Page:United States Statutes at Large Volume 101 Part 2.djvu/914

 101 STAT. 1330-120

42 USC 1395x note.

PUBLIC LAW 100-203—DEC. 22, 1987

an appropriate setting (as determined by the Secretary), and "(ii) meets such other criteria as the Secretary establishes.", (c) EFFECTIVE DATE.—The amendments made by this section shall be effective with respect to services performed on or after January 1, 1988. SEC. 4075. CLARIFICATION OF COVERAGE OF DRUGS USED IN IMMUNOSUPPRESSIVE THERAPY.

42 USC 1395x note.

(a) IN GENERAL.—Section 1861(s)(2)(J) of the Social Security Act (42 U.S.C. 1395x(s)(2)(J)) is amended by striking "immunosuppressive drugs" and inserting "prescription drugs used in immunosuppressive therapy". (b) EFFECTIVE DATE.—The amendment made by subsection (a) shall apply to drugs dispensed on or after the date of the enactment of this Act. SEC. 4076. SERVICES OF A PHYSICIAN ASSISTANT.

42 USC 1395x note.

(a) SERVICES COVERED.—Section 1861(s)(2)(K) of the Social Security Act (42 U.S.C. 1395x(s)(2)(K)) is amended by inserting ", in a rural area (as defined in section 1886(d)(2)(D)) that is designated, under section 332(a)(l)(A) of the Public Health Service Act, as a health manpower shortage area," after "1905(c))". (b) EFFECTIVE DATE.—The amendments made by this section shall apply with respect to services furnished on or after January 1, 1989. SEC. 4077. PSYCHOLOGIST SERVICES IN CLINICS. (a) COVERAGE OF PSYCHOLOGISTS' SERVICES FURNISHED AT RURAL HEALTH CUNICS.—

42 USC 1395x note.

(1) Section 1861(aaXlXB) of the Social Security Act (42 U.S.C. 1395x(aaXlXB)) is amended by striking "physician assistant or by a nurse practitioner" and inserting "physician assistant or a nurse practitioner (as defined in paragraph (3)), or by a clinical psychologist (as defined by the Secretary),'. (2) The amendment made by paragraph (1) shall be effective with respect to services furnished on or after the date of enactment of this Act. (b) DIRECT PAYMENT FOR PSYCHOLOGISTS' SERVICES FURNISHED AT A COMMUNITY MENTAL HEALTH CENTER.—

42 USC 1395Z.

(1) Section 1861(s)(2) of the Social Security Act (42 U.S.C. 1395x(s)(2)), as amended, is amended— (A) by striking "and" at the end of subparagraph (K); --.; (B) by adding 'and" at the end of subparagraph (L); and (C) by adding at the end thereof the following new subparagraph: "(M) qualified psychologist services;". (2) 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 in clause (iii) and inserting a comma; and (C) by adding at the end thereof the following new clause: (iv) qualified psychologist services; and '. (3) Section 1833(a)(l) of such Act (42 U.S.C. 1395k(a)(l)) is amended— (A) by striking "and" at the end of subparagraph (G);

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