Page:United States Statutes at Large Volume 100 Part 3.djvu/234

 100 STAT. 2042

PUBLIC LAW 99-509—OCT. 21, 1986

under that part, to report claims for payment for such services under such part using a HCFA Common Procedure Coding System, 42 USC-1395/ note.

Contracts.

(h) EFFECTIVE DATES.—

(1) The amendments made by subsection (a)(1) shall apply to cost reporting periods beginning on or after October 1, 1987 (2) The amendments made by subsections (b)(1) and (d) shall apply to services furnished after June 30, 1987. (3) The Secretary of Health and Human Services shall first provide, under the amendment made by subsection (b)(2), for the review and update of procedure lists within 6 months after the date of the enactment of this Act. (4) The amendments made by subsection (c) shall apply to contracts entered into or renewed after January 1, 1987. SEC. 9344. TECHNICAL AMENDMENTS AND MISCELLANEOUS PROVISIONS RELATING TO PART B. (a) ADDITIONAL MEMBERS FOR PHYSICIAN PAYMENT REVIEW COMMISSION.— (1) 2 ADDITIONAL MEMBERS.—Section 1845(a)(2) of the Social

Security Act (42 U.S.C. 1395w-l(a)(2)) is amended by striking "11 individuals" and inserting "13 individuals". 42 USC 1395W-1 note.

(2) APPOINTMENT OF ADDITIONAL MEMBERS.—The Director of

the Congressional Office of Technology Assessment shall appoint the two additional members of the Physician Payment Review Commission, as required by the amendment made by paragraph (1), no later than 60 days after the date of the enactment of this Act, for terms of 3 years, except that the Director may provide initially for such terms as will insure that (on a continuing basis) the terms of no more than five members expire in any one year. (b) EFFECTIVE MEDICARE.—

42 USC 1395q.

42 USC 1395q note.

DATE

OF VOLUNTARY

DISENROLLMENT

FROM

(1) IN GENERAL.—The second and sixth sentences of section 1838(b) of the Social Security Act (42 U.S.C. 1395p(b)) are each amended by striking "calendar quarter following the calendar quarter" and inserting "month following the month". (2) EFFECTIVE DATE.—The amendments made by paragraph (1) shall apply to notices filed on or after July 1, 1987. (c) STUDY ON PROSPECTIVE PAYMENT OF RADIOLOGY, ANESTHESIA, AND PATHOLOGY SERVICES TO HOSPITAL INPATIENTS.—The Secretary

42 USC 1395J.

42 USC 1395b-l note. Ante, p. 194. Rural areas.

of Health and Human Services shall study and report to Congress by July 1, 1987, concerning the design and implementation of a prospective payment system for payment, under part B of title XVIII of the Social Security, for radiology, anesthesia, and pathology services furnished to hospital inpatients. Such report shall include data, from a representative sample, showing, for discharges classified within each diagnosis-related group, the distribution of total reasonable charges and costs for each inpatient discharge for such services. (d) PREVENTIVE HEALTH SERVICES DEMONSTRATION PROGRAM.—

Effective as if included in section 9314 of the Consolidated Omnibus Budget Reconciliation Act of 1985 when such section was enacted, such section is amended— (1) in subsection (c)(2), by inserting "(at least one of which shall serve a rural area)" after "five sites", and (2) by striking the last sentence of subsection (f) and inserting . the following: "Funding for the administrative costs of the

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