Page:United States Statutes at Large Volume 100 Part 3.djvu/208

 100 STAT. 2016

PUBLIC LAW 99-509—OCT. 21, 1986 (h) OTHER CONFORMING AMENDMENTS.—(1) Section 1862(a)(14) of

such Act (42 U.S.C. 1395y(a)(14)) is amended by inserting before the period the following: "or are services of a certified registered nurse

42 USC 1395k note. 42 USC 1395k note.

(2) Section 1866(a)(l)(H) of such Act (42 U.S.C. 1395cc(a)(l)(H)) is amended by inserting ", and other than services of a certified registered nurse anesthetist" after "1862(a)(14)". (3) Sections 1864(a), 1865(a), 1902(a)(9)(C), and 1915(a)(l)(B)(ii)(I) of such Act (42 U.S.C. 1395aa(a), 1395bb(a), 1396a(a)(9)(C), 1396n(a)(l)(B)(iiXI)) are each amended by striking "paragraphs (11) and (12)" and inserting "paragraphs (12) and (13)". (i) EFFECTIVE DATE.—The amendments made by this section (other than subsection (a)) shall apply to services furnished on or after January 1, 1989. (j) CONSTRUCTION.—Nothing in this section or the amendments made by this section shall contravene provisions of State law relating to the practice of medicine or nursing or State law requirements or institutional requirements regarding the administration of anesthesia and its medical direction or supervision. SEC. 9321. TECHNICAL AMENDMENTS AND MISCELLANEOUS PROVISIONS RELATING TO PARTS A AND B. (a) TREATMENT OF GROUP PURCHASING VENDOR AGREEMENTS.—

contracts.

42 USC 1395nn note.

(1) IN GENERAL.—Section 1877(b)(3) of the Social Security Act (42 U.S.C. 1395nn(b)(3)) is amended— (A) by striking "and" at the end of subparagraph (A), (B) by striking the period at the end of subparagraph (B) and inserting "; and", and (C) by adding at the end the following: "(C) any amount paid by a vendor of goods or services to a person authorized to act as a purchasing agent for a group of individuals or entities who are furnishing services reimbursed under this title if— "(i) the person has a written contract, with each such individual or entity which specifies the amount to be paid the person, which amount may be a fixed amount or a fixed percentage of the value of the purchases made by each such individual or entity under the contract, and "(ii) in the case of an entity that is a provider of services, the person discloses (in such form and manner as the Secretary requires) to the entity and, upon request, to the Secretary the amount received from each such vendor with respect to purchases made by or on behalf of the entity.". (2) EFFECTIVE DATE.—The amendments made by paragraph (1) apply to payments made before, on, or after the date of the enactment of this Act. (b) EXTENSION AND CLARIFICATION OF COMPETITIVE CONTRACTING

42 USC 1395h note.

Ante, pp. 1997, 1998. 42 USC 1395WW note.

AUTHORITY.—Section 2326(a) of the Deficit Reduction Act of 1984 is amended— (1) by striking "of the fiscal years" and all that follows through ", the Secretary" and inserting "fiscal year (beginning with fiscal year 1985 and ending with fiscal year 1989), the Secretary", and (2) by inserting "or cost reimbursement provisions under sections 1816(c) or 1842(c) of such Act" after "such Act" the second place it appears. (c) TREATMENT OF CAPITAL-RELATED REGULATIONS.—

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