Omnibus Budget Reconciliation Act of 1990/Title IV

— MEDICARE, MEDICAID, AND OTHER HEALTH-RELATED PROGRAMS

 * Subtitle A — Medicare
 * Sec. 4000. References in Subtitle; Table of Contents.
 * 
 * Sec. 4001. Payments for Capital-Related Costs of Inpatient Hospital Services.
 * Sec. 4002. Prospective Payment Hospitals.
 * Sec. 4003. Expansion of DRG Payment Window.
 * Sec. 4004. Payments for Medical Education costs.
 * Sec. 4005. PPS-Exempt Hospitals.
 * Sec. 4006. Hospice Benefit Extension.
 * Sec. 4007. Freeze in Payments Under PART A Through December 31.
 * Sec. 4008. Miscellaneous and technical provisions relating to PART A.


 * 
 * Subpart A — Payment for Physicians' Services
 * Sec. 4101. Certain Overvalued Procedures.
 * Sec. 4102. Radiology Services.
 * Sec. 4103. Anesthesia Services.
 * Sec. 4104. Physician Pathology Sservices.
 * Sec. 4105. Update for Physicians' Services.
 * Sec. 4106. New Physicians and Other New Health Care Practitioners.
 * Sec. 4107. Assistants at Surgery.
 * Sec. 4108. Technical Components of Certain Diagnostic Tests.
 * Sec. 4109. Interpretation of Electrocardiograms.
 * Sec. 4110. Reciprocal Billing Arrangements.
 * Sec. 4111. Study of Prepayment Medical Review Screens.
 * Sec. 4112. Practicing Physicians Advisory Council.
 * Sec. 4113. Study of Aggregation Rule for Claims for Similar Physicians' Services.
 * Sec. 4114. Utilization Screens for Physician Visits in Rehabilitation Hospitals.
 * Sec. 4115. Study of Regional Variations in Impact of Medicare Physician Payment Reform.
 * Sec. 4116. Limitation on Beneficiary Liability.
 * Sec. 4117. Statewide Fee Schedule Areas for Physicians' Services.
 * Sec. 4118. Technical Corrections.


 * Subpart B — Other Items and Services
 * Sec. 4151. Payments for Hospital Outpatient Sservices.
 * Sec. 4152. Durable Medical Equipment.
 * Sec. 4153. Provisions Relating to Orthotics and Prosthetics.
 * Sec. 4154. Clinical Diagnostic Laboratory Tests.
 * Sec. 4155. Coverage of Nurse Practitioners in Rural Areas.
 * Sec. 4156. Coverage of Injectable Drugs for Treatment of Osteoporosis.
 * Sec. 4157. Separate Payment Under PART B for Services of Certain Health Practitioners.
 * Sec. 4158. Reduction in Payments Under PART B During Final 2 Months of 1990.
 * Sec. 4159. Payments for Medical Education Costs.
 * Sec. 4160. Certified Registered Nurse Anesthetists.
 * Sec. 4161. Community Health Centers and Rural Health Clinics.
 * Sec. 4162. Partial Hospitalization in Community Mental Health Centers.
 * Sec. 4163. Coverage of Screening Mammography.
 * Sec. 4164. Miscellaneous and Technical Provisions Relating to PART B.


 * 
 * Sec. 4201. Provisions Relating to End Stage Renal Disease.
 * Sec. 4202. Staff-Assisted Home Dialysis Demonstration Project.
 * Sec. 4203. Extension of Secondary Payor Provisions.
 * Sec. 4204. Health Maintenance Organizations.
 * Sec. 4205. Peer Review Organizations.
 * Sec. 4206. Medicare Provider Agreements Assuring the Implementation of a Patient's Right to Participate in and Direct Health Care Decisions Affecting the Patient.


 * Sec. 4207. Miscellaneous and Technical Provisions Relating to PARTS A and B.


 * 
 * Sec. 4301. PART B Premium.
 * Sec. 4302. PART B Deductible.


 * 
 * Sec. 4351. Simplification of Medicare Supplemental Policies.
 * Sec. 4352. Guaranteed Renewability.
 * Sec. 4353. Enforcement of Standards.
 * Sec. 4354. Preventing Duplication.
 * Sec. 4355. Loss Ratios and Refund of Premiums.
 * Sec. 4356. Clarification of Treatment of Plans Offered by Health Maintenance Organizations.
 * Sec. 4357. Pre-Existing Condition Limitations and Limitation on Medical Underwriting.
 * Sec. 4358. Medicare Select Policies.
 * Sec. 4359. Health Insurance Advisory Services for Medicare Beneficiaries.
 * Sec. 4360. Health Insurance Information, Counseling, and Assistace Grants.
 * Sec. 4361. Medicare and Medigap Information by Telephone.


 * Subtitle B — Medicaid
 * 
 * Sec. 4401. Reimbursement for Prescribed Drugs.
 * Sec. 4402. Requiring Medicaid Payment of Premiums and Cost-Sharing for Enrollment Under Group Health Plans Where Cost-Effective.


 * 
 * Sec. 4501. Phased-In Extension of Medicaid Payments for Medicare Premiums for Certain Individuals with Income Below 120 Percent of the Official Poverty Line.


 * 
 * Sec. 4601. Medicaid Child Health Provisions.
 * Sec. 4602. Mandatory Use of Outreach Locations Other Than Welfare Offices.
 * Sec. 4603. Mandatory Continuation of Benefits Throughout Pregnancy or First Year of Life.
 * Sec. 4604. Adjustment in Payment for Hospital Services Furnished to Low-Income Children Under the Age of 6 Years.
 * Sec. 4605. Presumptive Eligibility.
 * Sec. 4606. Role in Paternity Determinations.
 * Sec. 4607. Report and Transition on Errors in Eligibility Determinations.


 * 
 * Subpart A — Payments
 * Sec. 4701. State Medicaid Matching Payments Through Voluntary Contributions and State Taxes.
 * Sec. 4702. Disproportionate Share Hospitals: Counting of Inpatient Days.
 * Sec. 4703. Disproportionate Share Hospitals: Alternative State Payment Adjustments and Systems.
 * Sec. 4704. Federally-Qualified Health Centers.
 * Sec. 4705. Hospice Payments.
 * Sec. 4706. Limitation on Disallowances or Deferral of Federal Financial Participation for Certain Inpatient Psychiatric Hospital Services for Individuals Under Age 21.


 * Sec. 4707. Treatment of Interest on Indiana Disallowance.
 * Sec. 4708. Billing for Services of Substitute Physician.


 * Subpart B — Eligibility and Coverage
 * Sec. 4711. Home and Community-Based Care as Optional Service.
 * Sec. 4712. Community Supported Living Arrangements Services.
 * Sec. 4713. Providing Federal Medical Assistance for Payments for Premiums for `COBRA´ Continuation Coverage Where Cost Effective.


 * Sec. 4714. Provisions Relating to Spousal Impoverishment.
 * Sec. 4715. Disregarding German Reparation Payments from Post-Eligibility Treatment of Income Under the Medicaid Program.


 * Sec. 4716. Amendments Relating to Medicaid Transition Provision.
 * Sec. 4717. Clarifying Effect of Hospice Election.
 * Sec. 4718. Medically Needy Income Levels for Certain 1-Member Families.
 * Sec. 4719. Codification of Coverage of Rehabilitation Services.
 * Sec. 4720. Personal Care Services for Minnesota.
 * Sec. 4721. Medicaid Coverage of Personal Care Services Outside the Home.
 * Sec. 4722. Medicaid Coverage of Alcoholism and Drug Dependency Treatment Services.
 * Sec. 4723. Medicaid Spenddown Option.
 * Sec. 4424. Optional State Medicaid Disability Determinations Independent of the Social Security Administration.


 * Subpart C — Health Maintenance Organizations
 * Sec. 4731. Regulation of Incentive Payments to Physicians.
 * Sec. 4732. Special Rules.
 * Sec. 4733. Extension and Expansion of Minnesota Prepaid Medicaid Demonstration Project.
 * Sec. 4734. Treatment of Certain County-Operated Health Insuring Organizations.


 * Subpart D — Demonstration Projects and Home and Community-Based Waivers
 * Sec. 4741. Home and Community-Based Waivers.
 * Sec. 4742. Timely Payment Under Waivers of Freedom of Choice of Hospital Services.
 * Sec. 4744. Provisions Relating to Frail Elderly Demonstration Project Waivers.
 * Sec. 4745. Demonstration Projects to Study the Effect of Allowing States to Extend Medicaid Coverage to Certain Low-Income Families Not Otherwise Qualified to Receive Medicaid Benefits.


 * Sec. 4746. Medicaid Respite Demonstration Project Extended.
 * Sec. 4747. Demonstration Project to Provide Medicaid Coverage for HIV-Positive Individuals.


 * Subpart E — Miscellaneous
 * Sec. 4751. Requirements for Advanced Directives Under State Plans for Medical Assistance.
 * Sec. 4752. Improvement in Quality of Physician Services.
 * Sec. 4753. Clarification of Authority of Inspector General.
 * Sec. 4754. Notice to State Medical Boards When Adverse Actions Taken.
 * Sec. 4755. Miscellaneous Provisions.


 * 
 * Sec. 4801. Technical Corrections Relating to Nursing Home Reform.