Page:United States Statutes at Large Volume 111 Part 1.djvu/476

 Ill STAT. 452 PUBLIC LAW 105-33 —AUG. 5, 1997 Applicability. 42 USC 1395/ note. 42 USC 1395x note. "(4) CONSULTATION.— In establishing the fee schedule for ambulance services under this subsection, the Secretary shall consult with various national organizations representing individuals and entities who furnish and regulate ambulance services and share with such organizations relevant data in establishing such schedule. "(5) LIMITATION ON REVIEW. —There shall be no administrative or judicial review under section 1869 or otherwise of the amounts established under the fee schedule for ambulance services under this subsection, including matters described in paragraph (2). "(6) RESTRAINT ON BILLING. — The provisions of subparagraphs (A) and (B) of section 1842(b)(18) shall apply to ambulance services for which payment is made under this subsection in the same manner as they apply to services provided by a practitioner described in section 1842(b)(18)(C). "(7) CODING SYSTEM.— The Secretary may require the claim for any services for which the amount of payment is determined under this subsection to include a code (or codes) under a uniform coding system specified by the Secretary that identifies the services furnished.". (3) EFFECTIVE DATE.— The amendments made by this subsection shall apply to services furnished on or after January 1, 2000. (c) AUTHORIZING PAYMENT FOR PARAMEDIC INTERCEPT SERVICE PROVIDERS IN RURAL COMMUNITIES.—In promulgating regulations to carry out section 1861(s)(7) of the Social Security Act (42 U.S.C. 1395x(s)(7)) with respect to the coverage of ambulance service, the Secretary of Health and Human Services may include coverage of advanced life support services (in this subsection referred to as "ALS intercept services") provided by a paramedic intercept service provider in a rural area if the following conditions are met: (1) The ALS intercept services are provided under a contract with one or more volunteer ambulance services and are medically necessary based on the health condition of the individual being transported. (2) The volunteer ambulance service involved— (A) is certified as qualified to provide ambulance service for purposes of such section, (B) provides only basic life support services at the time of the intercept, and (C) is prohibited by State law from billing for any services. (3) The entity supplying the ALS intercept services— (A) is certified as qualified to provide such services under the medicare program under title XVIII of the SocisJ Security Act, and (B) bills all recipients who receive ALS intercept services from the entity, regardless of whether or not such recipients are medicare beneficiaries.

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