Page:United States Statutes at Large Volume 102 Part 4.djvu/832

 102 STAT. 3802

PUBLIC LAW 100-647—NOV. 10, 1988

PART III—PROVISIONS RELATING TO PART B O F MEDICARE SEC 8421. TRIP FEES FOR CXINICAL LABORATORIES. 42 USC 1395/.

42 USC 1395/ note.

Reports.

(a) IN GENERAL.—Section 1833(h)(3) of the Social Security Act (42 U.S.C. 13951(h)(3)) is amended by adding at the end the following new sentence: "In establishing a fee to cover the transportation and personnel expenses for trained personnel to travel to the location of an individual to collect a sample, the Secretary shall provide a method for computing the fee based on the number of miles traveled and the personnel costs associated with the collection of each individual sample, but the Secretary shall only be required to apply such method in the case of tests furnished during the period b ^ ^ ning on April 1, 1989, and ending on December 31, 1990, by a laboratory that establishes to the satisfaction of the Secretary 0>ased on data for the 12-month period ending June 30, 1988) that (i) the laboratory is dependent upon payments under this title for at least 80 percent of its collected revenues for clinical diagnostic laboratory tests, (ii) at least 85 percent of its gross revenues for such tests are attributable to tests performed w i ^ respect to individuals who are homebound or who are residents in a nursing facility, and (iii) the laboratory provided such tests for residents in nursing facilities representing at least 20 percent of the number of such facilities in the State in which the laboratory is located.". (b) BUDGET NEUTRALITY.—The Secretary of Health and Human Services shall adjust the fees for transportation and personnel established under section 1833(h)(3)(B) of the Social Security Act for tests not covered under the amendment made by subsection (a) in such manner that the total cost of fees under such section is the same as would have been the case without such amendment. (c) STUDY.—The Secretary of Health and Human Services shall study reimbursement for specimen collection and transportation and personnel costs under section 1833(h)(3) of the Social Security Act and shall report to the Committees on Ways and Means and Energy and Conunerce of the House of Representatives and the Committee on Finance of the Senate by May 1, 1989. The study shall— (1) survey carrier policies r ^ a r d i n g such reimbursement, (2) report on concerns expressed by clinical diagnostic laboratories concerning such reimbursement, and (3) make recommendations to assure that such reimbursement is reasonable, covers the costs involved, and assures adequate access to clinical laboratory services for nursing facility residents. SEC. 8422. BUDGET NEUTRALITY ADJUSTMENT FOR CERTIFIED REGISTERED NURSE ANESTHETISTS.

42 USC 1395/ note.

(a) IN GENERAL.—Section 18330X3X6) of the Social Security Act (42 U.S.C. 1395iaX3XB)) is amended by inserting "plus applicable coinsurance" after "would have been paid". QD) EFFECTIVE DATE.—The amendment made by subsection (a) shall become effective as if included in the amendment made by section 9320(e)(2) of the Omnibus Budget Reconciliation Act of 1986.

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