cept that clause (ii)(I) of such sub-
paragraph shall be applied by sub-
stituting ‘2001’ for ‘1996’) or the rea-
sonable costs incurred in furnishing
such services,
the amount of payment under this sub-
section shall be increased by the amount of
such difference.’’;
(4) in subparagraph (F)(ii)(I), by striking
‘‘subparagraph (E)’’ and inserting ‘‘subparagraph
(C)’’; and
(5) by striking subparagraphs (B) and (C) and
redesignating subparagraphs (D), (E), (F), (G),
(H), and (I) as subparagraphs (B), (C), (D), (E),
(F), and (G), respectively.
SEC. 8. SPECIAL INCREASE IN CERTAIN RELATIVE PAY-
MENT WEIGHTS.
Section 1833(t) of the Social Security Act (42 U.S.C.
1395l(t)) is amended—
(1) in paragraph (3)(D)(ii), as amended by sec-
tion 2(a)(3)(B), by striking ‘‘or paragraph (13)(C)’’
and inserting ‘‘paragraph (13)(C), or paragraph
(14)’’;
(2) in paragraph (9)(B)(i), as amended by sec-
tion 2(a)(4), by inserting ‘‘determined without re-
gard to expenditures made by reason of the adjust-
ments required by paragraph (14)’’ after ‘‘para-
graph (13)’’;
(3) in paragraph (12)(C), by striking ‘‘para-
graph (6)’’ and inserting ‘‘paragraph (9) (including
adjustments authorized by paragraph (14))’’; and
(4) by redesignating paragraph (14) (as redes-
ignated by section 2(a)(5)) as paragraph (15) and
by inserting after paragraph (13) the following new
paragraph:
‘‘(14) REQUIREMENT TO INCREASE RELATIVE
PAYMENT WEIGHTS IN CERTAIN CIRCUMSTANCES.—
‘‘(A) IN
GENERAL.—Notwithstanding the
methodologies specified for determining relative
payment weights described in paragraphs
(2)(C) and (9)(A), for years beginning with
2002, the Secretary shall, as part of the revi-
sions required by paragraph (9)(A), increase
the relative payment weight for any group es-
tablished or revised under paragraph (2)(C) or
(9)(A), respectively, above the weight that
would otherwise apply to such group under this
subsection if the Secretary determines that such
an increase is necessary to ensure that the
medicare OPD fee schedule amount for the
group for the year is not less than 90 percent
of the median costs for services classified within
the group.
‘‘(B) PRIORITIES.—For purposes of pro-
viding for increases under subparagraph (A),
the Secretary shall give priority first to preven-
tive services, second to cancer services, third to
services for which the medicare OPD fee sched-
ule amount that would otherwise apply is less
the payment level under this title for such serv-
ices in other settings, and fourth to other serv-
ices.
‘‘(C) DATA.—The Secretary may base in-
creases under subparagraph (A) on data from
any source and is not limited to data appro-
priate for estimating the costs incurred by hos-
pitals in furnishing such services.
‘‘(D) AGGREGATE
EXPENDITURES.—Not-
withstanding the application of the percentage
specified under subparagraph (A), the Secretary
shall provide for increases under such subpara-
graph for each year so that the estimated
amount of additional expenditures attributable
to adjustments under such subparagraph is not
less than $1,000,000,000 in such year.’’.
SEC. 9. PERMANENT EXTENSION OF PROVIDER-BASED STA-
TUS.
Paragraphs (1) and (2) of section 404(a) of the Medi-
care, Medicaid, and SCHIP Benefits Improvement and
Protection Act of 2000 (113 Stat. 2763A–506), as en-
acted into law by section 1(a)(6) of Public Law 106–554,
are each amended by striking ‘‘until October 1, 2002’’.
Æ