Page:United States Statutes at Large Volume 111 Part 1.djvu/474

 Ill STAT. 450 PUBLIC LAW 105-33—AUG. 5, 1997 (B) Section 1833(a)(2)(E) (42 U.S.C. 13951(a)(2)(E)) is amended by inserting "or, for services or procedures performed on or after January 1, 1999, subsection (t)" before the semicolon. (3) OTHER HOSPITAL OUTPATIENT SERVICES.— Section 1833(a)(2)(B) (42 U.S.C. 13951(a)(2)(B)) is amended— (A) in clause (i), by inserting "furnished before January 1, 1999," after "(i)", (B) in clause (ii), by inserting "before January 1, 1999," after "furnished", (C) by redesignating clause (iii) as clause (iv), and (D) by inserting after clause (ii), the following new clause: "(iii) if such services are furnished on or after January 1, 1999, the amount determined under subsection (t), or". CHAPTER 3—AMBULANCE SERVICES SEC. 4531. PAYMENTS FOR AMBULANCE SERVICES. (a) INTERIM REDUCTIONS.— (1) PAYMENTS DETERMINED ON REASONABLE COST BASIS.— Section 1861(v)(l) (42 U.S.C. 1395x(v)(l)), as amended by section 4451, is amended by adding at the end the following new subparagraph: "(U) In determining the reasonable cost of ambulance services (as described in subsection (s)(7)) provided during fiscal year 1998, during fiscal year 1999, and during so much of fiscal year 2000 as precedes January 1, 2000, the Secretary shall not recognize the costs per trip in excess of costs recognized as reasonable for ambulance services provided on a per trip basis during the previous fiscal year (after application of this subparagraph), increased by the percentage increase in the consumer price index for all urban consumers (U.S. city average) as estimated by the Secretary for the 12-month period ending with the midpoint of the fiscal year involved reduced by 1.0 percentage point. For ambulance services provided after June 30, 1998, the Secretary may provide that claims for such services must include a code (or codes) under a uniform coding system specified by the Secretary that identifies the services famished.". (2) PAYMENTS DETERMINED ON REASONABLE CHARGE BASIS. —Section 1842(b) (42 U.S.C. 1395u(b)) is amended by adding at the end the following new paragraph: "(19) For purposes of section 1833(a)(1), the reasonable charge for ambulance services (as described in section 1861(s)(7)) provided during calendar year 1998 and calendar year 1999 may not exceed the reasonable charge for such services provided during the previous calendar year (after application of this paragraph), increased by the percentage increase in the consumer price index for all urban consumers (U.S. city average) as estimated by the Secretary for the 12-month period ending with the midpoint of the year involved reduced by 1.0 percentage point.". (b) ESTABLISHMENT OF PROSPECTIVE FEE SCHEDULE.—

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