Definition: In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.
Input: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Medicare Safety Net Hospital
Improvement Act of 2002''.

SEC. 2. COLLECTION OF DATA AND MODIFICATION OF DISPROPORTIONATE SHARE
MEDICARE PAYMENTS TO HOSPITALS SERVING VULNERABLE
POPULATIONS.

(a) Collection of Data.--Section 1886(d)(5)(F) of the Social
Security Act (42 U.S.C. 1395ww(d)(5)(F)) is amended by adding at the
end the following new clause:
''(xiv) The Secretary shall collect from each subsection (d)
hospital annual data on inpatient and outpatient charges, including all
such charges for each of the following categories:
''(I) All patients.
''(II) Patients who are entitled to benefits under part A
and are entitled to benefits (excluding any State
supplementation) under the supplemental security income program
under title XVI.
''(III) Patients who are entitled to (or, if they applied,
would be eligible for) medical assistance under title XIX or
child health assistance under title XXI.
''(IV) Patients who are beneficiaries of indigent care
programs sponsored by State or local governments (including
general assistance programs) which are funded solely by local
or State funds or by a combination of local, State, or Federal
funding.
''(V) The amount of charity care charges and bad debt.''.
(b) Modification.--Section 1886(d)(5)(F) of the Social Security Act
(42 U.S.C. 1395ww(d)(5)(F)), as amended by subsection (a), is amended--
(1) by striking all the matter preceding clause (xiv) and
inserting the following:
''(F)(i) The Secretary shall provide, in accordance with this
subparagraph, for an additional payment amount for each subsection (d)
hospital which serves a significantly disproportionate number of low-
income patients (as defined in clause (iv)).
''(ii) The amount of the payment described in clause (i) for each
discharge shall be determined by multiplying--
''(I) the sum of the amount determined under paragraph
(1)(A)(ii)(II) (or, if applicable, the amount determined under
paragraph (1)(A)(iii)) and, for cases qualifying for additional
payment under subparagraph (A)(i), the amount paid to the
hospital under subparagraph (A) for that discharge, by
''(II) the disproportionate share adjustment percentage
established under clause (iii) for the cost reporting period in
which the discharge occurs.
''(iii) The disproportionate share adjustment percentage for a cost
reporting period for a hospital is equal to (P-T)(C), where--
''(I) 'P' is equal to the hospital's disproportionate
patient percentage (as defined in clause (v)) for the period;
''(II) 'T' is equal to the threshold percentage established
by the Secretary under clause (iv); and
''(III) 'C' is equal to a conversion factor established by
the Secretary in a manner so that, in applying such conversion
factor for cost reporting periods beginning in fiscal year
2002--
''(aa) the total of the additional payments that
would have been made under this subparagraph for cost
reporting periods beginning in fiscal year 2002 if the
amendment made by section 2(b) of the Medicare Safety
Net Hospital Improvement Act of 2002 had been in
effect; are equal to
''(bb) the total of the additional payments that
would have been made under this subparagraph for cost
reporting periods beginning in fiscal year 2002 if such
amendment was not in effect but if the disproportionate
share adjustment percentage (as defined in clause (iv)
(as in effect during such cost reporting periods)) for
all hospitals was equal to the percent determined in
accordance with the applicable formulae described in
clause (vii) (as so in effect).
The Secretary shall establish the conversion factor under subclause
(III) based upon the data described in clause (iv) that is collected by
the Secretary.
''(iv) For purposes of this subparagraph, a hospital 'serves a
significantly disproportionate number of low-income patients' for a
cost reporting period if the hospital has a disproportionate patient
percentage (as defined in clause (v)) for that period which equals or
exceeds a threshold percentage, as established by the Secretary in a
manner so that, if the amendment made by section 2(b) of the Medicare
Safety Net Hospital Improvement Act of 2002 had been in effect for cost
reporting periods beginning in fiscal year 2002 and if the
disproportionate share adjustment percentage (as defined in clause (iv)
(as in effect during such periods)) for all hospitals was equal to the
percent determined in accordance with the applicable formulae described
in clause (vii) (as so in effect), 60 percent of subsection (d)
hospitals would have been eligible for an additional payment under this
subparagraph for such periods. The Secretary shall establish such
threshold percentage based upon the data described in clause (iv) that
is collected by the Secretary.
''(v) In this subparagraph, the term 'disproportionate patient
percentage' means, with respect to a cost reporting period of a
hospital (expressed as a percentage)--
''(I) the charges described in subclauses (II) through (V)
of clause (vi) for such period; divided by
''(II) the charges described in subclause (I) of such
clause for such period.''; and
(2) by redesignating clause (xiv) as clause (vi).
(c) Conforming Amendments.--
(1) Medicare.--
(A) Qualified long-term care hospital.--Section
1886(b)(3)(G)(ii)(II) of the Social Security Act (42
U.S.C. 1395ww(b)(3)(G)(ii)(II)) is amended by striking
''of at least 70 percent (as determined by the
Secretary under subsection (d)(5)(F)(vi))'' and
inserting ''under subsection (d)(5)(F)(v) equal to or
greater than an appropriate percentage (as determined
by the Secretary)''.
(B) Provider-based status.--Section 404(b)(2)(B) of
the Medicare, Medicaid, and SCHIP Benefits Improvement
and Protection Act of 2000 (114 Stat. 2763A-507), as
enacted into law by section 1(a)(6) of Public Law 106-
554, is amended by striking ''greater than 11.75
percent or is described in clause (i)(II) of such
section'' and inserting ''greater than an appropriate
percent (as determined by the Secretary)''.
(2) Medicaid.--Section 1923(c) of the Social Security Act
(42 U.S.C. 1396r-4(c)) is amended--
(A) in paragraph (1), by striking ''section
1886(d)(5)(F)(iv)'' and inserting ''section
1886(d)(5)(F)(iii)''; and
(B) by striking the second sentence.
(3) Public health service act.--Section 340B(a)(4)(L)(ii)
of the Public Health Service Act (42 U.S.C. 256b(a)(4)(L)(ii))
is amended to read as follows:
''(ii) for the most recent cost reporting
period that ended before the calendar quarter
involved--
''(I) in the case of a calendar
quarter involved that begins prior to
April 1, 2004, had a disproportionate
share adjustment percentage (as
determined under section 1886(d)(5)(F)
of the Social Security Act) greater
than 11.75 percent or was described in
section 1886(d)(5)(F)(i)(II) of such
Act; and
''(II) in the case of a calendar
quarter involved that begins on or
after April 1, 2004, had a
disproportionate share adjustment
percentage (as so determined) that is
greater than an appropriate percent, as
established by the Secretary in a
manner so that, with respect to the 12-
month period beginning on such date,
the number of hospitals that are
described in this subparagraph is the
same as, or greater than, the number of
hospitals that would have been
described in this subparagraph if the
Medicare Safety Net Hospital
Improvement Act of 2002 had not been
enacted; and''.
(d) Technical Amendments.--Section 1815(e)(1)(B) of the Social
Security Act (42 U.S.C. 1395g(e)(1)(B)) is amended--
(1) in the matter preceding clause (i), by inserting ''a''
before ''hospital''; and
(2) in clause (i), by striking ''(as established in clause
(iv) of such section)'' and inserting ''(as established in
section 1886(d)(5)(F)(iv), as in effect during fiscal year
1987)''.
(e) Effective Dates.--
(1) Collection.--The amendment made by subsection (a) shall
take effect on the date of enactment of this Act.
(2) Modification and conforming amendments.--The amendments
made by subsections (b) and (c) shall apply to payments for
discharges occurring on or after April 1, 2004.
(3) Technical amendments.--The amendments made by
subsection (d) shall take effect as if included in the
enactment of section 9311(a) of the Omnibus Budget
Reconciliation Act of 1986 (Public Law 99-509; 100 Stat. 1996).
Output:
Medicare Safety Net Hospital Improvement Act of 2002 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to provide for the annual collection of data on inpatient and outpatient charges and modification of disproportionate share Medicare payments with respect to each hospital serving vulnerable populations.