Page:United States Statutes at Large Volume 102 Part 1.djvu/817

 PUBLIC LAW 100-360—JULY 1, 1988

102 STAT. 779

(B) Section 1842(j)(l)(D)(iiXIV) of the Social Security Act, as inserted by section 4046(a)(2)(A) of OBRA, is amended by strik- 42 USC 1395u. ing IS. (6) SECTION 4047.—(A) The

heading of section 4047 of OBRA is amended by striking "PRIMARY CARE" and inserting "CERTAIN". (B) Section 1842(b)(4)(G) of the Social Security Act, as added by section 4047(a) of OBRA, is amended— (i) by inserting "than" after "(other", and (ii) by striking "(as determined under the third and fourth sentences of paragraph (3) and under paragraph (4))". (C) Section 404703) of OBRA is amended by inserting "on or" 42 USC 1395U note. after "medicare beneficiaries". (D) The item in the table of contents of title IV of OBRA relating to section 4047 is amended to read as follows: "Sec. 4047. Customary charges for certain services of new physicians.". (7) SECTION 4048.—(A) Paragraph (14) of section 1842(b) of

the Social Security Act, as added by section 4048(a) of OBRA, is redesignated as paragraph (13). (B) Section 4048 of OBRA is amended by adding at the end the 101 Stat. 1330-89. following new subsection:

"(e) CONFORMING AMENDMENT TO M A X M I M U M ALLOWABLE ACTUAL

CHARGE.—Section 1842(j)(l)(C) of the Social Security Act (42 U.S.C. 1395u(j)(l)(C)), as amended by sections 4085(i)(7)(C) and 4041(a)(l)(B) of this title, is amended by adding at the end the following new clause: " '(ix) If there is a reduction under subsection (b)(13) in the reasonable charge for medical direction furnished by a nonparticipating physicisui, the maximum allowable actual charge otherwise permitted under this subsection for such services shall be reduced in the same manner and in the same percentage as the reduction in such reasonable charge.'.". (8) SECTION 4049.—(A) Section 1834a)X6) of the Social Security Act, as added by section 4049(a)(2) of OBRA, is amended by striking "radiologic" each place it appears and inserting "radiology". (B) Section 4049(a) of OBRA is amended— (i) in paragraph (1), by striking "4062(c)(3)" and inserting "4062(d)(3)", and (ii) in paragraph (2), by striking "4062(a)" and inserting "4062(b)'\ (C) Section 1833(a)(l) of the Social Security Act, as amended by section 4049(a)(l) of OBRA, is amended in the clause added by that section by striking "18340t)X5)" and inserting "18340aX6)". (D) Section 1834(b) of the Social Security Act, as added by section 4049(a)(2) of OBRA, is amended— (i) in the headings of paragraphs (4)(D) cmd (5), by inserting "AND SUPPLIERS" after "PHYSICIANS"; (ii) in paragraph (5)(C), by striking "imposes a charge" and inserting "bills"; (iii) in paragraph (5)(C), by inserting "in the same manner as such sanctions may apply to a physician" after "1842(j)(2)";

Health care professionals.

42 USC 1395m.

42 USC 1395/. 42 USC 1395n. 42 USC 1395Z.

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