Page:United States Statutes at Large Volume 100 Part 1.djvu/188

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PUBLIC LAW 99-000—MMMM. DD, 1986

100 STAT. 152 ,,r,.

PUBLIC LAW 99-272—APR. 7, 1986

Sec. 9115. Special rules for implementation of subpart. SUBPART B—MISCELLANEOUS PROVISIONS

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Sec. 9121. Responsibilities of medicare hospitals in emergency cases. Sec. 9122. Requirement for medicare hospitals to participate in CHAMPUS and CHAMPVA programs. Sec. 9123. Extension and payment for hospice care. Sec. 9124. Limiting the penalty for late enrollment in part A. ' ^; Sec. 9125. Promulgation of inpatient hospital deductible. , Sec. 9126. Access to skilled nursing facilities. Sec. 9127. Additional members of Prospective Payment Assessment Commission. Sec. 9128. Sense of the Senate with respect to inpatient hospital deductible. Sec. 9129. Medicare coverage of State and local employees. PART 2—PROVISIONS RELATING TO PARTS A AND B OF MEDICARE SUBPART A—PAYMENT-RELATED PROVISIONS

Sec. Sec. Sec. Sec.

9201. 9202. 9204. 9205.

Extension of working aged provision. Payments to hospitals for direct costs of medical education. Moratorium on laboratory payment demonstration. Home health waiver of liability.

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SUBPART B—OTHER PROVISIONS

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Sec. 9211. Provisions relating to health maintenance organizations and competitive medical plans. Sec. 9213. Removal of prohibition on comments by medicare and social security actuaries relating to economic assumptions. Sec. 9214. Limitation on merger of end stage renal disease networks. Sec. 9215. Extension of certain medicare municipal health services demonstration projects. Sec. 9216. Audit and medical claims review. Sec. 9217. Liver transplants. Sec. 9218. Studies relating to physical therapists and other professionals. i'fj Sec. 9219. Technical corrections. Sec. 9220. Extension of on lok waiver. Sec. 9221. Continuation of "Access: Medicare" demonstration project. PART 3—PROVISIONS RELATING TO PART B OF MEDICARE SUBPART A—PAYMENT-RELATED PROVISIONS

Sec. 9301. Medicare physician payment provisions. Sec. 9303. Payment for clinical laboratory services. Sec. 9304. Determinations of inherent reasonableness of charges and customary charges for certain former hospital-compensated physicians. Sec. 9305. Physician Payment Review Commission and development of relative value scale. Sec. 9306. Limitation on medicare payment for post-cataract surgery patients. Sec. 9307. Payment for assistants at surgery for certain cataract operations and other operations. SUBPART B—BENEFITS AND OTHER PROVISIONS

Sec. 9313. Part B premium. Sec. 9314. Demonstration of preventive health services under medicare. Sec. 9315. Extension of GAO reporting date. PART 4—PEER REVIEW ORGANIZATIONS

Sec. Sec. Sec. Sec.

9401. 9402. 9403. 9404.

100 percent peer review of certain surgical procedures. Peer review organization reimbursement. Denial of payment for substandard care. Health maintenance organization membership on peer review organization boards. Sec. 9405. Peer review organization review of health maintenance organizations. Sec. 9406. Substitute review pending termination of a peer review organization contract. Sec. 9501. Sec. 9502. Sec. 9503. Sec. 9505.

Subtitle B—Medicaid and Maternal and Child Health Services for pregnant women. Modifications of waiver provisions for home and community-based services. Third-party liability. Optional hospice benefits.