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PUBLIC LAW 103-66—AUG. 10, 1993 107 STAT. 579 (B) Section 1878(fX2) (42 U.S.C. 1395oo(fX2)) is amended by striking "the rate of return on equity capital established by regulation pursuant to section 1861(vXl)(B) and in effect at the time" and inserting "the rate of interest on obligations issued for purchase by the Federal Hospital Insurance Trust Fund for the month in which". (2) EFFECTIVE DATE.—^The amendments made by paragraph (1) shall take effect October 1,1993. SEC. 13504. REDUCTIONS IN PAYMENTS FOR HOSPICE SERVICES. Section 1814(iXlXC) (42 U.S.C. 1395f(iXlXC)) is amended by striking "increased by" and all that follows and inserting the follow- ing: "increased by— "(I) for a fiscal year ending on or before September 30, 1993, the market basket percentage increase (as defined in section 1886(bX3XBXiii)) for the fiscal year; "(II) for fiscal year 1994, the market basket percentage increase for the fiscal year minus 2.0 percentage pointe; "(III) for fiscal vear 1995, the market basket percentage increase for the fiscal year minus 1.5 percentage points; "(IV) for fiscal vear 1996, the market basket percentage increase for the fiscal year minus 1.5 percentage points; "(V) for fiscal year 1997, the market basket percentage increase for the fiscal year minus 0.5 percentage point; and "(VI) for a subsequent fiscal year, the market basket percentage increase for the fiscal year.". SEC. 13505. HEMOPHILIA PASS-THROUGH EXTENSION. Effective as if included in the enactment of OBRA-1989, section 6011(d) of such Act is amended by striking "2 years after the date of enactment of this Act" and inserting "September 30, 1994". SEC. 13606. GRADUATE MEDICAL EDUCATION PAYMENTS IN HOS- PITAL-OWNED COMMUNITY HEALTH CENTERS. Section 1886(dX5XBXiv) (42 U.S.C. 1395ww(dX5XBXiv)) is amended by inserting after "the hospital" the following: "or provid- ing services at any entity receiving a grant under section 330 of the Public Health Service Act that is under the ownership or control of the hospital (if the hospital incurs all, or substantially all, of the costs of the services furnished by such interns and residents)". SEC. 13607. EXTENSION OF RURAL HOSPITAL DEMONSTRATION. Section 4008(iXl) of OBRA-1990 is amended by adding at the end the following new sentence: "The Secretary shall contmue any such demonstration project until at least July 1,1997.". SEC. 13508. REDUCTION IN PART A PREMIUM FOR CERTAIN INDIVID- UALS WITH 30 OR MORE QUARTERS OF SOCIAL SECURITY COVERAGE. (a) IN GENERAL.—Section 1818(d) (42 U.S.C. 1395i-2(d)) is amended— (1) in the second sentence of paragraph (2), bv striking "Such amount" and inserting "Subject to paragrapth (4), the amount of an individual's monthly premium under this section"; and (2) by adding at the end the following new paragraph: 42 use 1395x note. 42 use 1395WW note. 42 use 1395b-l note.