114 STAT. 2763A-550 PUBLIC LAW 106-554—APPENDIX F (3) CONFORMING AMENDMENT.—Section 1886(d)(4)(C)(i) (42 U.S.C. 1395ww(d)(4)(C)(i)) is amended by striking "technology," and inserting "technology (including a new medical service or technology under paragraph (5)(K)),". Subtitle E—Other Provisions SEC. 541. INCREASE IN REIMBURSEMENT FOR BAD DEBT. Section 1861(v)(l)(T) (42 U.S.C. 1395x(v)(l)(T)) is amended— (1) in clause (ii), by striking "and" at the end; (2) in clause (iii)— (A) by striking "during a subsequent fiscal year" and inserting "during fiscal year 2000"; and (B) by strifing the period at the end and inserting ", and"; and (3) by adding at the end the following new clause: "(iv) for cost reporting periods beginning during a subsequent fiscal year, by 30 percent of such amount otherwise allowable.". SEC. 542. TREATMENT OF CERTAIN PHYSICIAN PATHOLOGY SERVICES UNDER MEDICARE. (a) IN GENERAL. —When an independent laboratory furnishes the technical component of a physician pathology service to a feefor-service medicare beneficiary who is an inpatient or outpatient of a covered hospital, the Secretary of Health and Human Services shall treat such component as a service for which payment shall be made to the laboratory under section 1848 of the Social Security Act (42 U.S.C. 1395W-4) and not as an inpatient hospital service for which payment is made to the hospital under section 1886(d) of such Act (42 U.S.C. 1395ww(d)) or as an outpatient hospital service for which payment is made to the hospital under section 1833(t) of such Act (42 U.S.C. 13951(t)). (b) DEFINITIONS. —For purposes of this section: (1) COVERED HOSPITAL. — The term "covered hospital" means, with respect to an inpatient or an outpatient, a hospital that had an arrangement with an independent laboratory that was in effect as of July 22, 1999, under which a laboratory furnished the technical component of physician pathology services to fee-for-service medicare beneficiaries who were hospital inpatients or outpatients, respectively, and submitted claims for payment for such component to a medicare carrier (that has a contract with the Secretary under section 1842 of the Social Security Act, 42 U.S.C. 1395u) and not to such hospital. (2) FEE-FOR-SERVICE MEDICARE BENEFICIARY.—The term "fee-for-service medicare beneficiary" means an individual who— (A) is entitled to benefits under part A, or enrolled under part B, or both, of such title; and (B) is not enrolled in any of the following: (i) A Medicare+Choice plan under part C of such title. (ii) A plan offered by an eligible organization under section 1876 of such Act (42 U.S.C. 1395mm).
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