Page:United States Statutes at Large Volume 100 Part 1.djvu/223

 PUBLIC LAW 99-272—APR. 7, 1986

'

100 STAT. 187

(i) by striking out "directory" the first place it appears and inserting in lieu thereof "the directories", and (ii) by striking out "directory" the second place it appears and inserting in lieu thereof "the appropriate area directory or directories"; and (D) in paragraph (4)— (i) by striking out "directory" and inserting in lieu thereof "the directories", and (ii) by adding at the end the following: "The Secretary shall provide that each appropriate area directory is sent to each participating physician located in that area.".

"

- -^

,..

(3) EUMINATION OF PHYSICIAN ASSIGNMENT RATE LIST.—Section

,,:

1842(i) of such Act is further amended— 42 USC I395u. (A) by striking out "(i)(D" and all that follows through the end of paragraph (1), (B) by striking out "subsection (h)(D" in paragraph (2) and inserting in lieu thereof "paragraph (1)", (C) by striking out "list and" each place it appears in paragraphs (3) and (4), and (D) by redesignating paragraphs (2) through (4) as paragraphs (4) through (6) of subsection (h), respectively. (4)

INFORMATION O N THE PARTICIPATING PHYSICIAN A N D

SUP-

PLIER PROGRAM IN EXPLANATIONS OF MEDICARE BENEFITS FOR

UNASSiGNED CLAIMS.—Section 1842(h) of such Act, as previously amended by this subsection, is further amended by adding at the end the following new paragraphs: "(7) The Secretary shall provide that each explanation of benefits provided under this part for services furnished in the United States, in conjunction with the payment of claims under section 1833(a)(l) (made other than on an assignment-related basis, described in paragraph (8)), shall include— "(A) a reminder of the participating physician and supplier program established under this subsection (including the limitation on charges that may be imposed by such physicians and suppliers), and "(B) the toll-free telephone number or numbers, maintained under paragraph (2), at which an individual enrolled under this part may obtain information on participating physicians and suppliers. "(8) For purposes of this title, a claim is considered to be paid on an 'assignment-related basis' if the claim is paid on the beisis of an assignment described in subsection (b)(3)(B)(ii), in accordance with subsection (b)(6)(B), or under the procedure described in section 1870(fKl).". (5) EFFECTIVE DATE.—Section 1842(b)(7) of the Social Security Act, as added by paragraph (4) of this subsection, shall apply to explanations of benefits provided on or after such date (not later than October 1, 1986) as the Secretary of Health and Human Services shall specify. (d) CHANGING CUSTOMARY AND PREVAIUNG CHARGE UPDATES FOR PHYSICIAN SERVICES AND OTHER PART B SERVICES FROM OCTOBER TO JANUARY.— (1) PAYMENT UPDATES.—Section 1842(b)(3) of the Social Secu-

rity Act (42 U.S.C. 1395u(b)(3)) is amended—

42 USC 1395Z.

•H'J

42 USC 1395gg. 42 USC 1395U note.

�