Page:United States Statutes at Large Volume 104 Part 2.djvu/490

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104 STAT. 1388-82 PUBLIC LAW 101-508—NOV. 5, 1990 average) for the 6-month period ending with December 1987, or "(II) in 1991, 1992 or 1993, equal to the local purchase price computed under this clause for the previous year increased by the applicable percentage increase for the year. " (B) COMPUTATION OF REGIONAL PURCHASE PRICE. — With respect to the furnishing of a particular item in each region (as defined by the Secretary), the Secretary shall compute a regional purchase price— "(i) for 1992, equal to the average (weighted by relative volume of all claims among carriers) of the local purchase prices for the carriers in the region computed under subparagraph (A)(ii)(II) for the year, and "(ii) for each subsequent year, equal to the regional purchase price computed under this subparagraph for the previous year increased by the applicable percentage increase for the year. "(C) PURCHASE PRICE RECOGNIZED. — For purposes of paragraph (1) and subject to subparagraph (D), the amount that is recognized under this paragraph as the purchase price for each item furnished— "(i) in 1989, 1990, or 1991, is 100 percent of the local purchase price computed under subparagraph (A)(ii); "(ii) in 1992, is the sum of (I) 75 percent of the local purchase price computed under subparagraph (A)(iiXII) for 1992, and (II) 25 percent of the regional purchase price computed under subparagraph (B) for 1992; "(iii) in 1993, is the sum of (I) 50 percent of the local purchase price computed under subparagraph (A)(ii)(II) for 1993, and (II) 50 percent of the regional purchase price computed under subparagraph (B) for 1993; and "(iv) in 1994 or a subsequent year, is the regional purchase price computed under subparagraph (B) for that year. "(D) RANGE ON AMOUNT RECOGNIZED. — The amount that is recognized under subparagraph (C) as the purchase price for an item furnished— "(i) in 1992, may not exceed 125 percent, and may not be lower than 85 percent, of the average of the purchase prices recognized under such subparagraph for all the carrier service areas in the United States in that year; and "(ii) in a subsequent year, may not exceed 120 percent, and may not be lower than 90 percent, of the average of the purchase prices recognized under such subparagraph for all the carrier service areas in the United States in that year. " (3) APPLICABILITY OF CERTAIN PROVISIONS RELATING TO DURA- BLE MEDICAL EQUIPMENT.—Paragraph (12) and subparagraphs (A) and (B) of paragraph (10) and paragraph (11) of subsection (a) shall apply to prosthetic devices, orthotics, and prosthetics in the same manner as such provisions apply to covered items under such subsection. "(4) DEFINITIONS. —In this subsection— "(A) the term 'applicable percentage increase' means— "(i) for 1991, 0 percent, and