United States. Congress

“ Payment deadline.—The credits provided by a hospital under paragraph (1) shall be paid within 60 days after receiving the information specified in paragraph (3) (A) . “ (5) Opt out.—A hospital shall not be required to provide the Medicaid credit required under paragraph (1) if it can demonstrate to the State that it will lose reimbursement under the State plan resulting from the extension of discounts to inpatient drugs under subsection (b) (2) and that the loss of reimbursement will exceed the amount of the credit otherwise owed by the hospital. ”

“ Medicaid Credits on Inpatient Drugs.— “ (1) In general.—For the cost reporting period covered by the most recently filed Medicare cost report under title XVIII of the Social Security Act, a hospital described in subparagraph (L) , (M) , (N) , (R) , (S) , or (T) of subsection (a) (4) and enrolled to participate in the drug discount program under this section shall provide to each State under its plan under title XIX of such Act— “ (A) a credit on the estimated annual costs to such hospital of single source and innovator multiple source drugs provided to Medicaid beneficiaries for inpatient use ”