and by inserting 'or' at the end of subclause (X): and". (B) Section 1902(a)(10XAXiiXXI) of the Social Security Act, as added by section 4104(2) of OBRA, is amended— (i) by striking "are more restrictive" and inserting "may be more restrictive", and (ii) by striking the period at the end and inserting a semicolon. (6) SECTION 4112.—(A) Section 4112 of OBRA is amended— (i) in subsection (a)(2)(A)— (I) by striking "such date" and inserting "April 1, 1989", and (II) by inserting ", effective for inpatient hospital services provided on or after July 1, 1989" before the period; (ii) in subsection (a)(2)(B)— (I) by striking "such date" and inserting "April 1, 1990", and (II) by inserting ", effective for inpatient hospital services provided on or after July 1, 1990" before the period; (iii) the undesignated paragraph at the end of subsection (a) is amended— (I) by striking "June 30 of each year in which the State is required to submit" and inserting "90 days after the date a State submits", (II) by indenting all of such paragraph 2 ems, and (III) by designating the first two sentences thereof as paragraph (3) and the last sentence thereof as paragraph (4); (iv) in subsection (b)(2), by striking "the State plan" and inserting "a State plan"; (v) in subsection (b)(3)(B)(i), by inserting ", less the portion of any cash subsidies described in clause (i)(II) in the period reasonably attributable to inpatient hospital services after "charity care in a period"; (vi) in subsection (c)— (I) by striking "paragraphs (2)(A) and (2)(B)" and inserting "paragraphs (I)(B) and (2)(A) of subsection (a)", (II) by striking "paragraph (2)(A)" and "paragraph (2KB)" and inserting "such paragraph (I)(B)" and such paragraph (2)(A)", respectively, (III) in paragraph (1), by inserting "at least" after "equal to", (IV) in paragraph (2), by inserting "(without regard to the election made by a State under subsection (b)(l))" after "payment) and", (V) in the matter after paragraph (2), by inserting "at least" before "one-third" and before "two-thirds", and (VI) by adding at the end the following new sentences: In the case of a hospital described in subsection (d)(2)(A)(i) (relating to children's hospitals), in computing the hospital's disproportionate share adjustment percentage for purposes of paragraph (I)(B) of this subsection, the disproportionate patient percent-