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ary 1, 2004, and for a year after 2003 shall be
applied and computed as if subparagraph (A)
had not been in effect.
‘‘(C) CONFORMING PROVISIONS TO ENSURE
NO EFFECT FOR SUBSEQUENT PERIODS.—In car-
rying out subparagraph (B):
‘‘(i) NO EFFECT ON TARGET FOR AL-
LOWED
EXPENDITURES.—The allowed ex-
penditures under paragraph (4)(C)(iii) for
the portion of 2003 occurring after Sep-
tember 30, 2003, and before January 1,
2004, and for years after 2003 shall be ap-
plied and computed as if subparagraph (A)
had not been in effect.
‘‘(ii) REMOVAL
OF
ADDITIONAL
EX-
PENDITURES
FROM
ACTUAL
EXPENDI-
TURES.—In applying paragraph (4)(B) for
the portion of 2003 occurring after Sep-
tember 30, 2003, and before January 1,
2004, and for years beginning with 2004,
the actual expenditures for 2003 shall be—
‘‘(I) the actual expenditures other-
wise determined for 2003, reduced by
‘‘(II) the portion of such expendi-
tures in 2003 that are attributable to
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the increase in the conversion factor
under subparagraph (A).
‘‘(iii) NOT
TREATED
AS
CHANGE
IN
LAW
AND
REGULATION
IN
SUSTAINABLE
GROWTH
RATE
DETERMINATION.—The en-
actment of this paragraph shall not be
treated as a change in law for purposes of
applying subsection (f)(2)(D).’’.
(b) CONFORMING AMENDMENTS.—Section 1848(d) of
the Social Security Act (42 U.S.C. 1395w–4(d)) is
amended—
(1) in paragraph (1)(A), by inserting ‘‘and sub-
ject to paragraph (5)’’ after ‘‘with 2001’’;
(2) in paragraph (4)(A), by inserting ‘‘(includ-
ing paragraph (5))’’ after ‘‘Unless otherwise provided
by law’’;
(3) in paragraph (4)(B), by inserting ‘‘and
paragraphs (5)(B) and (5)(C)’’ after ‘‘subparagraph
(D)’’ in the matter preceding clause (i); and
(4) in paragraph (4)(C)(iii), by striking ‘‘The
allowed expenditures’’ and inserting ‘‘Subject to para-
graph (5)(C)(i), the allowed expenditures’’.
SEC. 403. TEMPORARY EQUALIZATION OF URBAN AND
RURAL STANDARDIZED PAYMENT AMOUNTS UNDER THE
MEDICARE INPATIENT HOSPITAL PROSPECTIVE PAYMENT
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SYSTEM. (a) IN GENERAL.—Notwithstanding the deter-
mination of the applicable standardized amounts under
paragraph (3)(A) of section 1886(d) of the Social Security
Act (42 U.S.C. 1395ww(3)(A)), for purposes of making pay-
ments under such section for discharges occurring during
the period beginning on April 1, 2003, and ending on Sep-
tember 30, 2003, the standardized amount applicable under
such paragraph for hospitals located other than in a large
urban area for that period shall be increased to an amount
equal to the standardized amount otherwise applicable
under such paragraph for hospitals located in a large urban
area for that period.
(b) NO EFFECT ON PERIODS BEYOND SEPTEMBER 30,
2003.—The increase in the standardized amount for hos-
pitals located other than in a large urban area provided
for under subsection (a) for the period beginning on April
1, 2003, and ending on September 30, 2003, shall not apply
to discharges occurring after such period, and shall not be
taken into account in calculating the payment amounts ap-
plicable for discharges occurring after such period.
SEC. 404. EXTENSION OF TEMPORARY INCREASE FOR
HOME HEALTH SERVICES FURNISHED IN A RURAL AREA.
(a) IN GENERAL.—Section 508(a) of the Medicare, Med-
icaid, and SCHIP Benefits Improvement and Protection
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Act of 2000 (114 Stat. 2763A–533), as enacted into law
by section 1(a)(6) of Public Law 106–554, is amended—
(1) by striking ‘‘24-MONTH INCREASE BEGIN-
NING APRIL 1, 2001’’ and inserting ‘‘IN GENERAL’’;
(2) by striking ‘‘April 1, 2003’’ and inserting
‘‘October 1, 2003’’; and
(3) by inserting before the period at the end the
following: ‘‘(or 5 percent in the case of such services
furnished on or after April 1, 2003, and before Octo-
ber 1, 2003)’’.
(b) CONFORMING AMENDMENT.—Section 547(c)(2) of
the Medicare, Medicaid, and SCHIP Benefits Improvement
and Protection Act of 2000 (114 Stat. 2763A–553), as en-
acted into law by section 1(a)(6) of Public Law 106–554,
is amended by striking ‘‘the period beginning on April 1,
2001, and ending on September 30, 2002,’’ and inserting
‘‘a period under such section’’.
SEC. 405. Section 136 of Public Law 107–229, as
added by section 5 of Public Law 107–240, is amended by
striking ‘‘60 days after the date specified in section 107(c)
of Public Law 107–229, as amended’’ and inserting ‘‘Sep-
tember 30, 2003’’.
TITLE V—FISHERIES DISASTERS
SEC. 501. FISHERIES DISASTERS.—In addition to
amounts appropriated or otherwise made available,
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$100,000,000 is appropriated to the Department of Com-
merce for fisheries disaster assistance. Not more than 5
percent of such funds may be used for administrative ex-
penses, and no funds may be used for lobbying activities
or representational expenses.
(a) WESTERN
PACIFIC
AND
NORTH
PACIFIC.—
$5,000,000 shall be made available as a direct lump sum
payment to the State of Hawaii for economic assistance to
fisheries affected by federal closures or fishing restrictions
and $35,000,000 shall be made available as a direct lump
sum payment to the State of Alaska no later than 30 days
after the date of enactment of this Act to make payments
to persons or entities which have experienced significant
economic hardship. Funds in Alaska shall be used to pro-
vide (A) personal assistance with priority given to food, en-
ergy needs, housing assistance, transportation fuel includ-
ing subsistence activities, and other urgent needs; (B) as-
sistance for small businesses including fishermen, fish proc-
essors, and related businesses serving the fishing industry;
(C) and assistance for local and borough governments ad-
versely affected by reductions in fish landing fees and other
fishing-related revenue; and (D) product development and
marketing.
(b) NORTHEAST AND WEST COAST.—$10,000,000 shall
be made available to conduct a voluntary fishing capacity
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reduction program in the Northeast multispecies fishery
and $10,000,000 shall be made available to conduct a vol-
untary fishing capacity reduction program in the West
Coast groundfish fishery. Such sums shall supplement the
voluntary capacity reduction program authorized for the
fishery in Sec. 211 of Public Law 107–206 and be consistent
with section 312(b) of the Magnuson-Stevens Fishery Con-
servation and Management Act and the requirements relat-
ing to the capacity program in section 211 of Public Law
107–206 that shall—
(1) permanently revoke all fishery licenses, fish-
ery permits, area and species endorsements, and any
other fishery privileges issued to a vessel or vessels (or
to persons on the basis of their operation or owner-
ship of that vessel or vessels) removed under the pro-
gram; and
(2) ensure that vessels removed under the pro-
gram are made permanently ineligible to participate
in any fishery worldwide, and that the owners of such
vessels will operate only under the United States flag
or be scrapped as a reduction vessel pursuant to sec-
tion 600.1011(c) of title 50, Code of Federal Regula-
tions.
(c) GULF AND SOUTH ATLANTIC.—
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needs; (B) assistance for small businesses including
fishermen, fish processors, and related businesses serv-
ing the fishing industry; (C) domestic product mar-
keting and seafood promotion; (D) state seafood test-
ing programs; (E) development of limited entry pro-
grams for the fishery; (F) funding or other incentives
to ensure widespread and proper use of turtle excluder
devices and bycatch reduction devices in the fishery;
and (G) voluntary capacity reduction programs for
shrimp fisheries under limited access.
(d) BLUE CRAB FISHERY.—$5,000,000 shall be made
available for assistance to blue crab fisheries affected by re-
duced harvests and sales of blue crab in proportion to the
amount of the catch landed by each state, Provided, That
such funds may be used only for: (A) personal assistance
with priority given to food, energy needs, housing assist-
ance, transportation fuel, and other urgent needs; (B) as-
sistance for small businesses including fishermen, fish proc-
essors, and related businesses serving the fishing industry;
(C) domestic product marketing and seafood promotion;
and (D) state seafood testing programs: Provided further,
That the Secretary of Commerce, in consultation with the
Commandant of the Coast Guard, shall provide coordi-
nated, enhanced and routine support for fisheries moni-
toring and enforcement through use of remote sensing, air-
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craft and communications assets, with particular emphasis
on federal waters seaward of the coasts of South Carolina
and Georgia, including the Charleston Bump closed area.
TITLE VI—OFFSETS
SEC. 601. (a) ACROSS-THE-BOARD RESCISSIONS.—
There is hereby rescinded an amount equal to 1.6 percent
of—
(1) the budget authority provided for fiscal year
2003 for any discretionary account in divisions A
through K of this joint resolution; and
(2) the budget authority provided in any ad-
vance appropriation for fiscal year 2003 for any dis-
cretionary account in any prior fiscal year appro-
priations Act.
(b) PROPORTIONATE APPLICATION.—Any rescission
made by subsection (a) shall be applied proportionately—
(1) to each discretionary account and each item
of budget authority described in subsection (a); and
(2) within each such account and item, to each
program, project, and activity (with programs,
projects, and activities as delineated in the appro-
priation Act or accompanying reports for the relevant
fiscal year covering such account or item, or for ac-
counts and items not included in appropriation Acts,
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as delineated in the most recently submitted Presi-
dent’s budget).
Attest:
Secretary.