Page:United States Statutes at Large Volume 101 Part 2.djvu/925

 PUBLIC LAW 100-203—DEC. 22, 1987

101 STAT. 1330-131

inserting "hospice program, comprehensive outpatient rehabilitation facility, or rehabilitation agency". (2)(A) The amendment made by paragraph (1) shall apply to 42 USC 1395h claims received on or after the date of enactment of this Act. note. (B) The Secretary of Health and Human Services shall provide for such timely amendments to agreements under section 1816, and regulations, to such extent as may be necessary to implement the amendment made by paragraph (1). (e) CAPACITY TO ** SET GEOGRAPHIC PAYMENT LIMITS.—The Sec- 42 USC 1395u retary of Health and Human Services shall develop the capability to note. implement (for services furnished on or after January 1, 1989) geographic limits on charges and payments under part B of title XVIII of the Social Security Act for physicians* services based on statewide, regional, or national average (or percentile in a distribution) of prevailing charges or payment amounts (weighted by frequency of services). Any such limits shall take into account adjustments for geographic differences in cost of practice and cost of living. (f) DELAY IN EFFECTIVE DATE FOR ESTABLISHING PHYSICIAN IDENTI-

FIER SYSTEM.—Section 9202(g) of the Consolidated Omnibus Budget Reconciliation Act of 1985 is amended by striking "July 1, 1987" and 42 USC 1395WW note. inserting "October 1, 1988". (g) DATE FOR APPLYING CIVIL PENAUTIES FOR IMPROPER USE OF ASSISTANTS IN PERFORMING CATARACT SURGERY.—

(1) Section 1842(k) of the Social Security Act (42 U.S.C., 1395u(k)) is amended in paragraphs (1) and (2) by striking "(j)(2)" each place it appears and inserting "(j)(2) in the case of ^i. surgery performed on or after March 1, 1987". (2) The amendment made by paragraph (1) shall be effective 42 USC 1395u as if included in section 9307(c) of the Consolidated Omnibus note. Budget Reconciliation Act of 1985. (h) UTIUZATION SCREENS FOR PHYSICIAN SERVICES PROVIDED TO PATIENTS IN REHABIUTATION HOSPITALS.—

(1) The Secretary of Health and Human Services shall establish (in consultation with appropriate physician groups, including those representing rehabilitative medicine) a separate utilization screen for physician visits to patients in rehabilitation hospitals and rehabilitative units (and patients in long-term care hospitals receiving rehabilitation services) to be used by carriers under section 1842 of the Social Security Act in performing functions under subsection (a) of such section related to the utilization practices of physicians in such hospitals and units. (2) Not later than 12 months after the date of enactment of this Act, the Secretary of Health and Human Services shall take appropriate steps to implement the utilization screen established under paragraph (1). (i) TECHNICAL AMENDMENTS.—

(1) Section 1833(a) of the Social Security Act (42 U.S.C. 13951(a)) is amended— (A) in paragraphs dXDXi) and (2)(D)(i), by striking, "on the basis of an assignment described in section 1842(b)(3)(B)(ii), under the procedure described in section 1870(f)(1)," and inserting "on an assignment-related basis";
 * ' Copy read "TO".

42 USC 1395u note.

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