Page:United States Statutes at Large Volume 121.djvu/2514

 PUBLIC LAW 110–173—DEC. 29, 2007

121 STAT. 2493

TITLE III—MISCELLANEOUS Sec. 301. Medicare Payment Advisory Commission status. Sec. 302. Special Diabetes Programs for Type I Diabetes and Indians.

TITLE I—MEDICARE SEC. 101. INCREASE IN PHYSICIAN PAYMENT UPDATE; EXTENSION OF THE PHYSICIAN QUALITY REPORTING SYSTEM.

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(a) INCREASE IN PHYSICIAN PAYMENT UPDATE.— (1) IN GENERAL.—Section 1848(d) of the Social Security Act (42 U.S.C. 1395w–4(d)) is amended— (A) in paragraph (4)(B), by striking ‘‘and paragraphs (5) and (6)’’ and inserting ‘‘and the succeeding paragraphs of this subsection’’; and (B) by adding at the end the following new paragraph: ‘‘(8) UPDATE FOR A PORTION OF 2008.— ‘‘(A) IN GENERAL.—Subject to paragraph (7)(B), in lieu of the update to the single conversion factor established in paragraph (1)(C) that would otherwise apply for 2008, for the period beginning on January 1, 2008, and ending on June 30, 2008, the update to the single conversion factor shall be 0.5 percent. ‘‘(B) NO EFFECT ON COMPUTATION OF CONVERSION FACTOR FOR THE REMAINING PORTION OF 2008 AND 2009.— The conversion factor under this subsection shall be computed under paragraph (1)(A) for the period beginning on July 1, 2008, and ending on December 31, 2008, and for 2009 and subsequent years as if subparagraph (A) had never applied.’’. (2) REVISION OF THE PHYSICIAN ASSISTANCE AND QUALITY INITIATIVE FUND.— (A) REVISION.—Section 1848(l)(2) of the Social Security Act (42 U.S.C. 1395w–4(l)(2)) is amended— (i) by striking subparagraph (A) and inserting the following: ‘‘(A) AMOUNT AVAILABLE.— ‘‘(i) IN GENERAL.—Subject to clause (ii), there shall be available to the Fund the following amounts: ‘‘(I) For expenditures during 2008, an amount equal to $150,500,000. ‘‘(II) For expenditures during 2009, an amount equal to $24,500,000. ‘‘(III) For expenditures during 2013, an amount equal to $4,960,000,000. ‘‘(ii) LIMITATIONS ON EXPENDITURES.— ‘‘(I) 2008.—The amount available for expenditures during 2008 shall be reduced as provided by subparagraph (A) of section 225(c)(1) and section 524 of the Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2008 (division G of the Consolidated Appropriations Act, 2008). ‘‘(II) 2009.—The amount available for expenditures during 2009 shall be reduced as provided by subparagraph (B) of such section 225(c)(1). ‘‘(III) 2013.—The amount available for expenditures during 2013 shall only be available

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