114 STAT. 2763A-516 PUBLIC LAW 106-554—APPENDIX F Subtitle C—Other Services SEC. 421. ONE-YEAR EXTENSION OF MORATORIUM ON THERAPY CAPS; REPORT ON STANDARDS FOR SUPERVISION OF PHYSICAL THERAPY ASSISTANTS. (a) IN GENERAL. —Section 1833(g)(4) (42 U.S.C. 13951(g)(4)) is amended by striking "2000 and 2001." and inserting "2000, 2001, and 2002.". (b) CONFORMING AMENDMENT TO CONTINUE FOCUSED MEDICAL REVIEWS OF CLAIMS DURING MORATORIUM PERIOD. —Section 221(a)(2) of BBRA (113 Stat. 1501^-351) is amended by striking "(under the amendment made by paragraph (1)(B))". (c) STUDY ON STANDARDS FOR SUPERVISION OF PHYSICAL THERA- PIST ASSISTANTS.— (1) STUDY. —The Secretary of Health and Human Services shall conduct a study of the implications— (A) of eliminating the "in the room" supervision requirement for medicare payment for services of physical therapy assistants who are supervised by physical therapists; and (B) of such requirement on the cap imposed under section 1833(g) of the Social Security Act (42 U.S.C. 13951(g)) on physical therapy services. (2) REPORT. — Not later than 18 months after the date of the enactment of this Act, the Secretary shall submit to Congress a report on the study conducted under paragraph (1). SEC. 422. UPDATE IN RENAL DIALYSIS COMPOSITE RATE. (a) UPDATE.— (1) IN GENERAL.—The last sentence of section 1881(b)(7) (42 U.S.C. 1395rr(b)(7)) is amended by striking "for such services furnished on or after Jginuary 1, 2001, by 1.2 percent" and inserting "for such services furnished on or after January 1, 2001, by 2.4 percent". (2) PROHIBITION ON EXCEPTIONS.— (A) IN GENERAL.— Subject to subparagraphs (B) and (C), the Secretary of Health and Human Services may not provide for an exception under section 1881(b)(7) of the Social Security Act (42 U.S.C. 1395rr(b)(7)) on or after December 31, 2000. (B) DEADLINE FOR NEW APPLICATIONS.— In the case of a facility that during 2000 did not file for an exception rate under such section, the facility may submit an application for an exception rate by not later than July 1, 2001. (C) PROTECTION OF APPROVED EXCEPTION RATES.— Any exception rate under such section in effect on December 31, 2000 (or, in the case of an application under subparagraph (B), as approved under such application) shall continue in effect so long as such rate is greater than the composite rate as updated by the amendment made by paragraph (1). (b) DEVELOPMENT OF ESRD MARKET BASKET.— (1) DEVELOPMENT. —The Secretary of Health and Human Services shall collect data and develop an ESRD market basket whereby the Secretary can estimate, before the beginning of a year, the percentage by which the costs for the year of
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