Page:United States Statutes at Large Volume 108 Part 5.djvu/942

 108 STAT. 4432 PUBLIC LAW 103-432—OCT. 31, 1994 42 USC 1395/. 42 USC 1395/. 42 USC 1395u note. 42 USC 1320a-3a note. (II) by striking subparagraph (O) and redesignating subparagraph (P) as subparagraph (O). (C) PAYMENT BASED ON REASONABLE COST.—Section 1833(a)(2) (42 U.S.C. 13951(a)(2)) is amended— (i) in subparagraph (A), by striking "health services" and inserting "health services (other than a covered osteoporosis drug (as defined in section 1861(kk)))"; (ii) by striking "and" at the end of subparagraph (D); (iii) by striking the semicolon at the end of subparagraph (E) and inserting "; and"; and (iv) by adding at the end the following new subparagraph: "(F) with respect to a covered osteoporosis drug (as defined in section 1861(kk)) furnished by a home health agency, 80 percent of the reasonable cost of such service, as determined under section 186l(v);". (D) APPLICATION OF PART B DEDUCTIBLE,—Section 1833(b)(2) (42 U.S.C. 13951(b)(2)) is amended by striking "services" and inserting "services (other than a covered osteoporosis drug (as denned in section 1861(kk)))". (E) COVERED OSTEOPOROSIS DRUG (SECTION 4156 OF OBRA-1990).— Section 1861 (42 U.S.C. 1395x) is amended, in the subsection (jj) inserted by section 4156(a)(2) of OBRA-1990, by striking "(jj) The term" and inserting "(kk) The term". (7) OTHER MISCELLANEOUS AND TECHNICAL CORRECTIONS. — (A) OWNERSHIP DISCLOSURE REQUIREMENTS.—(i) Section 1124A(a)(2)(A) (42 U.S.C. 1320a-3a(a)(2)(A)) is amended by striking "of the Social Security Act". (ii) Section 4164(b)(4) of OBRA-1990 is amended by striking "paragraph" and inserting "paragraphs". (B) DIRECTORY OF UNIQUE PHYSICIAN IDENTIFIER NUM- BERS.—Section 4164(c) of OBRA-1990 is amended by striking "publish" and inserting "publish, and shall periodically update,". (g) EFFECTIVE DATE. —Except as otherwise provided in this section, the amendments made by this section shall take effect as if included in the enactment of OBRA-1990. Subtitle C—Provisions Relating to Parts A andB SEC. 151. MEDICARE SECONDARY PAYER REFORMS. (a) IMPROVING IDENTIFICATION OF MEDICARE SECONDARY PAYER SITUATIONS. — (1) SURVEY OF BENEFICIARIES.— (A) IN GENERAL.—Section 1862(b)(5) (42 U.S.C. 1395y(b)(5)) is amended by adding at the end the following new subparagraph: "(D) OBTAINING INFORMATION FROM BENEFICIARIES.— Before an individual applies for benefits under part A or enrolls under part B, the Administrator shall mail the individual a questionnaire to obtain information on whether the individual is covered under a primary plan and the

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