Page:United States Statutes at Large Volume 100 Part 1.djvu/220

 100 STAT. 184 42 USC 1395b-l and note, 1395/Z. 42 USC 1395b-l.

PUBLIC LAW 99-272—APR. 7, 1986

1986, of the "Access: Medicare" demonstration project carried out pursuant to section 222 of the Social Security Amendments of 1972 and section 402(a) of the Social Security Amendments of 1967 by Monroe County Long Term Care Program, Inc. (b) TERMS AND CONDITIONS.—The Secretary's approval of an ap-

plication (or renewal of an application) under subsection (a) shall be on the same terms and conditions as applied to the demonstration project as in effect on August 31, 1985.

PART 3—PROVISIONS RELATING TO PART B OF MEDICARE Subpart A—Payment-Related Provisions SEC. 9301. MEDICARE PHYSICIAN PAYMENT PROVISIONS. (a) EXTENSION OF CURRENT FREEZE ON PAYMENT RATES THROUGH 42 USC 1395WW note.

APRIL 30, 1986.—Section 5(c) of the Emergency Extension Act of 1985 (Public Law 99-107), as amended by section 9101(a) of this title, is further amended by adding at the end the following new paragraph: "(2) PHYSICIAN PAYMENTS.—For purposes of subsection (b), the term 'extension period' means the period beginning on October 1, 1985, and ending on April 30, 1986." (b) EXTENSION OF CERTAIN PROVISIONS THROUGH DECEMBER 31,

1986.— (1) EXTENSION.—Section 1842(b)(4) of the Social Security Act (42 U.S.C. 1395u(b)(4)) is amended— (A) in subparagraph (A)— (i) by inserting "(i)" after "(4)(A)", and (ii) by adding at the end the following new clauses: "(ii)(I) In determining the prevailing charge levels under the third and fourth sentences of paragraph (3) for physicians' services furnished during the 8-month period beginning May 1, 1986, by a physician who is not a participating physician (as defined in subsection (h)(1)) at the time of furnishing the services, the Secretary shall not set any level higher than the same level as was set for the 12month period beginning July 1, 1983. "(II) In determining the prevailing charge levels under the fourth sentence of paragraph (3) for physicians' services furnished during the 8-month period beginning May 1, 1986, by a physician who is a participating physician (as defined in subsection (h)(1)) at the time of furnishing the services, the Secretary shall permit an additional one percentage point increase in the increase otherwise permitted under that sentence. "(iii) In determining the prevailing charge levels under the third and fourth sentences of paragraph (3) for physicians' services furnished during a 12-month period beginning on or after January 1, 1987, by a physician who is not a participating physician (as defined in subsection (h)(1)) at the time of furnishing the services, the Secretary shall not set any level higher than the same level as was set for services furnished during the previous calendar year (without regard to clause (ii)(II)) for physicians who were participating physicians during that year."; (B) in subparagraph (B)— "t (i) by inserting "(i)" after "(B)", and ^^ _.;,, (ii) by adding at the end the following new clause:

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