Page:United States Statutes at Large Volume 111 Part 1.djvu/416

 Ill STAT. 392 PUBLIC LAW 105-33 —AUG. 5, 1997 (b) CONFORMING AMENDMENT.— Section 1834(a)(10)(B) (42 U.S.C. 1395m(a)(10)(B)) is amended— (1) by striking "For covered items furnished on or after January 1, 1991, the" and inserting "The"; (2) by striking "(other than subparagraph (D))"; and (3) by striking all that follows "pa3anents under this subsection" and inserting a period. 42 USC 1395m (c) EFFECTIVE DATE. —The amendments made by this section note. shall take effect on the date of the enactment of this A^t. SEC. 4317. REQUIREMENT TO FURNISH DIAGNOSTIC INFORMATION. (a) INCLUSION OF NON-PHYSICIAN PRACTITIONERS IN REQUIRE- MENT To PROVIDE DIAGNOSTIC CODES FOR PHYSICIAN SERVICES.— Paragraphs (1) and (2) of section 1842(p) (42 U.S.C. 1395u(p)) are each amended by inserting "or practitioner specified in subsection (b)(18)(C)" after "by a physician". (b) REQUIREMENT TO PROVIDE DIAGNOSTIC INFORMATION WHEN ORDERING CERTAIN ITEMS OR SERVICES FURNISHED BY ANOTHER ENTITY.—Section 1842(p) (42 U.S.C. 1395u(p)), is amended by adding at the end the following new paragraph: "(4) In the case of an item or service defined in paragraph (3), (6), (8), or (9) of subsection 1861(s) ordered by a physician or a practitioner specified in subsection (b)(18)(C), but furnished by another entity, if the Secretary (or fiscal agent of the Secretary) requires the entity furnishing the item or service to provide diagnostic or other medical information in order for payment to be made to the entity, the physician or practitioner shall provide that information to the entity at the time that the item or service is ordered by the physician or practitioner.". (c) EFFECTIVE DATE. —The amendments made by this section shall apply to items and services furnished on or after January 1, 1998. SEC. 4318. REPORT BY GAO ON OPERATION OF FRAUD AND ABUSE CONTROL PROGRAM. Section 1817(k)(6) (42 U.S.C. 1395i(k)(6)) is amended by inserting "June 1, 1998, and" after "Not later than". SEC. 4319. COMPETITIVE BIDDING DEMONSTRATION PROJECTS. (a) GENERAL RULE.— Part B of title XVIII (42 U.S.C. 1395j et seq.) is amended by inserting after section 1846 the following new section: 42 USC 1395W-3. " SEC. 1847. DEMONSTRATION PROJECTS FOR COMPETITIVE ACQUISI- TION OF ITEMS AND SERVICES. "(a) ESTABLISHMENT OF DEMONSTRATION PROJECT BIDDING AREAS. — "(1) IN GENERAL.—The Secretary shall implement not more than 5 demonstration projects under which competitive acquisition areas are established for contract award purposes for the furnishing under this part of the items and services described in subsection (d). "(2) PROJECT REQUIREMENTS. —Each demonstration project under paragraph (1)— "(A) shall include such group of items and services as the Secretary may prescribe, "(B) shall be conducted in not more than 3 competitive acquisition areas, and 42 USC 1395u note.

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