Page:United States Statutes at Large Volume 103 Part 2.djvu/969

 PUBLIC LAW 101-234—DEC. 13, 1989 103 STAT. 1979 Public Law 101-284 101st Congress An Act Dec. 13, 1989 To repeal medicare provisions in the Medicare Catastrophic Coverage Act of 1988. [H R 36071 Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the "Medicare Catastrophic Coverage Repeal Act of 1989". TITLE I—PROVISIONS RELATING TO PART A OF MEDICARE PROGRAM AND SUP- PLEMENTAL MEDICARE PREMIUM Medicare Catastrophic Coverage Repeal Act of 1989. 42 USC 1305 note. SEC. 101. REPEAL OF EXPANSION OF MEDICARE PART A BENEFITS. (a) IN GENERAL.— (1) GENERAL RULE.—Except as provided in paragraph (2), sec- tions 101, 102, and 104(d) (other than paragraph (7)) of the Medicare Catastrophic Coverage Act of 1988 (Public Law 100- 360) (in this Act referred to as "MCCA") are repealed, and the provisions of law amended or repealed by such sections are restored or revived as if such section had not been enacted. (2) EXCEPTION FOR BLOOD DEDUCTION.— The repeal of section 102(1) of MCCA (relating to deductibles and coinsurance under part A) shall not apply, but only insofar as such section amended paragraph (2) of section 1813(a) of the Social Security Act (relating to a deduction for blood). (b) TRANSITION PROVISIONS FOR MEDICARE BENEFICIARIES. — (1) INPATIENT HOSPITAL SERVICES AND POST-HOSPITAL EXTENDED CARE SERVICES. —In applying sections 1812 and 1813 of the Social Security Act, as restored by subsection (a)(1), with respect to inpatient hospital services and extended care services provided on or after January 1, 1990— (A) no day before January 1, 1990, shall be counted in determining the beginning (or period) of a spell of illness; (B) with respect to the limitation on such services pro- vided in a spell of illness, days of such services before January 1, 1990, shall not be counted, except that days of inpatient hospital services before January 1, 1989, which were applied with respect to an individual after receiving 90 days of services in a spell of illness (commonly known as "lifetime reserve days") shall be counted; (C) the limitation of coverage of extended care services to post-hospital extended care services shall not apply to an individual receiving such services from a skilled nursing facility during a continuous period beginning before (and including) January 1, 1990, until the end of the period of 30 42 USC 1395e note. 42 USC 1395c- 1395f, 1395k, 1395x, 1395CC, 1395tt. 42 USC 1395e note.

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