108 STAT. 4424
PUBLIC LAW 103-432—OCT. 31, 1994
Effective date.
42 USC 1395m
note.
42 USC 1395m
note.
42 USC 1395m.
42 USC 1395m
note.
42 USC 1395CC
note.
Effective date.
42 USC 1395m
note.
a geographic cost adjustment index for suppliers of durable
medical equipment under the medicare program and an
analysis of the impact of such proposed index on payments
under the medicare program; and
(B) the Comptroller General shall submit a report to
the Committees on Energy and Commerce and Ways and
Means of the House of Representatives and the Committee
on Finance of the Senate analyzing on a geographic basis
the supplier costs of durable medical equipment under
the medicare program.
(d) OXYGEN RETESTING.—(1) Section 1834(a)(5)(E) (42 U.S.C.
1395m(a)(5)(E)) is amended by striking "55" and inserting "56".
(2) The amendment made by paragraph (1) shall be effective
on the date of the enactment of this Act.
(e) OTHER MISCELLANEOUS AND TECHNICAL AMENDMENTS.—
(1) Section 4152(a)(3) of OBRA-1990 is amended by striking
"amendment made by subsection (a)" and inserting "amendments
made by this subsection".
(2) Section 4152(c)(2) of OBRA-1990 is amended by striking
"1395m(a)(7)(A)" and inserting "1395m(a)(7)".
(3)
Section
1834(a)(7)(A)(iii)(II)
(42
U.S.C.
1395m(a)(7)(A)(iii)(II)) is amended by striking "clause (v)" and
inserting "clause (vi)".
(4) Section 1834(a)(7)(C)(i) (42 U.S.C. 1395m(a)(7)(C)(i)) is
amended by striking "or paragraph (3)".
(5) Section 1834(a)(3) (42 U.S.C. 1395m(a)(3)) is amended by
striking subparagraph (D).
(6) Section 4153(c)(1) of OBRA-1990 is amended by striking
"1834(a)" and inserting "1834(h)".
(7) Section 4153(d)(2) of OBRA-1990 is amended by striking
"Reconihation" and inserting "ReconciHation".
(8) The amendments made by this subsection shall take effect
as if included in the enactment of OBRA-1990.
PART III—OTHER ITEMS AND SERVICES
SEC. 141. AMBULATORY SURGICAL CENTEK SERVICES.
(a) PAYMENT AMOUNTS FOR SERVICES FURNISHED IN AMBULA-
TORY SURGICAL CENTERS.—
(1) USE OF SURVEY TO DETERMINE INCURRED COSTS.—Sec-
42 USC 1395/.
tion
1833(i)(2)(A)(i) (42 U.S.C. 13951(i)(2)(A)(i)) is amended by
striking the comma at the end and inserting the following:
", as aetermined in accordance with a survey (based upon
a representative sample of procedures and facilities) taken not
later tiian January 1, 1995, and every 5 years thereafter, of
the actual audited costs inciured by such centers in providing
such services,".
(2) AUTOMATIC APPLICATION OF INFLATION ADJUSTMENT.—
42 USC 1395/.
Section 1833(i)(2) (42 U.S.C. 13951(i)(2)) is amended—
(A) in the second sentence of subparagraph (A) and
the second sentence of subparagraph (B), by striking "and
may be adjusted by the Secretary, when appropriate,";
and
(B) by adding at the end the following new
subparagraph:
"(C) Notwithstanding the second sentence of subparagraph (A)
or the second sentence of subparagraph (B), if the Secretary has
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