Page:United States Statutes at Large Volume 101 Part 2.djvu/879

 PUBLIC LAW 100-203—DEC. 22, 1987

101 STAT. 1330-85

section 252Cb) of the Balanced Budget Emergency Deficit Control Act of 1985 shall continue to be effective (as provided by sections 252(a)(4)(B) and 256(d)(2) of such Act) through March 31, 1988, with respect to payments for physicians' services under part B of such title. SEC. 4042. GENERAL UPDATE IN PAYMENTS FOR PHYSICIANS* SERVICES.

(a) INCREASE IN M E I FOR 1988 AND 1989.—Section 1842(b)(4) of the Social Security Act (42 U.S.C. 1395u(b)(4)) is amended by adding at the end the following new subparagraph: "(F)(i) For purposes of this part for physicians' services furnished in 1987, the percentage increase in the MEI is 3.2 percent. "(ii) For purposes of this part for physicians' services furnished in 1988, on or after April 1, the percentage increase in the MEI is— "(I) 3.6 percent for primary care services (as defined in subparagraph (E)(iii)), and "(II) 1 percent for other physicians' services, "(iii) For purposes of this part for physicians' services furnished in 1989, the percentage increase in the MEI is— "(I) 3.0 percent for primary care services; and "(II) 1 percent for other physician'services.". (b) PRIMARY CARE SERVICES DEFINED.—Section 1842(b)(4)(E) of such Act (42 U.S.C. 1395u(b)(4)(E)) is amended by adding at the end thereof the following new clause: "(iii) The term 'primary care services' means physicians' services which constitute office medical services, emergency . department services, home medical services, skilled nursing, intermediate care, and long-term care medical services, or nursing home, boarding home, domiciliary, or custodial care medical services.". (c)

PARTICIPATING

PHYSICIAN

DIFFERENTIAL.—Section

1842(b)(4)(A)(iv) of such Act (42 U.S.C. 1395u(b)(4)(A)(iv)) is amended— (1) by striking "96 percent" and inserting "applicable percent", and (2) by adding at the end the following: "In the previous sentence, the term 'applicable percent' means for services furnished (I) on or after January 1, 1987, and before April 1, 1988, 96 percent, (II) on or after April 1, 1988, and before January 1, 1988, 95.5 percent, and (III) on or after January 1, 1989, 95 percent.". SEC. 4043. INCENTIVE PAYMENTS FOR PHYSICIANS' SERVICES FURNISHED IN UNDERSERVED AREAS.

(a) IN GENERAL.—Section 1833 of the Social Security Act (42 U.S.C. 13951) is amended by adding at the end the following new subsection: "(m) In the case of physicians' services furnished to an individual, who is covered under the insurance program established by this part and who incurs expenses for such services, in an area that is designated (under section 332(a)(l)(A) of the Public Health Service Act) as a class 1 or class 2 health manpower shortage area, in addition to the amount otherwise paid under this part, there also shall be paid to the physician (or to an employer or facility in the cases described in clause (A) of section 1842(b)(6)) (on a monthly or quarterly basis) from the Federal Supplementary Medical Insurance 'Trust Fund an amount equal to 5 percent of the payment amount for the service under this part.".

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