SENATE AMENDED
PRIOR PRINTER'S NOS. 1990, 2215, 2462 PRINTER'S NO. 2493
No. 1589 Session of 2005
INTRODUCED BY MAJOR, HERMAN, SONNEY, BAKER, HANNA, STERN,
CAUSER, PICKETT, RAPP AND FEESE, MAY 12, 2005
AS AMENDED ON THIRD CONSIDERATION, IN SENATE, JULY 2, 2005
AN ACT
1 Amending the act of June 30, 2003 (P.L.15, No.7), entitled "An
2 act designating political subdivisions as rural areas for
3 purposes of Medicare hospital service payments," further
4 providing for designation of hospitals.
5 The General Assembly of the Commonwealth of Pennsylvania
6 hereby enacts as follows:
7 Section 1. Section 2 of the act of June 30, 2003 (P.L.15,
8 No.7), known as the Medicare Hospital Service Payment
9 Designation Act, is amended to read:
10 Section 2. Designation.
11 For purposes of payments to: <--
12 (1) hospitals for inpatient or outpatient hospital
13 services under section 1886 of the Social Security Act (49
14 Stat. 620, 42 U.S.C. § 1395ww)[,];
15 (2) hospitals designated as Medicare-dependent hospitals
16 as of April 30, 2002, or Critical Access hospitals as of
17 [September 30, 2000,] December 31, 2005;
18 (3) hospitals located in a census tract with rural-urban
1 commuting area codes 4 through 10 established by the United
2 States Department of Agriculture; and
3 (4) hospitals with 50 or fewer beds that serve at a
4 minimum 70% Medicare patient population and demonstrate
5 service to individuals from federally designated health
6 professional shortage areas; including, but not limited to, <--
7 Philipsburg Area Hospital and Mid-Valley Hospital;
8 are hereby designated as rural hospitals pursuant to section
9 1886(d)(8)(E)(ii)(II) of the Social Security Act (42 U.S.C. §
10 1395ww(d)(8)(E)(ii)(II)).
11 FOR PURPOSES OF PAYMENTS TO HOSPITALS FOR INPATIENT OR <--
12 OUTPATIENT HOSPITAL SERVICES UNDER SECTION 1886 OF THE SOCIAL
13 SECURITY ACT (49 STAT. 620, 42 U.S.C. § 1395WW), [HOSPITALS
14 DESIGNATED AS MEDICARE-DEPENDENT HOSPITALS AS OF SEPTEMBER 30,
15 2000,] THE FOLLOWING ARE HEREBY DESIGNATED AS RURAL HOSPITALS
16 PURSUANT TO SECTION 1886(D)(8)(E)(II)(II) OF THE SOCIAL SECURITY
17 ACT (42 U.S.C. § 1395WW(D)(8)(E)(II)(II))[.]:
18 (1) HOSPITALS DESIGNATED AS MEDICARE-DEPENDENT HOSPITALS
19 AS OF APRIL 30, 2002, OR CRITICAL ACCESS HOSPITALS AS OF
20 DECEMBER 31, 2005;
21 (2) HOSPITALS LOCATED IN A CENSUS TRACT WITH RURAL-URBAN
22 COMMUTING AREA CODES 4 THROUGH 10 ESTABLISHED BY THE UNITED
23 STATES DEPARTMENT OF AGRICULTURE; AND
24 (3) HOSPITALS WITH 50 OR FEWER BEDS THAT SERVE AT A
25 MINIMUM 70% MEDICARE PATIENT POPULATION AND DEMONSTRATE
26 SERVICE TO INDIVIDUALS FROM FEDERALLY DESIGNATED HEALTH
27 PROFESSIONAL SHORTAGE AREAS.
28 Section 2. This act shall take effect immediately.
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