Page:United States Statutes at Large Volume 103 Part 3.djvu/93

 PUBLIC LAW 101-239—DEC. 19, 1989 103 STAT. 2161 42 USC 1395f note. "(ii) With respect to routine home care and other services included in hospice care furnished during a subsequent fiscal year, the payment rates for such care and services shall be the payment rates in effect under this subparagraph during the previous fiscal year increased by the market basket percentage increase (as defined in section 1886(b)(3)(B)(iii)) otherwise applicable to discharges occurring in the fiscal year.". (b) REQUIREMENT OF CERTIFICATION OF TERMINAL ILLNESS FOR HOS- PICE CARE MODIFIED.— Section 1814(a)(7)(A)(i) of the Social Security Act (42 U.S.C. 1395f[aX7XAXi)) is amended by striking "certify," and all that follows through "initiated," and inserting the following: "certify in writing, not later than 2 days after hospice care is iriitiated (or, if each certify verbally not later than 2 days after hospice care is initiated, not later than 8 days after such care is initiated),". (c) EFFECTIVE DATE.—The amendments made by subsection (a) shall become effective with respect to care and services furnished on or after January 1, 1990. Subpart B—Technical and Miscellaneous Provisions SEC. 6011. PASS THROUGH PAYMENT FOR HEMOPHILIA INPATIENTS. (a) PASS THROUGH PAYMENT FOR HEMOPHIUA INPATIENTS.—The second sentence of section 1886(a)(4) of the Social Security Act (42 U.S.C. 1395ww(d)(4)) is amended— (1) by striking "or,"; and (2) by striking "October 1, 1987)" and inserting "October 1, 1987), or costs with respect to administering blood clotting factors to individuals with hemophilia". (b) DETERMINING PAYMENT AMOUNT.— The Secretary of Health and Human Services shall determine the amount of payment made to hospitals under part A of title XVIII of the Social Security Act for the costs of administering blood clotting factors to individuals with hemophilia by multiplying a predetermined price per unit of blood clotting factor (determined in consultation with the Prospective Payment Assessment Commission) by the number of units provided to the individual. (c) RECOMMENDATIONS ON PAYMENTS.—The Prospective Payment Assessment Commission and the Health Care Financing Adminis- tration shall develop recommendations with respect to payments to hospitals under part A of title XVIII of the Social Security Act for the costs of administering blood clotting factors to individuals with hemophilia, and shall submit such recommendations to Congress not later than 18 months after the date of enactment of this Act. (d) EFFECTIVE DATE. —The amendments made by subsection (a) shall apply with respect to items furnished 6 months after the date of enactment of this Act and shall expire 2 years after the date of enactment of this Act. SEC. 6012. MEDICARE BUY-IN FOR CONTINUED BENEFITS FOR DISABLED INDIVIDUALS. (a) IN GENERAL.— Title XVIII of the Social Security Act is amended— (1) in the heading of section 1818, by inserting "ELDERLY" after ^2 USC 1395i-2. " UNINSURED"; and (2) by inserting after section 1818 the following new section: 42 USC 1395WW note. 42 USC 1395WW note. 42 USC 1395WW note.

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