Triple-A Rural Health Improvement Act of 1999

[AI summary unavailable — showing source text] Triple-A Health Improvement Act of 1999 - Title I: Promoting Access to Health Care Services in Rural Areas Under the Medicare Program - Subtitle A: Hospital-Related Payment Provisions - Amends title XVIII (Medicare) of the Social Security Act (SSA) to revise hospital-related payment provisions concerned with: (1) the prospective payment system for hospital outpatient department services; (2) repeal of a certain restriction on Medicare payment to hospitals for inpatient hospital services with regard to certain hospital discharges to post-acute care; (3) geographic reclassification of sole community hospitals and the conversion of certain hospitals to critical access hospitals; (4) graduate medical education (GME); (5) Medicare- dependent small rural hospitals with regard to rebasing for discharges during the most current audited fiscal year; (6) geographic reclassification for purposes of disproportionate share hospital (DSH) payments; (7) guidelines for such reclassification by wage index; and (8) hospital geographic reclassification for labor costs for all items and services reimbursed under prospective payment systems. Subtitle B: Medicare+Choice - Amends part C (Medicare+Choice)…