117 STAT. 2068
PUBLIC LAW 108–173—DEC. 8, 2003
Sec. 414. Payment for rural and urban ambulance services. Sec. 415. Providing appropriate coverage of rural air ambulance services. Sec. 416. Treatment of certain clinical diagnostic laboratory tests furnished to hospital outpatients in certain rural areas. Sec. 417. Extension of telemedicine demonstration project. Sec. 418. Report on demonstration project permitting skilled nursing facilities to be originating telehealth sites; authority to implement. Subtitle C—Provisions Relating to Parts A and B Sec. 421. One-year increase for home health services furnished in a rural area. Sec. 422. Redistribution of unused resident positions. Sec. 431. Sec. 432. Sec. 433. Sec. 434.
Subtitle D—Other Provisions Providing safe harbor for certain collaborative efforts that benefit medically underserved populations. Office of Rural Health Policy improvements. MedPAC study on rural hospital payment adjustments. Frontier extended stay clinic demonstration project. TITLE V—PROVISIONS RELATING TO PART A
Sec. 501. Sec. 502. Sec. 503. Sec. 504. Sec. 505. Sec. 506. Sec. 507. Sec. 508.
Subtitle A—Inpatient Hospital Services Revision of acute care hospital payment updates. Revision of the indirect medical education (IME) adjustment percentage. Recognition of new medical technologies under inpatient hospital prospective payment system. Increase in Federal rate for hospitals in Puerto Rico. Wage index adjustment reclassification reform. Limitation on charges for inpatient hospital contract health services provided to Indians by medicare participating hospitals. Clarifications to certain exceptions to medicare limits on physician referrals. One-time appeals process for hospital wage index classification.
Subtitle B—Other Provisions Sec. 511. Payment for covered skilled nursing facility services. Sec. 512. Coverage of hospice consultation services. Sec. 513. Study on portable diagnostic ultrasound services for beneficiaries in skilled nursing facilities. TITLE VI—PROVISIONS RELATING TO PART B
Sec. 606.
Subtitle A—Provisions Relating to Physicians’ Services Revision of updates for physicians’ services. Treatment of physicians’ services furnished in Alaska. Inclusion of podiatrists, dentists, and optometrists under private contracting authority. GAO study on access to physicians’ services. Collaborative demonstration-based review of physician practice expense geographic adjustment data. MedPAC report on payment for physicians’ services.
Sec. Sec. Sec. Sec.
Subtitle B—Preventive Services Coverage of an initial preventive physical examination. Coverage of cardiovascular screening blood tests. Coverage of diabetes screening tests. Improved payment for certain mammography services.
Sec. 601. Sec. 602. Sec. 603. Sec. 604. Sec. 605.
Sec. Sec. Sec. Sec. Sec.
611. 612. 613. 614. 621. 622. 623. 624. 625.
Sec. 626. Sec. 627. Sec. 628. Sec. 629.
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Subtitle C—Other Provisions Hospital outpatient department (HOPD) payment reform. Limitation of application of functional equivalence standard. Payment for renal dialysis services. Two-year moratorium on therapy caps; provisions relating to reports. Waiver of part B late enrollment penalty for certain military retirees; special enrollment period. Payment for services furnished in ambulatory surgical centers. Payment for certain shoes and inserts under the fee schedule for orthotics and prosthetics. Payment for clinical diagnostic laboratory tests. Indexing part B deductible to inflation.
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