TITLE V--PROVISIONS RELATING TO PART A
Subtitle A--Inpatient Hospital Services
SEC. 506. LIMITATION ON CHARGES FOR INPATIENT HOSPITAL CONTRACT
HEALTH SERVICES PROVIDED TO INDIANS BY MEDICARE PARTICIPATING HOSPITALS.
(a) IN GENERAL- Section 1866(a)(1) (42 U.S.C.
1395cc(a)(1)), as amended by section 505(b), is amended--
(1) in subparagraph (S), by striking
`and' at the end;
(2) in subparagraph (T), by striking
the period and inserting `, and'; and
(3) by inserting after subparagraph
(T) the following new subparagraph:
`(U) in the case of hospitals which furnish inpatient hospital services
for which payment may be made under this title, to be a participating
provider of medical care both--
`(i) under the contract health services program funded by the Indian
Health Service and operated by the Indian Health Service, an Indian tribe,
or tribal organization (as those terms are defined in section 4 of the
Indian Health Care Improvement Act), with respect to items and services
that are covered under such program and furnished to an individual
eligible for such items and services under such program; and
`(ii) under any program funded by the Indian Health Service and
operated by an urban Indian organization with respect to the purchase of
items and services for an eligible urban Indian (as those terms are
defined in such section 4),
in accordance with regulations promulgated by the Secretary regarding
admission practices, payment methodology, and rates of payment (including
the acceptance of no more than such payment rate as payment in full for such
items and services.'.
(b) EFFECTIVE DATE- The amendments made by
this section shall apply as of a date specified by the Secretary of Health and
Human Services (but in no case later than 1 year after the date of enactment
of this Act) to medicare participation agreements in effect (or entered into)
on or after such date.
(c) PROMULGATION OF REGULATIONS- The Secretary
shall promulgate regulations to carry out the amendments made by subsection
(a).
