Page:United States Statutes at Large Volume 103 Part 3.djvu/147

 PUBLIC LAW 101-239—DEC. 19, 1989 103 STAT. 2215 42 USC 1395m note. (C) in paragraph (TXBXii), by striking "the payment amount" and all that follows and inserting "clause (i) shall apply in the same manner as it applies to items furnished during 1989. ". (b) RENTAL PAYMENTS FOR ENTERAL AND PARENTERAL PUMPS. — (1) IN GENERAL.— Except as provided in paragraph (2), the amount of any monthly rental payment under part B of title XVni of the Social Security Act for an enteral or parenteral pump furnished on or after April 1, 1990, shall be determined in accordance with the methodology under which monthly rental payments for such pumps were determined during 1989. (2) CAP ON RENTAL PAYMENTS, SERVICING, AND REPAIRS. — In the case of an enteral or parenteral pump described in para- graph (1) that is furnished on a rental basis during a period of medical need— (A) monthly rental payments shall not be made under part B of title XVIII pf the Social Security Act for more than 15 months during such period, and (B) after monthly rental pasonents have been made for 15 months during such period, payment under such part shall be made for maintenance and servicing of the pump in such amounts as the Secretary of Health and Human Services determines to be reasonable and necessary to ensure the proper operation of the pump. (c) REDUCTION IN FEE SCHEDULES FOR SEAT-LIFT CHAIRS AND TRANSCUTANEOUS ELECTRICAL NERVE STIMULATORS. —Paragraph (1) of such section 1834(a) is amended by adding at the end the following 42 USC 1395m, new subparagraph: "(D) REDUCTION IN FEE SCHEDULES FOR CERTAIN ITEMS.— With respect to a seat-lift chair or transcutaneous electrical nerve stimulator furnished on or after April 1, 1990, the Secretary shall reduce the payment amount applied under subparagraph (B)(ii) for such an item by 15 percent.". (d) TREATMENT OF POWER DRIVEN WHEELCHAIRS.— (1) As ROUTINELY PURCHASED. —Section 1834(a)(2)(A) of the Social Security Act (42 U.S.C. 1395m(a)(2)(A)) is amended— (A) by striking "or" at the end of clause (i), (B) by adding "or" at the end of clause (ii), and ^ (C) by inserting after clause (ii) the following new clause: (iii) which is a power-driven wheelchair (other than a customized wheelchair that is classified as a cus- tomized item under paragraph (4) pursuant to criteria specified by the Secretary),". (2) As CUSTOMIZED ITEM.—The Secretary of Health and Human Services shall by regulation specify criteria to be used by carriers in making determinations on a case-by -case basis as whether to classify power-driven wheelchairs as a customized item (as described in section 1834(a)(4) of the Social Security Act) for purposes of reimbursement under title XVIII of such Act. (e) OSTOMY SUPPLIES AS PART OF HOME HEALTH SERVICES. — (1) SPECIFIC INCLUSION IN HOME HEALTH SERVICES.— Section 1861(m)(5) of the Social Security Act (42 U.S.C. 1395x(m)(5)) is amended to read as follows: "(5) medical supplies (including catheters, catheter supplies, ostomy bags, and supplies related to ostomy care, but excluding Regulations. 42 USC 1395m note.

�