Page:United States Statutes at Large Volume 100 Part 3.djvu/1126

 100 STAT. 2934

PUBLIC LAW 99-514—OCT. 22, 1986 Amendments of 1967" after "section 1886(c) of the Social Security Act". (11) HMO/CMP RATES.—(A) The matter in section 1876(a)(l)(A) of the Social Security Act (42 U.S.C. 1395mm(a)(l)(A)) preceding clause (i), as amended by section 9211(d) of COBRA, is amended by striking out "publish" and inserting in lieu thereof "announce (in a manner intended to provide notice to interested parties)". (B) The amendment made by subparagraph (A) shall apply to determinations of per capita payment rates for 1987 and subsequent years. (12) INDENTATION.—Section 1837(i)(l) of the Social Security Act (42 U.S.C. 1395p(i)(l)), as amended by section 9219(a)(2)(A) of COBRA, is amended by moving the alignment of subparagraph (A) two additional ems to the left so as to align its left margin with the left margins of subparagraphs (B) and (C) of such section. (13) ACCESS DEMONSTRATION PROJECT.—Section

9221(a) of

COBRA is amended by striking out "September 30, 1986" and inserting in lieu thereof "July 31, 1987". (14) PHYSICIAN PAYMENT.—(A) Section 1842(b)(4)(C) of the Social Security Act (42 U.S.C. 1395u(b)(4)(C)), as amended by section 9301(b)(l)(C) of COBRA, is amended— (i) by striking out clause (ii), and (ii) by striking out "(i)" in clause (i). (B) Section 9301(c)(5) of COBRA is amended by striking out "18420t)X7)" and inserting in lieu thereof "1842(h)(7)". (15) REDUNDANT WORDS.—Section 1842(h) of the Social Security Act (42 U.S.C. 1395u(h)), as amended by section 9301(c) of COBRA, is amended— (A) in paragraph (5), as redesignated by section 9301(c)(3)(D) of COBRA, by striking out "such" each place it appears, and (B) in paragraph (6); as so redesignated, by striking out "the the" and inserting in lieu thereof "the". (16) ASSISTANTS AT SURGERY.—(A) Section 1842(k) of the Social

Security Act (42 U.S.C. 1395u(k)), added by section 9307(c) of COBRA, is amended by inserting "presents or causes to be presented a claim or" after "willfully" each place it appears. (B) The amendment made by subparagraph (A) shall apply to claims presented after the date of the enactment of this Act. (C) For purposes of section 1862(a)(15) of the Social Security Act (42 U.S.C. 1395y(a)(15)), added by section 9307(a)(3) of COBRA, and for surgical procedures performed during the period beginning on April 1, 1986, and ending on December 15, 1986, a carrier is deemed to have approved the use of an assistant in a surgical procedure, before the surgery is performed, based on the existence of a complicating medical condition if the carrier determines after the surgery is performed that the use of the assistant in the procedure was appropriate based on the existence of a complicating medical condition before or during the surgery. (17) QTATION.-Section 1164(b)(4)(B) of the Social Security Act (42 U.S.C. 1320c-13a)X4XB)), as added by section 9401(b) of COBRA, is amended by striking out "paragraphs" and inserting in lieu thereof "subparagraphs '.

�