Floor on area wage adjustment factor for hospital outpatient department services in frontier States

Subject to subparagraph (B), with respect to covered OPD services furnished on or after January 1, 2011 , the area wage adjustment factor applicable under the payment system established under this subsection to any hospital outpatient department which is located in a frontier State (as defined in section 1395ww(d)(3)(E)(iii)(II) of this title ) may not be less than 1.00. The preceding sentence shall not be applied in a budget neutral manner.

This paragraph shall not apply to any hospital outpatient department located in a State that receives a non-labor related share adjustment under section 1395ww(d)(5)(H) of this title .