Page:United States Statutes at Large Volume 101 Part 2.djvu/913

 PUBLIC LAW 100-203—DEC. 22, 1987

101 STAT. 1330-119

(c) DEFINITION.—Section 1861 of such Act (42 U.S.C. 1395x) is amended by adding at the end thereof the following new subsection: "Certified Nurse-Midwife Services "(ffKD The term 'certified nurse-midwife services' means such services furnished by a certified nurse-midwife (as defined in paragraph (2)) and such services and supplies furnished as an incident to his service which the certified nurse-midwife is legally authorized to perform under State law (or the State regulatory mechanism provided by State law) as would otherwise be covered if furnished by a physician or as an incident to a physician's service. "(2) The term 'certified nurse-midwife' means a registered nurse who has successfully completed a program of study and clinical experience meeting guidelines prescribed by the Secretary, or has been certified by an organization recognized by the Secretary, and performs services in the area of management of the care of mothers and babies throughout the maternity cycle.".

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(d) 3* CONFORMING CHANGES.—

(1) Section 1905(a)(17) of such Act (42 U.S.C. 1396d(a)(17)) is amended by striking "as defined in subsection (m)" and inserting "as defined in section 1861(ff)". (2) Section 1905 of such Act (42 U.S.C. 1396d) is amended by striking subsection (m). (e) ^^ EFFECTIVE DATE.—The amendments made by this section 42 USC 1395k ^ shall be effective with respect to services performed on or after July note. "' 1, 1988. SEC. 4074. COVERAGE OF SOCIAL WORKER SERVICES FURNISHED BY A HEALTH MAINTENANCE ORGANIZATION TO ITS MEMBERS.

(a) IN GENERAL.—Section 1861(s)(2)(H)(ii) of the Social Security Act (42 U.S.C. 1395x(s)(2)(H)(ii)) is amended— (1) by inserting "or by a clinical social worker (as defined in subsection (ff))" after '^clinical psychologist (as defined by the Secretary)"; and (2) by striking "incident to his services" and inserting "incident to such clinical psychologist'services or clinical social worker'services". (b) CuNiCAL SOCIAL WORKER DEFINED.—Section 1861 of such Act (42 U.S.C. 1395x) is amended by adding at the end the following new subsection: "Clinical Social Worker "(ff) The term 'clinical social worker' means an individual who— "(1) possesses a master's or doctor's degree in social work; "(2) after obtaining such degree has performed at least 2 years of supervised clinical social work; and "(3)(A) is licensed or certified as a clinical social worker by the State in which the services are performed, or "(B) in the case of an individual in a State which does not provide for licensure or certification— "(i) has completed at least 2 years or 3,000 hours of post•»v master's degree supervised clinical social work practice under the supervision of a master's level social worker in " Copy read "(c)". »8 Copy read "(d)".

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