Page:United States Statutes at Large Volume 124.djvu/443

124 STAT. 417 PUBLIC LAW 111–148—MAR. 23, 2010 types of office expenses are determined in local markets instead of national markets. ‘‘(III) The weights assigned to each of the cat- egories within the practice expense geographic adjustment described in subparagraph (A)(i). ‘‘(v) REVISION FOR 2012 AND SUBSEQUENT YEARS.— As a result of the analysis described in clause (iv), the Secretary shall, not later than January 1, 2012, make appropriate adjustments to the practice expense geographic adjustment described in subparagraph (A)(i) to ensure accurate geographic adjustments across fee schedule areas, including— ‘‘(I) basing the office rents component and its weight on office expenses that vary among fee schedule areas; and ‘‘(II) considering a representative range of professional and non-professional personnel employed in a medical office based on the use of the American Community Survey data or other reliable data for wage adjustments. Such adjustments shall be made without regard to adjustments made pursuant to clauses (i) and (ii) and shall be made in a budget neutral manner.’’. SEC. 3103. EXTENSION OF EXCEPTIONS PROCESS FOR MEDICARE THERAPY CAPS. Section 1833(g)(5) of the Social Security Act (42 U.S.C. 1395l(g)(5)) is amended by striking ‘‘December 31, 2009’’ and inserting ‘‘December 31, 2010’’. SEC. 3104. EXTENSION OF PAYMENT FOR TECHNICAL COMPONENT OF CERTAIN PHYSICIAN PATHOLOGY SERVICES. Section 542(c) of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (as enacted into law by section 1(a)(6) of Public Law 106–554), as amended by section 732 of the Medicare Prescription Drug, Improvement, and Mod- ernization Act of 2003 (42 U.S.C. 1395w–4 note), section 104 of division B of the Tax Relief and Health Care Act of 2006 (42 U.S.C. 1395w–4 note), section 104 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (Public Law 110–173), and section 136 of the Medicare Improvements for Patients and Providers Act of 2008 (Public Law 110–275), is amended by striking ‘‘and 2009’’ and inserting ‘‘2009, and 2010’’. SEC. 3105. EXTENSION OF AMBULANCE ADD -ONS. (a) GROUND AMBULANCE.—Section 1834(l)(13)(A) of the Social Security Act (42 U.S.C. 1395m(l)(13)(A)) is amended— (1) in the matter preceding clause (i)— (A) by striking ‘‘2007, and for’’ and inserting ‘‘2007, for’’; and (B) by striking ‘‘2010’’ and inserting ‘‘2010, and for such services furnished on or after April 1, 2010, and before January 1, 2011,’’; and (2) in each of clauses (i) and (ii), by inserting ‘‘, and on or after April 1, 2010, and before January 1, 2011’’ after ‘‘January 1, 2010’’ each place it appears. (b) AIR AMBULANCE.—Section 146(b)(1) of the Medicare Improvements for Patients and Providers Act of 2008 (Public Law 42 USC 1395m note. Deadline.