Page:United States Statutes at Large Volume 102 Part 1.djvu/723

 PUBLIC LAW 100-360—JULY 1, 1988

102 STAT. 685

"(1) inpatient hospital services; "(2) extended care services for up to 150 days during any calendar year; "(3) home health services; and "(4) in lieu of certain other benefits, hospice care with respect to the individual during up to two periods of 90 days each, a subsequent period of 30 days, and a subsequent extension period with respect to which the individual makes an election under subsection (d)(l)-"; (2) by amending subsection (b) to read as follows: "0>) Payment under this part for services furnished to an individual may not be made for— "(1) extended care services furnished to the individual during a calendar year after such services have been furnished to the individual for 150 days during that year, or "(2) inpatient psychiatric hospital services furnished to the individual after such services have been furnished to the individual for a total of 190 days during his lifetime."; (3) by amending subsection (c) to read as follows: "(c)(l) If an individual is an inpatient of a psychiatric hospital on the first day of medicare entitlement (as defined in paragraph (4)(A)) payment may not be made under this part during the period descnbed in paragraph (2) for inpatient mental health services (as defined in paragraph (4)(B)) in excess of the number of days specified in paragraph (3). "(2) The period described in this paragraph— "(A) b^ins on the first day of medicare entitlement, and "(B) ends at the end of the fust period of 60 consecutive days thereafter on each of which the individual is not receiving inpatient mental health services. "(3) The number of days specified in this paragraph for an individual is 150 days less the number of days (during the 150-day period immediately before the first day of medicare entitlement) during which the individual was an inpatient of a psychiatric hospital. ''(4) In this subsection: "(A) The term 'first day of medicare entitlement' means, for an individual, the first day of the first month for which the individual is entitied to benefits under this part. "(B) The term 'inpatient mental health services' means— "(i) inpatient psychiatric hospital services, and "(ii) inpatient hospital services for an individual who is an inpatient primarily for the diagnosis or treatment of mental Ulness."; (4) in subsection (d)— (A) in paragraph (1), by striking "and one subsequent period of 30 days' and inserting ", a subsequent period of 30 days, and a subsequent extension period", and ^) in paragraph (2)^), by inserting "or a subsequent extension period' after "30-day period"; (5) in subsection (e), by striking post-hospital"; and (6) by striking subsections (f) and (g). SEC 102. DEDUCTIBLES AND COINSURANCE UNDER PART A.

Section 1813 (42 U.S.C. 1395e) is amended— (1) by ainendiDg paragraphs (1) through (3) of subsection (a) to read as follows:

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