Page:United States Statutes at Large Volume 100 Part 1.djvu/213

 PUBLIC LAW 99-272—APR. 7, 1986

100 STAT. 177

and outpatient hospital services) to medicare beneficiaries. Such study shall evaluate— (1) the types of services provided; (2) the cost of providing such services, relative to the cost of other physicians providing the services or other approaches to providing the services; (3) any deficiencies in the quality of the services provided, and methods of assuring the quality of such services; and (4) the impact on costs of and access to services if medicare payment for hospitals' costs of graduate medical education of foreign medical graduates were phased out. (g) ESTABLISHING PHYSICIAN IDENTIFIER SYSTEM.—The Secretary of

Health and Human Services shall establish a system, for implementation not later than July 1, 1987, which provides for a unique identifier for each physician who furnishes services for which payment may be made under title XVIII of the Social Security Act. (h) PAPERWORK REDUCTION.—Chapter 35 of title 44, United States Code, shall not apply to information required for purposes of carrying out this section and the amendments made by this section.

42 USC 1395WW note.

42 USC 1395. 42 USC 1395WW note. 44USe 3501 et seq.

(i) PROHIBITING A LIMIT O N INCREASES O N DIRECT MEDICAL EDUCATION COSTS.—(1) Section 1861(v)(l) of the Social Security Act (42

U.S.C. 1395x(v)(l)), as amended by section 9107(b) of this title, is further amended by adding at the end the following new subparagraph: "(Q) Except as otherwise explicitly authorized, the Secretary is not authorized to limit the rate of increase on allowable costs of approved medical educational activities.". (2) The amendment made by paragraph (1) shall apply to cost 42 USC 1395x note. reporting periods beginning on or after July 1, 1985. (j) SPECIAL TREATMENT OF STATES FORMERLY UNDER WAIVER.—In

the case of a hospital in a State that has had a waiver approved under section 1886(c) of the Social Security Act, for cost reporting periods beginning on or after January 1, 1986, if the waiver is terminated— (1) the Secretary of Health and Human Services shall permit the hospital to change the method by which it allocates administrative and general costs to the direct medical education cost centers to the method specified in the medicare cost report; (2) the Secretary may make appropriate adjustments in the regional adjusted DRG prospective payment rate (for the region in which the State is located), based on the assumption that all teaching hospitals in the State use the medicare cost report; and (3) the Secretary shall adjust the hospital-specific portion of payment under section 1886(d) of such Act for any such hospital that actually chooses to use the medicare cost report. The Secretary shall implement this subsection based on the best available data.

42 USC 1395WW note. ^n^e, p. 161. '

SEC. 9204. MORATORIUM ON LABORATORY PAYMENT DEMONSTRATION.

(a) MORATORIUM.—Prior to January 1, 1987, the Secretary of Health and Human Services shall not conduct any demonstration projects relating to competitive bidding as a method of purchasing laboratory services under title XVIII of the Social Security Act. The Secretary may contract for the design of, and site selection for, such demonstration projects.

42 USC 1395ww note. contracts. 42 USC 1395.

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