Page:United States Statutes at Large Volume 104 Part 2.djvu/502

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104 STAT. 1388-94 PUBLIC LAW 101-508—NOV. 5, 1990 (C) EXCLUSION FROM PAYMENT REMOVED. — Section 1862(a) of such Act (42 U.S.C. 1395y(a)) is amended— (i) in paragraph (2), by inserting ", except in the csise of Federally qualified health center services" before the semicolon at the end, and (ii) in paragraph (3), by inserting ", in the case of Federally qualified health center services, as defined in section 1861(aa)(3)," after "1861(aa)(l),", and (iii) by adding at the end the following new sentence: "Paragraph (7) shall not apply to Federally qualified health center services described in section 1861(aa)(3)(B).". (4) WAIVER OF ANTI-KICKBACK REQUIREMENT. — Section 1128B(b)(3) of such Act (42 U.S.C. 1320a-7b(b)(3)) is amended— (A) by striking "and" at the end of subparagraph (C), (B) by redesignating subparagraph (D) as subparagraph (E), and (C) by inserting after subparagraph (C) the following new subparagraph: "(D) a waiver of any coinsurance under part B of title XVIII by a Federally qualified health care center with respect to an individual who qualifies for subsidized services under a provision of the Public Health Service Act; and". (5) CONFORMING AMENDMENTS. —Section 1861 of such Act (42 U.S.C. 1395x) is further amended— (A) in subsections (s)(2)(H)(i) and (s)(2)(K), by striking "subsection (aa)(3)" and "subsection (aa)(4)" each place either appears inserting "subsection (aa)(5)" and "subsection (aa)(6)", respectively, and (B) in subsection (aa)(l)(B), by striking "paragraph (3)" and inserting "paragraph (5)". (6) PRRB REVIEW OF COST REPORTS FOR FEDERALLY QUALIFIED HEALTH CENTERS. —Section 1878 of the Social Security Act (42 U.S.C. 1395oo) is amended by adding at the end the following new subsection: "(j) In this section, the term 'provider of services' includes a Federally qualified health center.". 42 USC 254b (7) GAO STUDY OF HOSPITAL STAFF PRIVILEGES FOR PHYSICIANS PRACTICING IN COMMUNITY HEALTH CENTERS.— (A) STUDY.— The Comptroller General shall conduct a study of whether physicians practicing in community and migrant health centers are able to obtain admitting privileges at local hospitals. The study shall review— (i) how many physicians practicing in such centers are without hospital admitting privileges or have been denied admitting privileges at a local hospital, and (i)(I) the criteria hospitals use in deciding whether to grant admitting privileges and (II) whether such criteria act as significant barriers to health center physicians obtaining hospital privileges. (B) REPORT. —By not later than 18 months after the date of the enactment of this Act, the Comptroller General shall submit a report on the study under subparagraph (A) to the Committees on Ways and Means and Energy and Commerce of the House of Representatives and shall include in such report such recommendations as the Comptroller General deems appropriate. note.