Medicare Puerto Rico Hospital Payment Fairness Act of 2003 - Amends title XVIII (Medicare) of the Social Security Act to revise: (1) the payment formula to increase payment amounts to Puerto Rico hospitals that are based on the applicable Federal percentage of the discharge-weighted average of the national adjusted DRG (diagnostically-related group) prospective payment rate for hospitals located in urban and rural areas for discharges beginning in FY 2004; and (2) the calculation of Medicare disproportionate share payments for prospective payment system hospitals in Puerto Rico.
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