Economic Problems Facing Hospitals Serving the Poor and Elderly: Hearing Before the Subcommittee on Health of the Committee on Finance, United States Senate, Ninety-ninth Congress, First Session, July 29, 1985

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Page 77 - Without objection, your full statement will be made part of the record, and you may proceed.
Page 135 - Association of American Medical Colleges / One Dupont Circle, NW / Washington, DC 20036 / (202) 828-0525 Mr.
Page 81 - NOTICE This statement is not available for public release until it is delivered at 10:00 am (EOT), Thursday, October 7, 1993.
Page 25 - Act ("Act") provides in relevant part that "[t]he Secretary shall provide for such exceptions and adjustments to the payment amounts [under PPS] ... as the Secretary deems appropriate to take into account the special needs of ... public or other hospitals that serve a significantly disproportionate number of patients who have low income or who are entitled to benefits under part A of this title....
Page 3 - Secretary shall provide for such exceptions and adjustments to the payment amounts established under this subsection as the Secretary deems appropriate to take into account the special needs of regional and national referral centers (including those hospitals of 500 or more beds located in rural areas), and of public or other hospitals...
Page 10 - The Secretary shall provide for such exceptions and adjustments to the payment amount established under this subsection as the Secretary deems appropriate to take into account the special needs of ... public or other hospitals that serve a significantly disproportionate number of patients who have low income or are entitled to benefits under part A of this title.
Page 43 - PPS was enacted, it directed that "the Secretary shall provide for such exceptions and adjustments to the payment amounts ... to take into account the special needs of ... public or other hospitals that serve a significantly disproportionate number of patients who have low income or are entitled to benefits under Part A of this title.
Page 42 - ... income tax brackets, and the accelerated cost recovery system (ACRS) for depreciation of capital expenditures. No one contests the claim that ERTA was in fact a substantial tax reduction. However, on the heels of ERTA came TEFRA (Tax Equity and Fiscal Responsibility Act of 1982), the Highway Revenue Act of 1982, the Social Security Amendments of 1983 and the Deficit Reduction Act of 1984. Over time, the combination of subsequent tax action and "bracket creep" virtually offset the reductions of...
Page 6 - DRG's. Again, HCFA indicated in regulations that it would not implement the provision in fiscal year 1984 or fiscal year 1985 because it did not believe that it had the evidence to justify the adjustment. In Public Law 98-369 (the Deficit Reduction Act of 1984), Congress required the Secretary to develop a definition of disproportionate share hospitals and to identify such hospitals by December 31, 1984, which it failed to do.
Page 11 - To report, from time to time, to the Committee on Finance and the Committee on Ways and Means, and, in its discretion, to the Senate or the House of Representatives, or both, the results of its investigations, together with such recommendations as it may deem advisable.

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