108 STAT. 4408 PUBLIC LAW 103-432-OCT. 31, 1994 of health facilities or other providers of services which reflect the scope of the Commission's responsibilities". SEC. 109. AUTHORITY FOR BUDGET NEUTRAL ADJUSTMENTS FOR CHANGES IN PAYMENT AMOUNTS FOR TRANSFER CASES. Section 1886(d)(5)(I) (42 U.S.C. 1395ww(d)(5)) is amended— (1) by inserting "(i)" after "(I)"; and (2) by adding at the end the following new clause: "(ii) In making adjustments under clause (i) for transfer cases (as defined by the Secretary) in a fiscal year, the Secretary may make adjustments to each of the average standardized amounts determined under paragraph (3) to assure that the aggregate pay- ments made under this subsection for such fiscal year are not greater or lesser than those that would have otherwise been made in such fiscal year,". SEC. 110. CLARIFICATION OF DRG PAYMENT WINDOW EXPANSION; MISCELLANEOUS AND TECHNICAL CORRECTIONS. (a) CLARIFICATION OF DRG PAYMENT WINDOW EXPANSION.— The first sentence of section 1886(a)(4) (42 U.S.C. 1395ww(a)(4)) is amended by inserting "(or, in the case of a hospital that is not a subsection (d) hospital, during the 1 day)" after "3 days". (b) TECHNICAL CORRECTION RELATING TO RESIDENT ASSESS- MENT IN NURSING HOMES. —Section 1819(b)(3)(C)(i)(I) (42 U.S.C. 1395i-3(b)(3)(C)(i)(I)) is amended by striking "not later than" before "14 days". (c) TECHNICAL CORRECTION RELATING TO APPLICABLE ADJUST- MENT FACTOR FOR INDIRECT MEDICAL EDUCATION ADJUSTMENT. — Section 1886(d)(5)(B)(ii) (42 U.S.C. 1395ww(d)(5)(B)(ii)) is amended by striking "May 1, 1986," and inserting "October 1, 1988,". (d) CLERICAL CORRECTIONS. — (1) Section 1814(i)(l)(C)(i) (42 U.S.C. 1395f(i)(l)(C)(i)) is amended by striking "September 30, 1990,," and inserting "September 30, 1990,". (2) Section 1816(f)(2)(A)(ii) (42 U.S.C. 1396h(f)(2)(A)(ii)) is amended by striking "such agency" and inserting "such agency's". Subtitle B—Provisions Relating to Part B PART I—PHYSICIANS' SERVICES SEC. 121. DEVELOPMENT AND IMPLEMENTATION OF RESOURCE- BASED METHODOLOGY FOR PRACTICE EXPENSES. 42 USC 1395W-4 (a) DEVELOPMENT. — note. (1) IN GENERAL. — The Secretary of Health and Human Services shall develop a methodology for implementing in 1998 a resource-based system for determining practice expense relative value units for each physicians' service. The methodology utilized shall recognize the staff, equipment, and supplies used in the provision of various medical and surgical services in various settings. (2) REPORT. — The Secretary shall transmit a report by June 30, 1996, on the methodology developed under paragraph (1) to the Committees on Ways and Means and Energy and Commerce of the House of Representatives and the Committee on Finance of the Senate. The report shall include a presentation of data utilized in developing the methodology and an explanation of the methodology.
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