Page:United States Statutes at Large Volume 100 Part 3.djvu/214

 100 STAT. 2022

PUBLIC LAW 99-509—OCT. 21, 1986

•g^-rr "(B) In carrying out the requirements of subparagraph (A), the Secretary shall take into consideration the recommendations made by the Physician Payment Review Commission. "(C)(i) The Secretary shall develop an interim index under subparagraph (A)(i) prior to January 1, 1988, based upon the most accurate and recent data that are available with respect to the costs of practice. "(ii) The Secretary shall collect data with respect to the costs of practice (including, but not limited to, data on nonphysician ,, v'., personnel costs, malpractice insurance costs, and commercial sv.' rents) for the purpose of refining the index under subparagraph ,f,f;^,,^ (A)(i) prior to December 31, 1989, and periodically updating the T^.^oindex thereafter. "(D) In conjunction with developing an index under subparagraph (A), the Secretary shall conduct a study of the advisability of redefining the localities designated by carriers for payment purposes.". 42 USC 1395W-1. (2) Section 1845(b)(3) of such Act is amended by inserting "and „. .... respecting the index and the adjustment described in subsection 5">f^ (e)(4)(A)" after "subsection (e)". (3) Section 1845(e)(3) of such Act is amended— (A) by striking "July 1, 1987" and inserting in lieu thereof "July 1, 1989", and (B) by striking "on or after January 1, 1988" and insertii?~k' ing in lieu thereof "after December 31, 1989". SEC. 9332. INCENTIVES FOR PHYSICIAN PARTICIPATION. (a) RECRUITING.— (1) CARRIER RESPONSIBILITY.—Section 1842(b)(3) of the Social f<C!3.irT,-^'.'

Contracts. 42 USC 1395u note.

42 USC 1395U note. 42 USC 1395J.

Security Act (42 U.S.C. 1395u(b)(3)), as amended by section 9331(b)(2), is further amended— (A) by striking "and" at the end of subparagraph (F), (B) by inserting "and" at the end of subparagraph (G), and • (C) by inserting after subparagraph (G) the following new subparagraph: ^5^ "(H) if it makes determinations or payments with respect to physicians' services, will implement— "(i) programs to recruit and retain physicians as participating physicians in the area served by the carrier, including educational and outreach activities and the use of cin: w: professional relations personnel to handle billing and other problems relating to payment of claims of participating physicians; and vci fc'*>; "(ii) programs to familiarize beneficiaries with the participating physician program and to assist such beneA - ' ficiaries in locating participating physicians;". (2) MEASURING CARRIER PERFORMANCE.—The Secretary of

Health and Human Services shall provide, in the standards and criteria established under section 1842(b)(2) of the Social Security Act for contracts under that section, a system to measure a carrier's performance of the responsibilities described in sections 1842(b)(3)(H) and 1842(h) of such Act. (3) CARRIER

BONUSES

FOR GOOD

PERFORMANCE.—Of

the

amounts appropriated for administrative activities to carry out part B of title XVIII of the Social Security Act, the Secretary of Health and Human Services shall provide payments, totaling 1

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