Page:United States Statutes at Large Volume 104 Part 2.djvu/479

 ..- •»«« •-^••^'.•^-'•^'i^^ f^'-jffl'S^tit-V". PUBLIC LAW 101-508—NOV. 5, 1990 104 STAT. 1388-71 "(G) make recommendations regarding further development of the volume performance standards established under section 1848(f), including the development of State-based programs; "(H) consider policies to provide payment incentives to increase patient access to primary care and other physician services in large urban and rural areas, including policies regarding payments to physicians pursuant to title XIX; "(I) review and consider the number and practice specialties of physicians in training and payments under this title for graduate medical education costs; "(J) make recommendations regarding issues relating to utilization review and quality of care, including the effectiveness of peer review procedures and other quality assurance programs applicable to physicians and providers under this title and physician certification and licensing standards and procedures; "(K) make recommendations regarding options to help constrain the costs of health insurance to employers, including incentives under this title; "(L) comment on the recommendations affecting physician payment under the medicare program that are included in the budget submitted by the President pursuant to section 1105 of title 31, United States Code; and "(M) make recommendations regarding medical malpractice liability reform and physician certification and licensing standards and procedures.; and (D) by striking subsection (e) and redesignating subsection (f) as subsection (e). (2) In section 1842(b)(2)(A) is amended by striking "section 42 USC l395u. 1845(f)(2)" and inserting "section 1845(e)(2)". (k) PROHIBITION OF CERTAIN ADJUSTMENTS.—Section 1848(i) is 42 USC 1395w-4. amended by adding at the end the following new paragraph: "(3) No COMPARABILITY ADJUSTMENT. —For physicians' services for which payment under this part is determined under this section— "(A) a carrier may not make any adjustment in the payment amount under section 1842(b)(3)(B) on the basis that the payment amount is higher than the charge applicable, for a ^ 2 comparable services and under comparable circumstances, to the policyholders and subscribers of the carrier, "(B) no payment adjustment may be made under section 1842(b)(8), and "(C) section 1842(b)(9) shall not apply.". Subpart B—Provisions Relating to Other Items and Services 42 USC 1395W-1. SEC. 4151. PAYMENTS FOR OUTPATIENT HOSPITAL SERVICES. (a) REDUCTION IN PAYMENTS FOR CAPITAL-RELATED COSTS.— (1) IN GENERAL.— Section 1861(v)(l)(S)(ii)(I) (42 U.S.C. 1395x(v)(l)(S)(ii)(I)) is amended by inserting before the period at the end the following: ", by 15 percent for payments attributable to portions of cost reporting periods occurring during fiscal year 1991, and by 10 percent for payments attributable to portions of cost reporting periods occurring during fiscal year 1992, 1993, 1994, or 1995". '* So in original, "a" probably should be omitted.

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