Page:United States Statutes at Large Volume 117.djvu/2340

 PUBLIC LAW 108–173—DEC. 8, 2003

117 STAT. 2321

amount that the Secretary estimates will assure that there is no net increase in expenditures under this subsection as a result of this subparagraph.’’. (b) CONFORMING AMENDMENTS.—(1) Section 1834(h)(4)(C) (42 U.S.C. 1395m(h)(4)(C)) is amended by inserting ‘‘(and includes shoes described in section 1861(s)(12))’’ after ‘‘in section 1861(s)(9)’’. (2) Section 1842(s)(2) (42 U.S.C. 1395u(s)(2)) is amended by striking subparagraph (C). (c) EFFECTIVE DATE.—The amendments made by this section shall apply to items furnished on or after January 1, 2005.

42 USC 1395l note.

SEC. 628. PAYMENT FOR CLINICAL DIAGNOSTIC LABORATORY TESTS.

Section 1833(h)(2)(A)(ii)(IV) (42 U.S.C. 1395l(h)(2)(A)(ii)(IV)) is amended by striking ‘‘and 1998 through 2002’’ and inserting ‘‘, 1998 through 2002, and 2004 through 2008’’. SEC. 629. INDEXING PART B DEDUCTIBLE TO INFLATION.

The first sentence of section 1833(b) (42 U.S.C. 1395l(b)) is amended by striking ‘‘and $100 for 1991 and subsequent years’’ and inserting the following: ‘‘, $100 for 1991 through 2004, $110 for 2005, and for a subsequent year the amount of such deductible for the previous year increased by the annual percentage increase in the monthly actuarial rate under section 1839(a)(1) ending with such subsequent year (rounded to the nearest $1)’’. SEC. 630. FIVE-YEAR AUTHORIZATION OF REIMBURSEMENT FOR ALL MEDICARE PART B SERVICES FURNISHED BY CERTAIN INDIAN HOSPITALS AND CLINICS.

Section 1880(e)(1)(A) (42 U.S.C. 1395qq(e)(1)(A)) is amended by inserting ‘‘(and for items and services furnished during the 5-year period beginning on January 1, 2005, all items and services for which payment may be made under part B)’’ after ‘‘for services described in paragraph (2)’’.

Subtitle D—Additional Demonstrations, Studies, and Other Provisions SEC. 641. DEMONSTRATION PROJECT FOR COVERAGE OF CERTAIN PRESCRIPTION DRUGS AND BIOLOGICALS.

(a) DEMONSTRATION PROJECT.—The Secretary shall conduct a demonstration project under part B of title XVIII of the Social Security Act under which payment is made for drugs or biologicals that are prescribed as replacements for drugs and biologicals described in section 1861(s)(2)(A) or 1861(s)(2)(Q) of such Act (42 U.S.C. 1395x(s)(2)(A), 1395x(s)(2)(Q)), or both, for which payment is made under such part. Such project shall provide for cost-sharing applicable with respect to such drugs or biologicals in the same manner as cost-sharing applies with respect to part D drugs under standard prescription drug coverage (as defined in section 1860D– 2(b) of the Social Security Act, as added by section 101(a)). (b) DEMONSTRATION PROJECT SITES.—The project established under this section shall be conducted in sites selected by the Secretary. (c) DURATION.—The Secretary shall conduct the demonstration project for the 2-year period beginning on the date that is 90

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