Medical assistance program, exclusive of ex-
penses incurred by local districts on
after April first, nineteen hundred
eighty-one for administration of the medi-
cal assistance program and for medical
care rates for authorized child care
agencies. Rates of payment for general
hospital out-patient and emergency ser-
vices and for treatment or diagnostic cen-
ter services shall be computed in accord-
ance with chapter one hundred twenty-six
of the laws of nineteen hundred eighty-one
except that for the purposes of computing
such rates, in items d and e of subpara-
graph (i) of paragraph (d) of subdivision
2 of section 2807 of the public health
law, as subsequently renumbered, effective
January first, nineteen hundred eighty-
three, by chapter five hundred thirty-six
of the laws of nineteen hundred eighty-two
to be paragraph (b) of subdivision 2 of
section 2807 of the public health law, the
trend factor for general hospital out-
patient and emergency services shall be
determined in accordance with subparagraph
(i) of paragraph (j) of subdivision 2
of
section 2807 of the public health law as
subsequently renumbered, effective January
first, nineteen hundred eighty-three by
chapter five hundred thirty-six of the
laws of nineteen hundred eighty-two to be
paragraph (b) of subdivision 8 of section
2807-a and the trend factor for diagnostic
and treatment centers shall be determined
in accordance with rules and regulations
promulgated pursuant to paragraph (b) of
subdivision 2 of section 2803 of the pu-
blic health law as subsequently renumbered
effective January first, nineteen hundred
eighty-three by chapter five hundred
thirty-six of the laws of nineteen hundred
eighty-two to be subparagraph (ii) of
paragraph (a) of subdivision 2 of section
2803 of the public health
law, nineteen
hundred seventy-eight shall mean nineteen
hundred eighty-three, nineteen hundred
seventy-nine shall mean nineteen hundred