Title IV, SEC. 4133. REDUCTION IN ROUTINE COST LIMITS FOR HOME HEALTH SERVICES. (a) Reduction in Update to Maintain Freeze in 1996. Section 1861(v)(1)(L)(i) (42 U.S.C. 1395x(v)(1)(L)(i)) is amended (1) in subclause (II), by striking ``or'' at the end; (2) in subclause (III), by striking ``112 percent,'' and inserting ``and before July 1, 1996, 112 percent, or''; and (3) by inserting after subclause (III) the following new subclause: ``(IV) July 1, 1996, 100 percent (adjusted by such amount as the Secretary determines to be necessary to preserve the savings resulting from the enactment of section 13564(a)(1) of the Omnibus Budget Reconciliation Act of 1993),''. (b) Basing Limits in Subsequent Years on Median of Costs. (1) In general. Section 1861(v)(1)(L)(i) (U.S.C. 1395x(v)(1)(L)(i)), as amended by subsection (a), is amended in the matter following subclause (IV) by striking ``the mean'' and inserting ``the median''. (2) Effective date. The amendment made by paragraph (1) shall apply to cost reporting periods beginning on or after July 1, 1997.