Page:United States Statutes at Large Volume 101 Part 2.djvu/915

 PUBLIC LAW 100-203—DEC. 22, 1987

101 STAT. 1330-121

,

(B) by striking "services; and" in subparagraph (H) and inserting "services,"; (C) by adding "and" at the end of subparagraph (I); and (D) by adding at the end thereof the following new 3 subparagraph: "(J) with respect to qualified psychologist services under section 1861(s)(2)(M), the amounts paid shall be the amount determined by a fee schedule established by the Secretary for the purposes of this subparagraph;". (4) The subsection added by section 4073(b)(3) of this subpart is 42 USC 1395/. amended by inserting "and in the case of qualified psychologists services for which payment may be made under this part only pursuant to section 1861(s)(2)(M)" after "1861(s)(2)(L)". (5) Section 1861 of such Act (42 U.S.C. 1395x) is amended by adding at the end thereof the following new subsection: "Qualified Psychologist Services "(gg) The term 'qualified psychologist services' means such services and such services and supplies furnished as an incident to his service furnished by a clinical psychologist (as defined by the Secretary) at a community mental health center (as such term is used in the Public Health Service Act) which the psychologist 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.".*" date. (6) * ^ The amendments made by this subsection shall be Effective1395k pf effective with respect to services performed on or after July 1, 42 USC note. , 1988. SEC. 4078. PROVISION OF OFFSITE COMPREHENSIVE OUTPATIENT REHABILITATION SERVICES.

Section 1861(ccXl) of the Social Security Act (42 U.S.C. 1395x(ccXl)) is amended by adding at the end thereof the following: "In the case of physical therapy, occupational therapy, and speech pathology services, there shall be no requirement that the item or service be furnished at any single fixed location if the item or service is furnished pursuant to such plan and payments are not otherwise made for the item or service under this title.". SEC. 4079. DEMONSTRATION PROJECTS TO PROVIDE PAYMENT ON A PRE« rw ' PAW, CAPITATED BASIS FOR COMMUNITY NURSING AND AMBULATORY CARE FURNISHED TO MEDICARE BENEFICIARIES.

(a) IN GENERAL.—The Secretary of Health and Human Services (in this section referred to as the "Secretary") shall enter into an agreement with not less than four eligible organizations submitting applications under this section to conduct demonstration projects to provide payment on a prepaid, capitated basis for community nursing and ambulatory care furnished to any individual entitled to benefits under part A and enrolled under part B of title XVIII of the Social Security Act (other than an individual medically determined to have end-stage renal disease) who resides in the geographic area
 * o Copy read "service.".
 * • Copy read "(5)".

42 USC 1395mm note.

�