Page:United States Statutes at Large Volume 102 Part 1.djvu/767

 PUBLIC LAW 100-360—JULY 1, 1988

102 STAT. 729

(1) Section 1833(a)(2)(E) (42 U.S.C. 13951(a)(2)(E)) is amended by inserting ", but excluding screening mammography" after "imaging services". (2) Section 1862(a) (42 U.S.C. 1395y(a)) is amended— (A) in paragraph (1)— (i) in subparagraph (A), by striking "subparagraph (B), (C), (D), or (E)" and inserting "a succeeding subparagraph", (ii) in subparagraph (D), by striking "and" at the end, (iii) in subparagraph (E), by striking the semicolon at the end and inserting ", and ', and (iv) by adding at the end the following new subparagraph: "(F) in the case of screening mammography, which is performed more frequently than is covered under section 1834(e)(2) or which does not meet the standards established under section 1834(e)(3);"; and (B) in paragraph (7), by inserting "or under pargigraph (IXF)" after "(I)(B)". (3) Sections 1864(a), 1865(a), 1902(a)(9)(C), and 1915(a)(l)(B)(iiXI) (42 U.S.C. 1395aa(a), 1395bb(a), 1396a(a)(9)(C), 1396n(a)(l)(B)(ii)(I)) are each amended by striking "paragraphs (13) and (14)" and inserting "paragraphs (14) and (15). (e) EFFECTIVE DATE.—The amendments made by this section shall 42 USC 1395m apply to screening mammography performed on or after January 1, note. 1990. Paragraph (5) of section 1834(e) of the Social Security Act shall only apply until such time as the Secretary of Health and Human Services implements the physician fee schedules based on relative value scale developed under section 1845(e) of such Act. (f) REPORTS.—

(1) The Physician Payment Review Commission shall study and report, by July 1, 1989, to the Committees on Ways and Means and Energy and Commerce of the House of Representatives and the (Dommittee on Finemce of the Senate concerning the cost of providing screening mammography in a variety of settings and at different volume levels. (2) The Comptroller General shall study and report, by July 1, 1989, to the (Committees specified in paragraph (1) concerning the quality of care of screening mammography in a variety of settings. SEC. 205. IN-HOME CARE FOR CERTAIN CHRONICALLY DEPENDENT INDIVIDUALS.

(a) IN GENERAL.—Section 1832(a) (42 U.S.C. 1395k(a)) is amended— (1) in paragraph (2)(A)— (A) by inserting "(i)" after "(A)", and (B) by inserting before the semicolon at the end the following: ", and (ii) in-home care for a chronically dependent individual for up to 80 hours in any 12-month period described in section 1861(11X4), but not to exceed 80 hours in any calendar year;"; and (2) by adding at the end the following new sentence: "In the case of in-home care (described in paragraph (2)(A)(ii)) provided to a chronically dependent individual on any day, such care provided for 3 hours or less on the day shall be counted (for purposes of the limitation in such paragraph) as 3 hours of such care.".

42 USC 1395m note.

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