Page:United States Statutes at Large Volume 104 Part 2.djvu/501

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PUBLIC LAW 101-508—NOV. 5, 1990 104 STAT. 1388-93 conversion factor used to determine the amount paid for physicians' services that are anesthesia services in the area or locality.". SEC. 4161. COMMUNITY HEALTH CENTERS AND RURAL HEALTH CLINICS. (a) COMMUNITY HEALTH CENTERS. — (1) COVERAGE. —Section 1861(s)(2)(E) of the Social Security Act (42 U.S.C. 1395x(s)(2)(E)) is amended by inserting "and Federally qualified health center services" after "rural health clinic services". (2) SERVICES DEFINED.— Section 1861(aa) of such Act is amended— (A) in the heading, by adding at the end the following: "and Federally Qualified Health Center Services", (B) in paragraph (3), by striking "paragraphs (1) and (2)" and inserting "the previous provisions of this subsection" and by redesignating such paragraph and paragraph (4) as paragraph (5) and (6), respectively, and (C) by inserting after paragraph (2) the following new paragraphs: "(3) The term 'Federally qualified health center services' means— "(A) services of the type described in subparagraphs (A) through (C) of paragraph (1), and "(B) preventive primary health services that a center is required to provide under sections 329, 330, and 340 of the Public Health Service Act, when furnished to an individual as an outpatient of a Federally qualified health center and, for this purpose, any reference to a rural health clinic or a physician described in paragraph (2)(B) is deemed a reference to a Federally qualified health center or a physician at the center, respectively. "(4) The term 'Federally qualified health center' means an entity which— "(A)(i) is receiving a grant under section 329, 330, or 340 of the Public Health Service Act, or "(iiXD is receiving funding from such a grant under a contract with the recipient of such a grant, and (II) meets the requirements to receive a grant under section 329, 330, or 340 of such Act; "(B) based on the recommendation of the Health Resources and Services Administration within the Public Health Service, is determined by the Secretary to meet the requirements for receiving such a grant; or "(C) was treated by the Secretary, for purposes of part B, as a comprehensive Federally funded health center as of January 1, 1990.". (3) PAYMENTS. — (A) IN GENERAL.— Section 1832(a)(2)(D) of such Act (42 U.S.C. 1395k(a)(2)(D)) is amended by inserting "(i)" after "(D)" and by inserting "and (ii) Federally qualified health center services" after "rural health clinic services". (B) DEDUCTIBLE DOES NOT APPLY.—The first sentence of section 1833(b) of such Act (42 U.S.C. 139510))) is amended— (i) by striking "and" before "(4)", (ii) by inserting before the period at the end the following: ", and (5) such deductible shall not apply to Federally qualified health center services".