Page:United States Statutes at Large Volume 101 Part 2.djvu/911

 PUBLIC LAW 100-203—DEC. 22, 1987

101 STAT. 1330-117

described in subparagraph (A) (unless the Secretary finds ,, f that the physician is the only such qualified individual in the area).'. (b) LIMITATION ON BENEFIT.—Section 1833 of such Act (42 U.S.C. 42 USC 1395/. 1395) is amended by inserting after subsection (e) the following new subsection: "(fKl) In the case of shoes described in section 1861(s)(12)— "(A) no payment may be made under this part for the furnishing of more than one pair of shoes for any individual for any calendar year, and .-.a<|9S "(B) with respect to expenses incurred in any calendar year, no more than the limit established under paragraph (2) shall be ni:>Hi¥H considered as incurred expenses for purposes of subsections (a) and (b). Payment for shoes under this part shall be considered to include payment for any expenses for the fitting of such shoes. '(2)(A) Except as provided by the Secretary under subparagraphs (B) and (C), the limit established under this paragraph— "(i) for the furnishing of one pair of custom molded shoes is $300; "(ii) for the furnishing of extra-depth shoes and inserts is— "(I) $100 for the pair of shoes itself, and i,« -v „Qj^ ^gQ ^^j. ijjggj.^ fQj. a pg^jj. Qf shoes. "(B) The Secretary or a carrier may establish limits for shoes that are lower than the limits established under subparagraph (A) if the Secretary finds that shoes and inserts of an appropriate quality are readily available at or below such lower limits. "(C) For each year after 1988, each dollar amount under subparagraph (A) or (B) (as previously adjusted under this subparagraph) shall be increased by the same percentage increase as the Secretary provides with respect to durable medical equipment for that year, except that if such increase is not a multiple of $1, it shall be rounded to the nearest multiple of $1. "(3) In this title, the term 'shoes' includes, except for purposes of subparagraphs (A)(ii) and (B) of paragraph (2), inserts for extradepth shoes.". (c) MODIFICATION OF EXCLUSION.—Section 1862(a)(8) of such Act (42 ../BU ilP U.S.C. 1395y(a)(8)) is amended by inserting ", other than shoes furnished pursuant to section 1861(s)(12)" before the semicolon. (d)

CONFORMING

AMENDMENTS.—Sections

1864(a),

1865(a),

1902(a)(9)(C), and 1915(a)(l)(B)(iiXI) of such Act (42 U.S.C. 1395aa(a), 1395bb(a), 1396a(a)(9)(C), 1396n(a)(l)(B)(iiXI)) are each amended by striking out "paragraphs (12) and (13)" and inserting "paragraphs (13) and (14)". (e) CONTINGENT EFFECTIVE DATE; DEMONSTRATION PROJECT.— 42 USC I395x (1) The amendments made by this section shall become effec- ^°^tive (if at all) in accordance with paragraph (2). (2)(A) The Secretary of Health and Human Services (in this paragraph referred to as the "Secretary"), shall establish a demonstration project to begin on October 1, 1988, to test the cost-effectiveness of furnishing therapeutic shoes under the medicare program to the extent provided under the amendments made by this section to a sample group of medicare beneficiaries. (B)(i) The demonstration project under subparagraph (A) shall be conducted for an initial period of 24 months. Not later than Reports. October 1, 1990, the Secretary shall report to the Congress on

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