Page:United States Statutes at Large Volume 101 Part 2.djvu/912

 101 STAT. 1330-118 Effective date. irii^<:;«0 ij^

Reports. Effective date.

PUBLIC LAW 100-203—DEC. 22, 1987

the results of such project. If the Secretary finds, on the basis of existing data, that furnishing therapeutic shoes under the medicare program to the extent provided under the amendments made by this section is cost-effective, the Secretary shall include such finding in such report, such project shall be discontinued, and the amendments made by this section shall become effective on November 1, 1990. (ii) If the Secretary determines that such finding cannot be made on the basis of existing data, such project shall continue for an additional 24 months. Not later than April 1, 1993, the Secretary shall submit a final report to the Congress on the results of such project. The amendments made by this section shall become effective on the first day of the first month to begin after such report is submitted to the Congress unless the report contains a finding by the Secretary that furnishing therapeutic shoes under the medicare program to the extent provided under the amendments made by this section is not cost-effective (in which case the amendments made by this section shall not become effective). SEC. 4073. COVERAGE OF CERTIFIED NURSE-MIDWIFE SERVICES.

(a) COVERAGE OF SERVICES.—Section 1861(s)(2) of the Social Security Act (42 U.S.C. 1395x(s)(2)) is amended— (1) by striking "and" at the end of subparagraph (J); (2) by adding "and" at the end of subparagraph (K); and (3) by adding at the end thereof the following new subparagraph: "(L) certified nurse-midwife services;". (b) PAYMENT OF BENEFITS.—

42 USC 1395Z.

.x.v 5 '^F't ^ ""

(1) Section 1832(a)(2)(B) of such Act (42 U.S.C. 1395k(a)(2)(B)) is amended— (A) by striking "and" at the end of clause (ii); (B) by striking the semicolon at the end of clause (iii) and inserting a comma; and (C) by adding at the end thereof the following new clause: 'i^ "(iv) certified nurse-midwife services; and". (2) Section 1833(a)(1) of such Act (42 U.S.C. 1395k(a)(l)) is amended— (A) by striking "and" at the end of clause (F); (B) by striking "services; and" in clause (G) and inserting "services,"; and (C) ^' by adding at the end thereof the following: "and (I) with respect to certified nurse-midwife services under section 1861(s)(2)(L), the amounts paid shall be the amount determined by a fee schedule established by the Secretary for the purposes of this subparagraph (but in no event more c than 65 percent of the prevailing charge that would be allowed for the same service performed by a physician);". (3) Section 1833 of such Act (42 U.S.C. 13951) is amended by adding at the end the following new subsection: "(m) In the case of certified nurse-midwife services for which payment may be made under this part only pursuant to section 1861(s)(2)(L), payment may only be made under this part for such services on an assignment-related basis.". »' Copy read "(D)".

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