PUBLIC LAW 106-113—APPENDIX F 113 STAT. 150LA-373 a reference to the first cost reporting period beginning on or after October 1, 2000; and "(HI) applicable increase percentage shall only be applied under subparagraph (C)(iv) for discharges occurring in fiscal years beginning with fiscal year 2002.". SEC. 406. ONE YEAR SOLE COMMUNITY HOSPITAL PAYMENT INCREASE. Section 1886(b)(3)(B)(i) (42 U.S.C. 1395ww(b)(3)(B)(i)) is amended— (1) by redesignating subclause (XVII) as subclause (XVIII); (2) by striking subclause (XVI); and (3) by inserting sifter subclause (XV) the following new subclauses: "(XVI) for fiscal year 2001, the market basket percentage increase minus 1.1 percentage points for hospitals (other than sole community hospitals) in all areas, and the market basket percentage increase for sole community hospitals, "(XVII) for fiscal year 2002, the market basket percentage increase minus 1.1 percentage points for hospitals in all areas, and". SEC. 407. INCREASED FLEXIBILITY IN PROVIDING GRADUATE PHYSI- CIAN TRAINING IN RURAL AND OTHER AREAS. (a) COUNTING PRIMARY CARE RESIDENTS ON CERTAIN APPROVED LEAVES OF ABSENCE IN BASE YEAR FTE COUNT.— (1) PAYMENT FOR DIRECT GRADUATE MEDICAL EDUCATION. — Section 1886(h)(4)(F) (42 U.S.C. 1395ww(h)(4)(F)) is amended— (A) by redesignating the first sesntence as clause (i) with the heading "IN GENERAL.— " and appropriate indentation; and (B) by adding at the end the following new clause: " (ii) COUNTING PRIMARY CARE RESIDENTS ON CER- TAIN APPROVED LEAVES OF ABSENCE IN BASE YEAR FTE COUNT.— "(I) IN GENERAL.—In determining the number of such full-time equivalent residents for a hospital's most recent cost reporting period ending on or before December 31, 1996, for purposes of clause (i), the Secretary shall count an individual to the extent that the individual would have been counted as a primary care resident for such period but for the fact that the indi^/idual, as determined by the Secretary, was on maternity or disability leave or a similar approved leave of absence. "(II) LIMITATION TO 3 FTE RESIDENTS FOR ANY HOSPITAL.— The total number of individuals counted under subclause (I) for a hospital may not exceed 3 full-time equivalent residents.". (2) PAYMENT FOR INDIRECT MEDICAL EDUCATION.— Section 1886(d)(5)(B)(v) (42 U.S.C. 1395ww(d)(5)(B)(v)) is amended by adding at the end the following: "Rules similar to the rules of subsection (h)(4)(F)(ii) shall apply for purposes of this clause.". (3) EFFECTIVE DATE.— (A) DOME. —The amendments made by paragraph (1) apply to cost reporting periods that begin on or after the date of the enactment of this Act.
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