Page:United States Statutes at Large Volume 102 Part 4.djvu/833

 PUBLIC LAW 100-647—NOV. 10, 1988

102 STAT. 3803

SEC. 8423. COVERAGE OF PSYCHOLOGISTS' SERVICES WHEN PROVIDED OFF-SITE AS PART OF A TREATMENT PLAN.

(a) IN GENERAL.—Section 1861(ii) of the Social Security Act (42 U.S.C. 1395x(ii)) is amended— (1) by inserting "on-site" before "at a community mental health center", and (2) by inserting ", and such services that are necessarily furnished off-site (other than at an off-site office of such psychologist) as part of a treatment plan because of the inability of the individual furnished such services to travel to the center by reason of physical or mental impairment, because of institutionalization, or because of similar circumstances of the individual," after "Public Health Service Act)". (b) EFFECTIVE DATE.—The amendments made by subsection (a) 42 USC 1395x shall be effective with respect to services furnished on or after note. January 1, 1989. SEC. 8424. NONAPPLICATION OF CERTAIN REQUIREMENTS TO PHYSICAL THERAPISTS.

(a) IN GENERAL.—Section 1861(p) of the Social Security Act (42 U.S.C. 1395x(p)) is amended by adding at the end the following new sentence: "Nothing in this subsection shall be construed as requiring, with respect to outpatients who are not entitled to benefits under this title, a physical therapist to provide outpatient physical therapy services only to outpatients who are under the care of a physician or pursuant to a plan of care established by a physician.". (b) EFFECTIVE DATE.—The amendment made by subsection (a) 42 USC 1395x shall become effective with respect to services provided after Decem- note. ber 31, 1988. SEC. 8425. FUNCTIONS OF PHYSICIAN PAYMENT REVIEW COMMISSION. (a) ADDITIONAL FUNCTION.—Section 1845(b)(2) of the Social

Security Act (42 U.S.C. 1395w-l(b)(2)) is amended— (1) by striking "and" at the end of subparagraph (G), (2) by striking the period at the end of subparagraph (H) and inserting "; an(f', and (3) by adding at the end the following new subparagraph: "(I) consider policies for moderating the rate of increase in expenditures under this part and the rate of increase in utilization of services under this part.". (b) EFFECTIVE DATE.—The amendments made by subsection (a) 42 USC 1395W-1 shall take effect on the date of the enactment of this Act and shall note. first apply to recommendations submitted in 1989. SEC. 8426. MORATORIUM ON LABORATORY PAYMENT DEMONSTRATION EXTENDED.

Section 9204(a) of the Consolidated Omnibus Budget Reconciliation Act of 1985, as amended by section 9339(e) of the Omnibus Budget Reconciliation Act of 1986 and section 4085(c) of the Omnibus Budget Reconciliation Act of 1987, is amended by striking "January 1, 1989" and inserting "January 1, 1990".

42 USC 1395WW note.

SEC. 8427. PAYMENT FOR MEDICAL ESCORT OR MEDICAL ATTENDANT ON COMMERCIAL AIRLINER ALLOWED.

(a) IN GENERAL.—The Secretary of Health and Human Services 42 USC 1395x shall provide that in cases where (as of the date of the enactment of note. this Act) transportation on a commercial airliner is covered under

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