Page:United States Statutes at Large Volume 124.djvu/583

124 STAT. 557 PUBLIC LAW 111–148—MAR. 23, 2010 (2) in paragraph (7), by striking ‘‘or (K)’’ and inserting ‘‘(K), or (P)’’. (e) EFFECTIVE DATE.—The amendments made by this section shall apply to services furnished on or after January 1, 2011. SEC. 4104. REMOVAL OF BARRIERS TO PREVENTIVE SERVICES IN MEDICARE. (a) DEFINITION OF PREVENTIVE SERVICES.—Section 1861(ddd) of the Social Security Act (42 U.S.C. 1395x(ddd)) is amended— (1) in the heading, by inserting ‘‘; Preventive Services’’ after ‘‘Services’’; (2) in paragraph (1), by striking ‘‘not otherwise described in this title’’ and inserting ‘‘not described in subparagraph (A) or (C) of paragraph (3)’’; and (3) by adding at the end the following new paragraph: ‘‘(3) The term ‘preventive services’ means the following: ‘‘(A) The screening and preventive services described in subsection (ww)(2) (other than the service described in subpara- graph (M) of such subsection). ‘‘(B) An initial preventive physical examination (as defined in subsection (ww)). ‘‘(C) Personalized prevention plan services (as defined in subsection (hhh)(1)).’’. (b) COINSURANCE.— (1) GENERAL APPLICATION.— (A) IN GENERAL.—Section 1833(a)(1) of the Social Secu- rity Act (42 U.S.C. 1395l(a)(1)), as amended by section 4103(c)(1), is amended— (i) in subparagraph (T), by inserting ‘‘(or 100 per- cent if such services are recommended with a grade of A or B by the United States Preventive Services Task Force for any indication or population and are appropriate for the individual)’’ after ‘‘80 percent’’; (ii) in subparagraph (W)— (I) in clause (i), by inserting ‘‘(if such subpara- graph were applied, by substituting ‘100 percent’ for ‘80 percent’)’’ after ‘‘subparagraph (D)’’; and (II) in clause (ii), by striking ‘‘80 percent’’ and inserting ‘‘100 percent’’; (iii) by striking ‘‘and’’ before ‘‘(X)’’; and (iv) by inserting before the semicolon at the end the following: ‘‘, and (Y) with respect to preventive services described in subparagraphs (A) and (B) of section 1861(ddd)(3) that are appropriate for the indi- vidual and, in the case of such services described in subparagraph (A), are recommended with a grade of A or B by the United States Preventive Services Task Force for any indication or population, the amount paid shall be 100 percent of the lesser of the actual charge for the services or the amount determined under the fee schedule that applies to such services under this part’’. (2) ELIMINATION OF COINSURANCE IN OUTPATIENT HOSPITAL SETTINGS.— (A) EXCLUSION FROM OPD FEE SCHEDULE.—Section 1833(t)(1)(B)(iv) of the Social Security Act (42 U.S.C. 42 USC 1395l note.