103 STAT. 2222 PUBLIC LAW 101-239—DEC. 19, 1989 42 USC 1395k note. 42 USC 1395k note. 42 USC 1395/ note. 42 USC 1395m note. Reports. 42 USC 1395b-l note. Reports. 42 USC 1395/ note. SEC. 6132. PAYMENTS TO CERTIFIED REGISTERED ANESTHETISTS. (a) EXTENSION AND EXPANSION OF CRNA PASS-THROUGH. —Section 9320(k) of the Omnibus Budget Reconciliation Act of 1986, as added by section 608(c)(2) of the Family Support Act of 1988, is amended— (1) by striking "250" each place it appears and inserting "500"; (2) in paragraph (1)— (A) by striking "1989, 1990, and 1991" and inserting "a year Obeginning with 1989)", and (B) by striking "before April 1, 1989," and inserting "at any time before the year"; (3) in paragraph (2)— (A) by striking "1990 or 1991" and inserting "in a year (after 1989)", and (B) by striking "each respective year" and inserting "the year"; and (4) by striking paragraph (3). (b) EFFECTIVE DATE.—" D ie amendments made by this section shall apply to services furnished on or after January 1, 1990. SEC. 6133. INCREASE IN PAYMENT LIMIT FOR PHYSICAL AND OCCUPA- TIONAL THERAPY SERVICES. (a) IN GENERAL. — Section 1833(g) of the Social Security Act (42 U.S.C. 13951(g)) is amended by striking "$500" each place it appears and inserting "$750". (b) EFFECTIVE DATE. — The amendment made by subsection (a) shall apply to services furnished on or after January 1, 1990. SEC. 6134. STUDY OF PAYMENT FOR PORTABLE X-RAY SERVICES. The Secretary of Health and Human Services shall conduct a study of the costs of furnishing, and payments for, portable x-ray services under part B of title XVIII of the Social Security Act. Not later than 1 year after the date of the enactment of this Act, the Secretary shall report to Congress on the results of such study and shall include a recommendation respecting whether payment for such services should be made in the same manner as for radiologists' services or on the basis of a separate fee schedule. SEC. 6135. EXTENSION OF MUNICIPAL HEALTH SERVICE DEMONSTRA- TION PROJECTS. Section 9215 of the Consolidated Omnibus Budget Reconciliation Act of 1985 is amended— (1) by striking ", for a period of three additional years," and inserting "through December 31, 1993,"; and (2) by adding at the end the following: "The Secretary shall submit a report to Congress on the waiver program with respect to the quality of health care, beneficiary costs, and such other factors as may be appropriate.". SEC. 6136. STUDY OF REIMBURSEMENT FOR AMBULANCE SERVICES. (a) IN GENERAL. —The Secretary of Health and Human Services shall conduct a study to determine the adequacy and appropriate- ness of pa3anent amounts under title XVIII of the Social Security Act for ambulance services. Such study shall examine at least the following: (1) The effect of payment amounts on the provision of ambu- lance services in rural areas.
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