Page:United States Statutes at Large Volume 100 Part 3.djvu/228

 100 STAT. 2036

42 USC 1395x note. ^.,,.

PUBLIC LAW 99-509—OCT. 21, 1986

compensation costs and overhead and supervision costs attributable to physician assistants. (f) EFFECTIVE DATE.—The amendments made by this section shall apply to services furnished on or after January 1, 1987. SEC. 9339. PAYMENT FOR CLINICAL DIAGNOSTIC LABORATORY TESTS. (a) TREATMENT OF HOSPITAL OUTPATIENT LABORATORIES.—

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42 USC 1395/ "ote.
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(1) IN GENERAL.—Section 1833(h) of the Social Security Act (42 ,' U.S.C. 13951(h)) is amended— (A) in paragraph (1)(B), by striking "hospital laboratory" and inserting "qualified hospital laboratory (as defined in '. •• • subparagraph (D))", (B) in paragraph (1)(C)— (i) in the first sentence, by striking "hospital labora!'' tory" and inserting "qualified hospital laboratory (as - -• ' defined in subparagraph (D))", and by striking ", and ending on December 31, 1987", and (ii) by striking the second sentence; (C) by adding at the end of paragraph (1) the following new subparagraph: "(D) In this subsection, the term 'qualified hospital laboratory' means a hospital laboratory which provides some clinical diagnostic laboratory tests 24 hours a day in order to serve a hospital emergency room which is available to provide services 24 hours a day and 7 days a week."; and (D) in paragraph (2), by striking "hospital laboratory" I-- and inserting "qualified hospital laboratory (as defined in f / paragraph (1)(D))". t (2) EFFECTIVE DATE.—The amendments made by this subsection apply to clinical diagnostic laboratory tests performed on or after January 1, 1987. (b) DELAYING FOR 2 YEARS REQUIREMENT OF NATIONAL FEE SCHEDULE.—

(1) IN GENERAL.—Section 1833(h)(1)(B) of such Act is amended bii by striking "1987" and "1988" and inserting "1989" and "1990", respectively. i<l (2) CONFORMING AMENDMENT.—Section 1833(h)(2) of such Act is amended by striking "(or, effective January 1, 1988, for the (3) REPORT.—The Secretary of Health and Human Services shall report to Congress, by not later than April 1, 1988, on the advisability and feasibility of, and methodology for, establishing national fee schedules for payment for clinical diagnostic laboratory tests under section 1833(h) of the Social Security Act.
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42 USC 1395/ note-

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(c) PAYMENT FOR TIME AND TRAVEL COSTS TO COLLECT SAMPLES FROM CERTAIN IMMOBILE BENEFICIARIES.—

(1) IN GENERAL.—Section 1833(h)(3) of such Act is amended— (A) by inserting "(A)" after "provide for and establish", • i-":--

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(B) by inserting before the period at the end the following: ", and (B) a fee to cover the transportation and personnel expenses for trained personnel to travel to the location of an individual to collect the sample, except that such a fee may be provided only with respect to an individual who is homebound or an inpatient in an inpatient facility (other than a hospital)".

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