Page:United States Statutes at Large Volume 100 Part 1.djvu/230

 100 STAT. 194 Ante, p. 193.

PUBLIC LAW 99-272—APR. 7, 1986

the end the following: "or as may be required to carry out section 1862(a)(15)". (c) PROHIBITION FOR SUBMITTING BILL FOR WHICH PAYMENT MAY

42 USC 1395y note.

42 USC 1320C-3 note.

NOT B E MADE.—Section 1842 of such Act (42 U.S.C. 1395u) is amended— (1) in subsection (j)(2), by inserting "or subsection (k)" after "paragraph (1)", and (2) by adding at the end the following new subsection: "(k)(l) If a physician knowingly and willfully bills an individual enrolled under this part for charges for services as an assistant at surgery for which payment may not be made by reason of section 1862(a)(15), the Secretary may apply sanctions against such physician in accordance with subsection (j)(2). "(2) If a physician knowingly and willfully bills an individual enrolled under this part for charges that includes a charge for an assistant at surgery for which payment may not be made by reason of section 1862(a)(15), the Secretary may apply sanctions against such physician in accordance with subsection (j)(2).". (d) EXTENSION OF PROHIBITION TO OTHER PROCEDURES.—The Secretary of Health and Human Services, after consultation with the Physician Payment Review Commission, shall develop recommendations and guidelines respecting other surgical procedures for which an assistant at surgery is generally not medically necessary and the circumstances under which the use of an assistant at surgery is generally appropriate but should be subject to prior approval of an appropriate entity. The Secretary shall report to Congress, not later than January 1, 1987, on these recommendations and guidelines. (e) EFFECTIVE DATE.—The amendments made by this section shall apply to services performed on or after April 1, 1986.

Subpart B—Benefits and Other Provisions SEC. 9313. PART B PREMIUM.

Section 1839 of the Social Security Act (42 U.S.C. 1395r) is amended— (1) in subsection (e), by striking out '1988" and inserting in lieu thereof "1989" each place it appears; (2) in subsection (f)(1), by striking out "or 1986" and inserting in lieu thereof ", 1986, or 1987"; and (3) in subsection (f)(2), by striking out "or 1987" and inserting in lieu thereof ", 1987, or 1988". SEC. 9314. DEMONSTRATION OF PREVENTIVE HEALTH SERVICES UNDER MEDICARE. 42 USC 1395b-l note.

42 USC 1395.

(a) DEMONSTRATION PROGRAM.—The Secretary of Health and Human Services (hereinafter in this section referred to as the "Secretary") shall establish a 4-year demonstration program designed to reduce disability and dependency through the provision of preventive health services to individuals entitled to benefits under title XVIII of the Social Security Act (hereinafter in this section referred to as "medicare beneficiaries"). (b) PREVENTIVE HEALTH SERVICES UNDER DEMONSTRATION PRO-

GRAM.—The preventive health services to be made available under the demonstration program shall include— (1) health screenings, (2) health risk appraisals, (3) immunizations, and

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