Page:United States Statutes at Large Volume 107 Part 1.djvu/644

 107 STAT. 618 PUBLIC LAW 103-66 —AUG. 10, 1993 "(3) EFFECT ON STATE MAXIMUM ALLOWABLE COST LIMITA- TIONS.— This section shall not supersede or affect provisions in effect prior to January 1, 1991, or after December 31, 1994, relating to any maximum allowable cost limitation established by a State for payment by the State for covered outpatient drugs, and rebates shall be made under this section without regard to whether or not payment by the State for such drugs is subject to such a limitation or the amount of such a limitation.". (2) CONFORMING AMENDMENTS. —Section 1927 (42 U.S.C. 1396r-fi) is amended as follows: (A) In subsection (b)— (i) in paragraph (I)(A)— (I) by striking "each calendar quarter (or periodically in accordance with a schedide specified by the Secretary)" and inserting "for a rebate period", and (II) by striking "dispensed under the plan during the quarter (or other period as the Secretary may specify)" and inserting "dispensed after December 31, 1990, for which payment was made under the State plan for such period"; (ii) in paragraph (2)(A)— (I) by striking "calendar quarter" and "the quarter" and inserting "rebate period" and "the period", respectively, (II) by striking "dosage units" and inserting "units of each dosage form and strength and package size", and (III) by inserting "after December 31, 1990, for which payment was made" after "dispensed"; and (iii) in paragraph (3)(A)(i), by striking "quarter" each place it appears and inserting "rebate period under the agreement". (B) In subsection (k>— (i) in paragraph (1)— (I) by striking "calendar quarter^ and inserting "rebate period", and (II) by inserting before the period at the end the following: ", after deducting customary prompt pay discounte"; (ii) in paragraph (3)— (I) in subparagraph (E), by striking ****** emergency room visits", (II) in subparagraph (F), by striking "services" and inserting "services and services provided by an intermediate care facility for the mentally retarded", and (III) in the matter following subparagraph (H)— (aa) by striking "which is used" and inserting "for which a National Drug Code number is not required by the Food and Drug Administration or a drug or biological used"; and

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