Page:United States Statutes at Large Volume 100 Part 1.djvu/229

 PUBLIC LAW 99-272—APR. 7, 1986

100 STAT. 193

"(A) the report of the Office of Technology Assessment under section 2309 of the Deficit Reduction Act of 1984, "(B) the recommendations of the Physician Payment Review Commission under subsection (b)(3), and "(C) factors with respect to the input costs for furnishing particular physicians' services, such as— "(i) the differences in costs of furnishing services in different settings, "(ii) the differences in skill levels and training required to perform the services, and "(iii) the time required, and risk involved, in furnishing different services. "(3) The Secretary shall complete the development of the relative value scale under this section, and report to Congress on the development, not later than July 1, 1987. The report shall include recommendations for the application of the scale to payment for physicians' services furnished under this part on or after January 1, 1988.".

42 USC 1395/ note.

Reports.

SEC. 9306. LIMITATION ON MEDICARE PAYMENT FOR POST-CATARACT SURGERY PATIENTS. (a) DETERMINATION OF SEPARATE PAYMENT AMOUNTS FOR PROS-

THETIC LENSES AND PROFESSIONAL SERVICES.—Section 1842(b) of the

Social Security Act (42 U.S.C. 1395u(b)) is amended by adding after paragraph (8), added by section 9304(a) of this title, the following new paragraph: "(9) In providing payment for cataract eyeglasses and cataract contact lenses, and professional services relating to them, under this part, each carrier shall— "(A) provide for separate determinations of the payment amount for the eyeglasses and lenses and of the payment amount for the professional services of a physician (as defined in section 1861(r)), and "(B) not recognize as reasonable for such eyeglasses and lenses more than such amount as the Secretary establishes in guidelines relating to the inherent reasonableness of charges for such eyeglasses and lenses.". (b) EFFECTIVE DATE.—The amendments made by this section shall apply to items and services furnished on or after April 1, 1986.

42 USC 1395x.

42 USC 1395u note.

SEC. 9307. PAYMENT FOR ASSISTANTS AT SURGERY FOR CERTAIN CATARACT OPERATIONS AND OTHER OPERATIONS.

(a) LIMITATION ON PAYMENT.—Section 1862(a) of the Social Security Act (42 U.S.C. 1395y(a)) is amended— (1) by striking out "or" at the end of paragraph (13), (2) by striking out the period at the end of paragraph (14) and inserting in lieu thereof "; or", and (3) by adding at the end the following new paragraph: "(15) which are for services of an assistant at surgery in a cataract operation unless, before the surgery is performed, the appropriate utilization and quality control peer review organization (under part B of title XI) or a carrier under section 1842 has approved of the use of such an assistant in the surgical procedure based on the existence of a complicating medical condition.". (b) ADDITIONAL PRO FUNCTIONS.—Section 1154(a)(8) of such Act (42 U.S.C. 1320c-3(a)(8)) is amended by inserting before the period at

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42 USC 1320c. 42 USC 1395u.

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