Floor on area wage adjustment factor for hospital outpatient department services in frontier States
(A) In general
(A)In general#
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.
(B)Limitation#
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 .