Page:United States Statutes at Large Volume 112 Part 4.djvu/945

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PUBLIC LAW 105-277—OCT. 21, 1998 112 STAT. 2681-916 obligated or expended by the Health Care Financing Administration for the research described in subsection (f)(1), and of the data, reports, proposals, or other information provided by such research. (i) PROMPT IMPLEMENTATION.— 42 USC i395x (1) IN GENERAL.—The Secretary of Health and Human note. Services shall promptly issue (without regard to chapter 8 of title 5, United States Code) such regulations or program memoranda as may be necessary to effect the amendments made by this section for cost reporting periods beginning during fiscal year 1999. (2) USE OF PAYMENT AMOUNTS AND LIMITS FROM PUBLISHED TABLES. — (A) PER BENEFICIARY LIMITS.— In effecting the amendments made by subsection (a) for cost reporting periods beginning in fiscal year 1999, the "median" referred to in section 1861(v)(l)(L)(vi)(I) of the Social Security Act for such periods shall be the national standardized per beneficiary limitation specified in Table 3C published in the Federal Register on August 11, 1998 (63 FR 42926) and the "standardized regional average of such costs" referred to in section 1861(v)(l)(L)(v)(I) of such Act for a census division shall be the sum of the labor and nonlabor components of the standardized per beneficiary limitation for that census division specified in Table SB published in the Federal Register on that date (63 FR 42926) (or in Table 3D as so published with respect to Puerto Rico and Guam), and adjusted to reflect variations in wages among different geographic areas as specified in Tables 4a and 4b published in the Federal Register on that date (63 FR 42926-42933). (B) PER VISIT LIMITS.— In effecting the amendments made by subsection (b) for cost reporting periods beginning in fiscal year 1999, the limits determined under section 1861(v)(l)(L)(i)(V) of such Act for cost reporting periods beginning during such fiscal year shall be equal to the per visit limits as specified in Table 3A published in the Federal Register on August 11, 1998 (63 FR 42925) and as subsequently corrected, multiplied by ^°%o5, and adjusted to reflect variations in wages among different geographic areas as specified in Tables 4a and 4b published in the Federal Register on August 11, 1998 (63 FR 42926- 42933). Subtitle B—Other Medicare-Related Provisions SEC. 5201. AUTHORIZATION OF ADDITIONAL EXCEPTIONS TO IMPOSI- TION OF PENALTIES FOR PROVIDING INDUCEMENTS TO BENEFICIARIES. (a) IN GENERAL. —Subparagraph (B) of section 1128A(i)(6) of the Social Security Act (42 U.S.C. 1320a-7a(i)(6)) is amended to read as follows: "(B) subject to subsection (n), any permissible practice described in any subparagraph of section 1128B(b)(3) or in regulations issued by the Secretary;". (b) SPECIAL PROVISIONS CONCERNING A SAFE HARBOR FOR PAY- MENT OF MEDIGAP PREMIUMS OF ESRD BENEFICIARIES.—