Page:United States Statutes at Large Volume 111 Part 1.djvu/480

 Ill STAT. 456 PUBLIC LAW 105-33 —AUG. 5, 1997 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).". (3) CONFORMING CHANGE IN BILLING.—Section 1866(a)(2)(A)(ii) (42 U.S.C. 1395cc(a)(2)(A)(ii)) is amended by adding at the end the following: "In the case of services described in section 1833(a)(8) or section 1833(a)(9) for which payment is made under part B under section 1834(k), clause (ii) of the first sentence shall be applied by substituting for 20 percent of the reasonable charge for such services 20 percent of the lesser of the actual charge or the applicable fee schedule amount (as defined in such section) for such services.". (b) APPLICATION OF STANDARDS TO OUTPATIENT OCCUPATIONAL AND PHYSICAL THERAPY SERVICES PROVIDED AS AN INCIDENT TO A PHYSICIAN'S PROFESSIONAL SERVICES. —Section 1862(a), as amended by sections 4319(b), 4432(b), and 4507(a)(2)(B), (42 U.S.C. 1395y(a)) is amended— (1) by striking "or" at the end of paragraph (18); (2) by striking the period at the end of paragraph (19) and inserting "; or"; and (3) by inserting after paragraph (19) the following: "(20) in the case of outpatient occupational therapy services or outpatient physical therapy services furnished as an incident to a physician's professional services (as described in section 1861(s)(2)(A)), that do not meet the standards and conditions (other than any licensing requirement specified by the Secretary) under the second sentence of section 186 l(p) (or under such sentence through the operation of section 1861(g)) as such standards and conditions would apply to such therapy services if furnished by a therapist.". (c) APPLYING FINANCIAL LIMITATION TO ALL REHABILITATION SERVICES.—Section 1833(g) (42 U.S.C. 13951(g)) is amended— (1) in the first sentence, by striking "services described in the second sentence of section 186 l(p)" and inserting "physical therapy services of the type described in section 186 l(p), but not described in section 1833(a)(8)(B), and physical therapy services of such type which are furnished by a physician or as incident to physicians' services", and (2) in the second sentence, by striking "outpatient occupational therapy services which are described in the second sentence of section 186 l(p) through the operation of section 1861(g)" and inserting "occupational therapy services (of the type that are described in section 186 l(p) (but not described in section 1833(a)(8)(B)) through the operation of section 1861(g) and of such type which are furnished by a physician or as incident to physicians' services)". (d) INDEXING LIMITATION. — (1) IN GENERAL. — Section 1833(g) (42 U.S.C. 13951(g)), as amended by subsection (c), is further amended— (A) by striking "$900" each place it appears and inserting "the amount specified in paragraph (2) for the year", (B) by inserting "(1)" after ^(g)", (C) by designating the last sentence as a paragraph (3), and (D) by inserting before paragraph (3), as so designated, the following: "(2) The amount specified in this paragraph—

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