Page:United States Statutes at Large Volume 101 Part 2.djvu/903

 PUBLIC LAW 100-203—DEC. 22, 1987

101 STAT. 1330-109

3«(E) by adding at the end the following new paragraph: "(5) in the case of covered items (described in section 1834(a)(13)) the amounts described in section 1834(aKl).". (4) Section 1866(a)(2)(A) of such Act (42 U.S.C. 1395cc(a)(2)(A)) is amended by adding at the end the following new sentence: "Notwithstanding the first sentence of this subparagraph, a >• • home health agency may charge such a n individual or person, ""'" with respect to covered items subject to payment under section 1834(a), the a m o u n t of any deduction imposed under section 1833(b) and 20 percent of the payment basis described in section 1834(a)(2).". (5) Section 1889 of such Act (42 U.S.C. 1395zz) is repealed. 42 USC I395zz. (e) EFFECTIVE DATE.—The amendments made by this section shall 42 USC I395f apply to covered items furnished on or after January 1, 1989. "ote. SEC. 4063. PAYMENT FOR INTRAOCULAR LENSES.

(a) PROVIDED I N PHYSICIAN'S OFFICE.—Section 1842 of the Social Security Act (42 U.S.C. 1395u), a s previously amended is amended— (1) in subsection (b)(ll)(C), as inserted by section 4046(a)(l)(C) of this subtitle— (A) by inserting "(i)" after "(C)" and by adding at the end the following new clause: "(ii) The reasonable charge for an intraocular lens implanted during cataract surgery in a physician's office may not exceed the actual acquisition cost for the lens (taking into account any discount) plus a handling fee (not to exceed 5 percent of such actual acquisition cost).", and (B)^^ in subparagraph (D), as so redesignated and as amended by section 4046(a)(l) of this subtitle, by inserting "or item" after "service" or "services" each place either appears; and (2) in subsection (j)(l)(D), a s added by section 4045(c)(l)(B) of this subtitle and a s amended by 4046(a)(2) of this subtitle— (A) in clause (ii), by striking " and " a t the end of subclause (IV), by redesignating subclause (V) a s subclause (VI) and by inserting before such subclause the following n e w ^1subclause: "(FV) a reasonable charge limit is established under subsecW tion (b)(llXCXii), and"; and (B) in clause (iii)— (i) by striking "or" at the end of subclause (I), -ri ir (ii) in subclause (II), by striking "(b)(llXO" and inserting "(b)(llXCXi)", (iii) by striking the period at the end of subclause (II) and inserting "; or", and £-'.«' -^ (iv) by adding at the end the following new subclause: "(III) under subsection (b)(UXCXii), the payment allowance established under such subsection.". (b)

PROVIDED

IN

AMBULATORY

SURGICAL

CENTERS.—Section


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1833(i)(2)(A) of such Act (42 U.S.C. 13951(i)(2)(A)) is amended— 42 USC 1395Z. (1) by striking "and" at the end of clause (i), (2) by striking the period at the end of clause (ii) and inserting ",and^and •xmH (3) by inserting after clause (ii) the following n e w clause: 3*"'Copy read "(D)". "» Copy read "(C)".

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