Fed Regist. 2000 Aug 1;65(148):47025-54.
This interim final rule with comment period implements, or conforms the regulations to, certain statutory provisions relating to Medicare payments to hospitals for inpatient services that are contained in the Medicare, Medicaid, and State Children's Health Insurance Program Balanced Budget Refinement Act of 1999 (Public Law 106-113). These provisions relate to reclassification of hospitals from urban to rural status, reclassification of certain hospitals for purposes of payment during Federal fiscal year 2000, critical access hospitals, payments to hospitals excluded from the hospital inpatient prospective payment system, and payments for indirect and direct graduate medical education costs. Many of the provisions of Public Law 106-113 modify changes to the Social Security Act made by the Balanced Budget Act of 1997 (P.L. 105-33). These provisions are already in effect in accordance with Public Law 106-113.
本带有意见征求期的暂行最终规则实施了，或使相关规定符合了，1999年《医疗保险、医疗补助和州儿童健康保险计划平衡预算细化法案》（公法106-113）中关于医疗保险向医院支付住院服务费用的某些法定条款。这些条款涉及医院从城市地位重新分类为农村地位、2000财年支付目的下某些医院的重新分类、急救医院、被排除在医院住院前瞻性支付系统之外的医院的支付，以及间接和直接研究生医学教育成本的支付。公法106-113的许多条款修改了1997年《平衡预算法案》（公法105-33）对《社会保障法》所做的更改。根据公法106-113，这些条款已生效。
