Page:United States Statutes at Large Volume 101 Part 2.djvu/904

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101 STAT. 1330-110
101 STAT. 1330-110
PUBLIC LAW 100-000—MMMM. DD, 1987

101 STAT. 1330-110

42 USC 1395/ note. 42 USC 1395u note.

42 USC 1395/ note.

"(iii) in the case of implantation of an intraocular lens during cataract surgery includes payment which is reasonable and related to the cost of acquiring the class of lens involved.". (c) EFFECTIVE DATE.—The amendments made by this section shall apply to items furnished on or after July 1, 1988. (d) SPECIAL RULE.—With respect to the^^ establishment of a reasonable charge limit under section 1842(b)(ll)(C)(ii) of the Social Security Act, in applying section 1842(j)(l)(D)(i) of such Act, the matter beginning with "plus" shall be considered to have been deleted. SEC. 4064. CLINICAL DIAGNOSTIC LABORATORY TESTS. (a) LIMITATION ON CHANGES IN FEE SCHEDULES.—

(1) 3-MONTH FREEZE IN FEE SCHEDULES.—Notwithstanding any other provision of law, any change in the fee schedules for clinical laboratory diagnostic laboratory tests under part B of title XVIII of such Act which would have become effective for tests furnished on or after January 1, 1988, shall not be effective for tests furnished during the 3-month period beginning on January 1, 1988. (2) ^fo CPi INCREASE IN 1988.—Notwithstanding any other provision of law, the Secretary of Health and Human Services shall not adjust the fee schedules established under section 1833(h) of the Social Security Act for 1988 to take into account any increase in the consumer price index. Oa) FEE SCHEDULES AND PAYMENT LIMITS.— (1) REBASING OF FEE SCHEDULES FOR CERTAIN AUTOMATED AND SIMILAR TESTS.—Section 1833(h)(2) of the Social Security Act (42

42 USC 1395/.

,/j ^2^.


42 USC 1395/ note. 42 USC 1395/ note.


PUBLIC LAW 100-203—DEC. 22, 1987

U.S.C. 13951(h)(2)) is amended by adding at the end the following: "In establishing fee schedules under the first sentence of this paragraph with respect to automated tests and tests (other than cytopathology tests) which before July 1, 1984, the Secretary made subject to a limit based on lowest charge levels under the sixth sentence of section 1842(b)(3) performed after March 31, 1988, the Secretary shall reduce by 8.3 percent the fee schedules otherwise established for 1988.". (2) NATIONWIDE PAYMENT LIMITS.—Section 1833(h)(4)(B) of such Act is amended— (A) in clause (i), by striking "January" and inserting "April", and (B) by amending clause (ii) to read as follows: "(ii) March 31, 1988, and so long as a fee schedule for the test has not been established on a nationwide basis, is equal to the median of all the fee schedules established for that test for that laboratory setting under paragraph (1).". (3) EFFECTIVE DATES.—The amendments made by paragraphs (1) and (2) shall apply with respect to services furnished on or after April 1, 1988. (4) GAO STUDY OF FEE SCHEDULES.—The Comptroller General

shall conduct a study of the level of the fee schedules established for clinical diagnostic laboratory services under section ^r- 1833(h)(2) of the Social Security Act to determine, bsised on the costs of, and revenues received for, such tests the appropriate;*^ ness of such schedules. The Comptroller General shall report to the Congress on the results of such study by not later than January 1, 1990. Suppliers of such tests which fail to provide the Comptroller General with reasonable access to necessary records to carry out the study under this paragraph are subject ' Copy read "the the".