Page:United States Statutes at Large Volume 114 Part 5.djvu/558

 114 STAT. 2763A-518 PUBLIC LAW 106-554—APPENDIX F determined under the provisions of law in effect on the day before the date of the enactment of this Act; and (2) for services furnished on or after April 1, 2001, and before January 1, 2002, shall be the composite rate payment (as determined taking into account the amendment made by subsection (a)(1)) increased by a transitional percentage allowance equal to 0.39 percent (to account for the timing of implementation of the CPI update). SEC. 423. PAYMENT FOR AMBULANCE SERVICES. (a) RESTORATION OF FULL CPI INCREASE FOR 2001. — (1) IN GENERAL.—Section 1834(1)(3) (42 U.S.C. 1395m(l)(3)) is amended by striking "reduced in the case of 2001 and 2002" each place it appears and inserting "reduced in the case of 2002". (2) SPEcmL RULE FOR PAYMENT FOR 2001. —Notwithstanding the amendment made by paragraph (1), for purposes of making payments for ambulance services under part B of title XVIII of the Social Security Act, for services furnished during 2001, the "percentage increase in the consumer price index" specified in section 1834(1)(3)(B) of such Act (42 U.S.C. 1395m(l)(3)(B))— (A) for services furnished on or after January 1, 2001, and before July 1, 2001, shall be the percentage increase for 2001 as determined under the provisions of law in effect on the day before the date of the enactment of this Act; and (B) for services furnished on or after July 1, 2001, and before Jsuiuary 1, 2002, shall be equal to 4.7 percent. (b) MILEAGE PAYMENTS.— (1) IN GENERAL.—Section 1834(1)(2)(E) (42 U.S.C. 1395m(l)(2)(E)) is amended by inserting before the period at the end the following: ", except that such phase-in shall provide for full payment of any national mileage rate for ambulance services provided by suppliers that are paid by carriers in any of the 50 States where payment by a carrier for such services for all such suppliers in such State did not, prior to the implementation of the fee schedule, include a separate amount for all mileage within the county from which the beneficiary is transported". (2) EFFECTIVE DATE. — The amendment made by paragraph (1) shall apply to services furnished on or after July 1, 2001. SEC. 424. AMBULATORY SURGICAL CENTERS. (a) DELAY IN IMPLEMENTATION OF PROSPECTIVE PAYMENT SYS- TEM. —The Secretary of Health and Human Services may not implement a revised prospective payment system for services of ambulatory surgical facilities under section 1833(i) of the Social Security Act (42 U.S.C. 13951(i)) before January 1, 2002. (b) EXTENDING PHASE-IN TO 4 YEARS. —Section 226 of the BBRA (113 Stat. 1501A-354) is amended by striking paragraphs (1) and (2) and inserting the following: "(1) in the first year of its implementation, only a proportion (specified by the Secretary and not to exceed one-fourth) of the payment for such services shall be made in accordance with such system and the remainder shall be made in accordance with current regulations; and "(2) in each of the following 2 years a proportion (specified by the Secretary and not to exceed one-half and three-fourths.

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