Page:United States Statutes at Large Volume 104 Part 2.djvu/738

 104 STAT. 1388-330 PUBLIC LAW 101-508 —NOV. 5, 1990 "(2) to establish incentives to encourage compliance with measures under paragraph (1).". (b) IMPROVED CASH MANAGEMENT.— Section 8909(a) of title 5, United States Code, is amended by adding at the end (as a flush left sentence) the following: "Payments from the Fund to a plan participating in a letter-of- credit arrangement under this chapter shall, in connection with any payment or reimbursement to be made by such plan for a health service or supply, be made, to the maximum extent practicable, on a checks-presented basis (as defined under regulations of the Department of the Treasury).". (c) EXEMPTION FROM STATE PREMIUM TAXES.—Section 8909 of title 5, United States Code, is amended by adding at the end the following: "(f)(1) No tax, fee, or other monetary payment may be imposed, directly or indirectly, on a carrier or an Underwriting or plan administration subcontractor of an approved health benefits plan by any State, the District of Columbia, or the Commonwealth of Puerto Rico, or by any political subdivision or other governmental authority thereof, with respect to any payment made from the Fund. "(2) Paragraph (1) shall not be construed to exempt any carrier or underwriting or plan administration subcontractor of an approved health benefits plan from the imposition, payment, or collection of a tax, fee, or other monetary payment on the net income or profit accruing to or realized by such carrier or underwriting or plan administration subcontractor from business conducted under this chapter, if that tax, fee, or payment is applicable to a broad range of business activity.". (d) IMPROVED COORDINATION WITH MEDICARE.— Section 8910 of title 5, United States Code, is amended by adding at the end the following: "(d) The Office, in consultation with the Department of Health and Human Services, shall develop and implement a system through which the carrier for an approved health benefits plan described by section 8908 or 8903a will be able to identify those annuitants or other individuals covered by such plan who are entitled to benefits under part A or B of title XVIII of the Social Security Act in order to ensure that payments under coordination of benefits with Medicare do not exceed the statutory maximums which physicians may charge Medicare enrollees.". (e) AMENDMENTS TO PUBLIC LAW 101-76.— Public Law 101-76 (103 5 USC 8906 note. Stat. 556) is amended— (1) in subsection (a)(1), by striking "contract year 1990 or 1991," and inserting "each of contract years 1990 through 1993 (inclusive),"; and (2) in subsection (c), by striking "contract year 1991," and inserting "a contract year (or any period thereafter),". (f) APPLICATION OF CERTAIN MEDICARE LIMITS TO FEDERAL EM- PLOYEE HEALTH BENEFITS ENROLLEES AGE 65 OR OLDER. —(1) Section 8904 of title 5, United States Code, is amended by inserting "(a)" before the first sentence and by adding at the end of the section the following new subsection: "(b)(1) A plan, other than a prepayment plan described in section 8903(4) of this title, may not provide benefits, in the case of any retired enrolled individual who is age 65 or older and is not covered to receive Medicare hospital and insurance benefits under part A of title XVIII of the Social Security Act (42 U.S.C. 1395c et seq.), to pay

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