Page:United States Statutes at Large Volume 124.djvu/680

124 STAT. 654 PUBLIC LAW 111–148—MAR. 23, 2010 surgical procedures for which a 10-day or 90-day global period is used for payment under the fee schedule under section 1848(b). ‘‘(3) COORDINATION WITH OTHER PAYMENTS.—The amount of the additional payment for a service under this subsection and subsection (m) shall be determined without regard to any additional payment for the service under subsection (m) and this subsection, respectively. ‘‘(4) APPLICATION.—The provisions of paragraph (2) and (4) of subsection (m) shall apply to the determination of addi- tional payments under this subsection in the same manner as such provisions apply to the determination of additional payments under subsection (m).’’. (2) CONFORMING AMENDMENT.—Section 1834(g)(2)(B) of the Social Security Act (42 U.S.C. 1395m(g)(2)(B)), as amended by subsection (a)(2), is amended by striking ‘‘Section 1833(x)’’ and inserting ‘‘Subsections (x) and (y) of section 1833’’ in the last sentence. (c) BUDGET-NEUTRALITY ADJUSTMENT.—Section 1848(c)(2)(B) of the Social Security Act (42 U.S.C. 1395w–4(c)(2)(B)) is amended by adding at the end the following new clause: ‘‘(vii) ADJUSTMENT FOR CERTAIN PHYSICIAN INCEN- TIVE PAYMENTS.—Fifty percent of the additional expenditures under this part attributable to sub- sections (x) and (y) of section 1833 for a year (as estimated by the Secretary) shall be taken into account in applying clause (ii)(II) for 2011 and subsequent years. In lieu of applying the budget-neutrality adjust- ments required under clause (ii)(II) to relative value units to account for such costs for the year, the Sec- retary shall apply such budget-neutrality adjustments to the conversion factor otherwise determined for the year. For 2011 and subsequent years, the Secretary shall increase the incentive payment otherwise applicable under section 1833(m) by a percent esti- mated to be equal to the additional expenditures esti- mated under the first sentence of this clause for such year that is applicable to physicians who primarily furnish services in areas designated (under section 332(a)(1)(A) of the Public Health Service Act) as health professional shortage areas.’’. SEC. 5502. MEDICARE FEDERALLY QUALIFIED HEALTH CENTER IMPROVEMENTS. (a) EXPANSION OF MEDICARE-COVERED PREVENTIVE SERVICES AT FEDERALLY QUALIFIED HEALTH CENTERS.— (1) IN GENERAL.—Section 1861(aa)(3)(A) of the Social Secu- rity Act (42 U.S.C. 1395w (aa)(3)(A)) is amended to read as follows: ‘‘(A) services of the type described subparagraphs (A) through (C) of paragraph (1) and preventive services (as defined in section 1861(ddd)(3)); and’’. (2) EFFECTIVE DATE.—The amendment made by paragraph (1) shall apply to services furnished on or after January 1, 2011. (b) PROSPECTIVE PAYMENT SYSTEM FOR FEDERALLY QUALIFIED HEALTH CENTERS.—Section 1834 of the Social Security Act (42 Applicability. 42 USC 1395x note. 42 USC 1395x. Applicability.