Page:United States Statutes at Large Volume 100 Part 3.djvu/231

 PUBLIC LAW 99-509—OCT. 21, 1986

100 STAT. 2039

(3) be conducted by an entity which either directly or by contract is able to provide such comprehensive evaluations and the additional services (described in subsection (b)) covered by the project; (4) be conducted in sites which are chosen so as to be geographically diverse and located in States with a high proportion of medicare beneficiaries and in areas readily accessible to a significant number of medicare beneficiaries; and (5) involve community outreach efforts at each site to enroll the maximum number of medicare beneficiaries in each project. (d) EVALUATION AND REPORTS.—The Secretary shall provide for an evaluation of the demonstration projects and shall submit to the Committees on Energy and Commerce and Ways and Means of the House of Representatives and the Committee on Finance of the Senate— (1) a preliminary report during the third year of the projects, which report shall include a description of the sites at which the projects are being conducted and the services being provided at the different sites, and (2) a final report upon completion of the projects, which report shall include recommendations for appropriate legislative changes. (0 FUNDING.—Expenditures (not to exceed $40,000,000 for the projects and $2,000,000 for the evaluation of the projects) made for the demonstration projects shall be made from the Federal Supplementary Medical Insurance Trust Fund (established by section 1841 of the Social Security Act). Grants and payments under contracts may be made either in advance or by way of reimbursement, as may be determined by the Secretary, and shall be made in such installments and on such conditions as the Secretary finds necessary to carry out the purpose of this section. (g) WAIVER OF MEDICARE REQUIREMENTS.—The Secretary shall waive compliance with the requirements of title XVIII of the Social Security Act to the extent and for the period the Secretary finds necessary for the conduct of the demonstration projects.

Contracts.

State and local governments.

Grants. Contracts.

42 USC 1395t.

42 USC 1395.

SEC. 9343. PAYMENTS FOR AMBULATORY SURGERY. (a) AMOUNTS PAYABLE; ANNUAL UPDATING.—

(1)(A) Section 1833(a)(4) of the Social Security Act (42 U.S.C. 13951(a)(4)) is amended to read as follows: "(4) in the case of facility services described in section 1832(a)(2)(F), and outpatient hospital facility services furnished in connection with surgical procedures specified by the Secretary pursuant to section 1833(i)(l)(A), the applicable amount as determined under paragraph (2) or (3) of subsection (i).". (B) Section 1833(i) of such Act (42 U.S.C. 13951(i)) is amended by redesignating paragraphs (3) and (4) as paragraphs (4) and (5), respectively, and inserting after paragraph (2) the following new paragraph: "(3)(A) The aggregate amount of the payments to be made under this part for outpatient hospital facility services furnished in connection with surgical procedures specified under paragraph (1)(A) in a cost reporting period shall be equal to the lesser of— "(i) the amount determined with respect to such services I under subsection (a)(2)(B); or "(ii) the blend amount (described in subparagraph (B)).

Health care facilities. 42 USC 1395k.

Health care facilities.

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