Page:United States Statutes at Large Volume 104 Part 2.djvu/481

 PUBLIC LAW 101-508—NOV. 5, 1990 104 STAT. 1388-73 (vi) the feasibility and appropriateness of bundling services into larger units, such as episodes or visits, in establishing the basic unit for making payments under the system; and (vii) the feasibility and appropriateness of varying payments under the system on the basis of whether services are provided in a free-standing or hospitalbased facility. (B) REPORTS. —(i) By not later than January 1, 1991, the Administrator of the Health Care Financing Administration shall submit research findings relating to prospective payments for hospital outpatient services to the Committee on Finance of the Senate and the Committees on Ways and Means and Energy and Commerce of the House of Representatives. (ii) By not later than September 1, 1991, the Secretary shall submit the proposal developed under subparagraph (A) to such Committees. (iii) By not later than March 1, 1992, the Prospective Payment Assessment Commission shall submit an analysis of and comments on the proposal developed under subparagraph (A) to such Committees, (c) PAYMENTS FOR AMBULATORY SURGICAL PROCEDURES AND RADI- OLOGY SERVICES. — (1) MODIFICATION OF COST AND ASC PROPORTIONS OF ASC BLEND AMOUNTS. — (A) IN GENERAL.— Section 1833(i)(3)(B)(ii) (42 U.S.C. 13951(i)(3)(B)(ii)) is amended— (i) in subclause (I), by striking "and 50 percent for other cost reporting periods." and inserting '50 percent for reporting periods beginning on or after October 1, 1988, and on or before December 31, 1990, and 42 percent for portions of cost reporting periods beginning on or after January 1, 1991."; and (ii) in subclause (II), by striking "and 50 percent for other cost reporting periods." and inserting "50 percent for reporting periods beginning on or after October 1, 1988, and on or before December 31, 1990, and 58 percent for portions of cost reporting periods beginning on or after January 1, 1991.". (B) EXTENSION OF ASC BLEND AMOUNTS FOR EYE AND EYE AND EAR SPECIALTY HOSPITALS. —The last Sentence of section 1833(i)(3)(B)(ii) (42 U.S.C. 13951(i)(3)(B)(ii)) is amended by striking "in fiscal year 1989 or fiscal year 1990" and inserting "on or after October 1, 1988, and before January 1, 1995". (2) MODIFICATION OF COST AND CHARGE PROPORTIONS FOR RADI- OLOGY SERVICES.— Section 1833(n)(l)(B)(ii)(I) (42 U.S.C. 13951(n)(l)(B)(ii)(I)) is amended by striking the period at the end and inserting ", and such term means 42 percent in the CEise of outpatient radiology services for portions of cost reporting periods beginning on or after January 1, 1991.". (3) 2-YEAR FREEZE IN ALLOWANCE FOR INTRAOCULAR LENSES.— 42 USC 1395/ Notwithstanding section 1833(i)(2)(A)(iii) of the Social Security note. Act, the amount of payment determined under such section for the insertion of an intraocular lens during or subsequent to cataract surgery furnished to an individual in an ambulatory -194O-91-16:QL3Part2

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