Page:United States Statutes at Large Volume 100 Part 3.djvu/225

 PUBLIC LAW 99-509—OCT. 21, 1986

100 STAT. 2033

(k) PROTOCOLS ON REUSE OF DIALYSIS FILTERS AND OTHER DIALYSIS SUPPLIES.—

(1) ESTABLISHMENT OF PROTOCOLS.—Paragraph (7) of subsec-

tion (f) of section 1881 of the Social Security Act is amended to read as follows: "(7)(A) The Secretary shall establish protocols on standards and conditions for the reuse of dialyzer filters for those facilities and providers which voluntarily elect to reuse such filters. "(B) With respect to dialysis services furnished on or after January 1, 1988, no dialysis facility may reuse dialysis supplies (other than dialyzer filters) unless the Secretary has established a protocol with respect to the reuse of such supplies and the facility follows the protocol so established. "(C) The Secretary shall incorporate protocols established under this paragraph, and the requirement of subparagraph (B), into the requirements for facilities prescribed under subsection (b)(1)(A) and failure to follow such a protocol or requirement subjects such a facility to denial of participation in the program established under this section and to denial of payment for dialysis treatment not furnished in compliance with such a protocol or in violation of such requirement.". (2) DEADLINE.—The Secretary of Health and Human Services shall establish the protocols described in section 1881(f)(7)(A) of the Social Security Act by not later than October 1, 1987. (1) EFFECTIVE DATE FOR CERTAIN AMENDMENTS.—The amendments made by subsections (e), (f), and (g) shall apply to network administrative organizations designated for network areas established under the amendment made by subsection (d)(1).

42 USC 1395rr

42 USC 1395rr note. 42 USC 1395rr note.

® SEC. 9336. VISION CARE. (a) DEFINING SERVICES AN OPTOMETRIST CAN PROVIDE.—Clause (4)

of section 1861(r) of the Social Security Act (42 U.S.C. 1395x(r)) is amended to read as follows: "(4) a doctor of optometry, but only with respect to the provision of items or services described in subsection (s) which he is legally authorized to perform as a doctor of optometry ^ by the State in which he performs them, or". (b) EFFECTIVE DATE.—The amendment made by subsection (a) 42 USC 1395x note. shall apply to services furnished on or after April 1, 1987. SEC. 9337. OCCUPATIONAL THERAPY SERVICES.

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(a) COVERAGE.—Subparagraph (C) of section 1832(a)(2) of the Social Security Act (42 U.S.C. 1395k(a)(2)) is amended to read as follows: "(C) outpatient physical therapy services (other than b If services to which the second sentence of section 1861(p) applies) and outpatient occupational therapy services (other 1 than services to which such sentence applies through the n operation of section 1861(g));". n (b) LIMITATION ON PAYMENTS.—Section 1833(g) of such Act (42 e U.S.C. 13951(g)) is amended— (1) by striking "next to last sentence" and inserting "second Si sentence", and w (2) by adding at the end thereof the following new sentence: "In the case of outpatient occupational therapy services which > are described in the second sentence of section 1861(p) through if the operation of section 1861(g), with respect to expenses incurred in any calendar year, no more than $500 shall be consid-

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