Page:United States Statutes at Large Volume 102 Part 1.djvu/819

 PUBLIC LAW 100-360—JULY 1, 1988

102 STAT. 781

(VI) in subsection Qo), by striking the period at the end and inserting "; or" and by adding at the end the following: "(2) owed by an individual to the United States by reason of a loan covered by Federal loan insurance under subpart I of part C of title VII of the Public Health Service Act and payment for which has not been cancelled, waived, or suspended by the Secretary under such subpart.". (ii) Section 733(f) of the Public Health Service Act (42 U.S.C. 294f(f)) is amended by adding at the end the following: "Procedures for reduction of pa3mients under the medicare program are provided under section 1892 of the Social Security Act.". (iii) The amendments made by this subparagraph shall be effective 30 days after the date of the enactment of this Act. (11) SECOND SECTION 4052.—(A) The second section 4052(a) of OBRA is amended by striking "is amended" and all that follows through the end and inserting the following: "is amended by inserting before the period at the end of the next-to-last sentence the following: ', and shall remain at such prevailing charge level until the prevailing charge for a year (as adjusted by economic index data) equals or exceeds such prevailing charge level'.". (B) The second section 4052(b) of OBRA is amended by striking "January" and inserting "April". (12) SECTION 4054.—(A) Section 4054 of OBRA is amended to read as follows:

Loans.

Effective date. 42 USC 294f note. 42 USC 1395u.

42 USC 1395u note. 42 USC 1395/ note.

"SEC. 4054. APPLYING COPAYMENT AND DEDUCTIBLE TO CERTAIN OUTPATIENT PHYSICIANS' SERVICES.

"(a) IN GENERAL.—Section 1833 of the Social Security Act (42 U.S.C. 13951) is amended— "(1) in subsection (a)(D, by striking clause (F), "(2) in subsection (b), by striking paragraph (3) and by redesignating paragraphs (4) and (5) as paragraphs (3) and (4), respectively, and "(3) in subsection (i), by striking paragraph (4). "(b) EFFECTIVE DATE.—The amendments made by subsection (a) shall apply to services furnished on or after April 1, 1988.". (B) The item relating to section 4054 in the table of contents of title IV of OBRA is amended to read as follows: "Sec. 4054. Applying copayment and deductible to certain outpatient physicians' services.".

(13) SECTION 4055.—Section 4055 of OBRA is amended— (A) in subsection (a)(2), by striking "such list" and inserting "such definitions", and (B) in subsection (b)(D, by striking "dermatology,". (14) REDESIGNATION.—The second section 4052 of OBRA and sections 4053, 4054, and 4055 of OBRA are redesignated as sections 4053 through 4056, respectively. (g) CORRECTIONS RELATING TO SUBPART B OF PART 3 OF SUBTITLE A OF TITLE IV (PAYMENTS FOR OTHER PART B SERVICES).—

(1) SECTION 4062.—(A) The heading of section 1834 of the Social Security Act, as inserted by section 4062(b) of OBRA, is amended by inserting "ITEMS AND after "PARTICULAR". (B) Subsection (a) of section 1834 of the Social Security Act, as so inserted, is amended—

42 USC 1395u note. 42 USC 1395W-1 note. 42 USC 1395u, 1395u notes, 1395Z, 1395/ notes, 1395w-l note. 42 USC 1395m.

�