PUBLIC LAW 101-239—DEC. 19, 1989 103 STAT. 2225 (2) in clause (ii), by striking "125 percent" and all that follows through "85 percent" and inserting "120 percent, and may not be lower than 90 percent". SEC. 6141. PHYSICIAN OFFICE LABS. (a) IN GENERAL. — Section 1861(s) of the Social Security Act (42 U.S.C. 1395x(s)) is amended— (1) in the matter following paragraph (14), by striking "which is independent" and all that follows through "per year," and inserting the following: ", including a laboratory that is part of; (2) by redesignating paragraph (16) as subparagraph (B); and (3) by inserting immediately after paragraph (15) the follow- ing: "(16XA) meets the certification requirements under section 353 of the Public Health Service Act; and". (b) EFFECTIVE DATE. — The amendments made by subsection (a) 42 USC I395x shall take effect on the date of the enactment of this Act. °°*®- SEC. 6142. STUDY OF REIMBURSEMENT FOR BLOOD CLOTTING FACTOR FOR HEMOPHILIA PATIENTS. The Secretary of Health and Human Services shall review the current methodology for reimbursing for blood clotting factor for hemophilia patients under part B of title XVIII of the Social Secu- rity Act and shall evaluate the effect of such methodology on the accessibility and affordability of such factor to medicare bene- ficiaries. By not later than 6 months after the date of the enactment Reports, of this Act, the Secretary shall report to the (Dommittees on Energy and Commerce and Ways and Means of the House of Representa- tives and the Committee on Finance of the Senate on such review and shall include in such report such recommendations as the Secretary deems appropriate. PART 3—PROVISIONS RELATING TO PARTS A ANDB Subpart A—General Provisions SEC. 6201. REDUCTIONS UNDER ORIGINAL SEQUESTER ORDER AND AP- 2 USC 902 note. PLICABILITY OF NEW SEQUESTER ORDER FOR HEALTH MAINTENANCE ORGANIZATIONS. Notwithstanding any other provision of law (including section 11002 or any other provision of this Act), the reductions in the amount of payments required under title XVIII of the Social Secu- rity Act made by the final sequester order issued by the President on October 16, 1989, pursuant to section 252(b) of the Balanced Budget and Emergency Deficit Control Act of 1985 shall continue to be effective (as provided by sections 252(a)(4)(B) and 256(d)(2) of such Act) through December 31, 1989, with respect to payments under section 1833(a)(l)(A) or 1876 of the Social Security Act, section 402 of the Social Security Amendments of 1967, or section 222 of the Social Security Amendments of 1972. E}ach such payment made during fiscal year 1990 after such date shall be increased by 1.42 percent above what it would otherwise be under this Act. SEC. 6202. MEDICARE AS SECONDARY PAYER (a) IDENTIFICATION OP MEDICARE SECONDARY PAYER SFFUATIONS. —
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