Page:United States Statutes at Large Volume 101 Part 2.djvu/908

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101 STAT. 1330-114
101 STAT. 1330-114
PUBLIC LAW 100-000—MMMM. DD, 1987

101 STAT. 1330-114

PUBLIC LAW 100-203—DEC. 22, 1987

subclauses (I) and (II) for cost reporting periods beginning in fiscal year 1988 shall remain in effect for cost reporting periods beginning in fiscal year 1989 or fiscal year 1990.". (b) DEVELOPMENT OF PROSPECTIVE PAYMENT METHODOLOGY FOR OUTPATIENT HOSPITAL SERVICES.—Section 1135(d) of the Social Secu-

42 USC 1395Z.

rity Act (42 U.S.C. 1320b-5(d)) is amended— (1) by adding at the end of paragraph (3) the following: "In { establishing such rates, the Secretary shall consider whether a r differential payment rate is appropriate for speciality hospitals."; and ^ (2) by adding at the end the following new paragraph: "(7) The Secretary shall solicit the views of the Prospective Payment Assessment Commission in developing the systems under paragraphs (1) and (6), and shall include in the Secretary's reports under this subsection any views the Commission may submit with respect to such systems.". (c) EFFECTIVE DATE.—The amendments made by subsection (a) shall be effective as if included in the amendment made by section 9343(a)(l)(B) of the Omnibus Budget Reconciliation Act of 1986.

Subpart C—Eligibility and Benefits Changes SEC. 4070. COVERAGE OF MENTAL HEALTH SERVICES.

42 USC 1395/ "ote.

(a) OUTPATIENT SERVICES UNDER PART B.—Section 1833(c) of the Social Security Act (42 U.S.C. 13951(c)) is amended— (1) by striking "$312.50" and inserting "$1375.00"; and (2) by adding at the end thereof the following: "For purposes of this subsection, the term 'treatment' does not include brief office visits (as defined by the Secretary) for the sole purpose of prescribing or monitoring prescription drugs used in the treatment of such disorders.". (b) PARTIAL HOSPITAUZATION COVERAGE.—



(1) Section 1861(s)(2)(B) of such Act (42 U.S.C. 1395x(s)(2)(B)) is amended by inserting "and partial hospitalization services incident to such services" before the semicolon. ^ (2) Section 1861 of such Act (42 U.S.C. 1395x) is amended by adding at the end thereof the following new subsection: "(ffKl) The term 'partial hospitalization services' means the items and services described in paragraph (2) prescribed by a physician and provided under a program described in paragraph (3) under the supervision of a physician pursuant to an individualized, written plan of treatment established and periodically reviewed by a physician (in consultation with appropriate staff participating in such program), which plan sets forth the physician's diagnosis, the type, amount, frequency, and duration of the items and services provided under the plan, and the goals for treatment under the plan. "(2) The items and services described in this paragraph are— "(A) individual and group therapy with physicians or psychologists (or other mental health professionals to the extent authorized under State law), "(B) occupational therapy requiring the skills of a qualified occupational therapist, •y "(C) services of social workers, trained psychiatric nurses, and other staff trained to work with psychiatric patients,