Page:United States Statutes at Large Volume 102 Part 3.djvu/460

 102 STAT. 2412

Public information.

PUBLIC LAW 100-485—OCT. 13, 1988 this Act as of January 1, 1989) which were not covered under such part as such part was in effect before the date of the enactment of this Act, and "(ID the national average actuarial value for the following year of the benefits under part B of title XVin of the Social Security Act (as amended by this Act as of January 1, 1990, but excluding any such benefits with respect to covered outpatient drugs) which were not covered under such part as such part was in effect before the date of the enactment of this Act, to be used by employers who exercise the option under subparagraph (A)(i) in determining the minimum amount of additional benefits or refunds to be provided under subsections (a)(l) and (a)(2), respectively; and "(ii) publish guidelines to be used by employers who exercise the option under subparagraph (A)(ii) in determining the minimum amount of additional benefits or refunds to be provided under subsections (a)(1) and (a)(2), respectively. The Secretary shall publish, before the beginning of 1989 with respect to part A benefits and before the beginning of 1990 with respect to part B benefits, guidelines".

(b) INCLUSION OF PROVISIONS REPEAUNG AUTHORITY TO ADMINISTER PROFICIENCY EXAMINATIONS.—The Medicare Catastrophic Cov-

erage Act of 1988 is amended by inserting after section 429 the following new section (and by inserting a corresponding item in the table of contents of such Act): "SEC. 430. REPEAL OF AUTHORITY TO ADMINISTER PROFICIENCY EXAMINATIONS.

Health and medical care. 42 USC 1320a-2 note.

"(a) REPEAL.—Section 1123 of the Social Security Act (42 U.S.C. 1320a-2) is repealed. "(b) EFFECT OF REPEAL.—Nothing in the amendment made by subsection (a) shall be construed as affecting the qualification of any individual, who has been determined under the program established under section 1123 of the Social Security Act to be qualified to perform the duties and functions of a health care specialty, to perform such duties and functions.". (c) CONTINUATION OF CJOST PASS-THROUGH FOR CERTIFIED REGISTERED NURSE ANESTHETISTS.—Section 9320 of the Omnibus Budget

42 USC 1395k note.

Reconciliation Act of 1986 is amended— (1) in subsection (i), by striking "The amendments" and inserting "Except as provided in subsection (k), the amendments", and (2) by adding at the end the following new subsection: "(k) AUTHORIZATION OF CONTINUATION OF PASS-THROUGH.—

Rural areas. Health care facilities. 42 USC 1395k note.

Contracts.

"(1) Subject to paragraph (2), the amendments made by this section shall not apply during 1989, 1990, and 1991 to a hospital located in a rural area (as defined for purposes of section 1886(d) of the Social Security Act) if the hospital establishes, before April 1, 1989, to the satisfaction of the Secretary of Health and Human Services that— "(A) as of January 1, 1988, the hospital employed or contracted with a certified registered nurse anesthetist (but not more than one full-time equivalent certified registered nurse anesthetist),

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