Page:United States Statutes at Large Volume 81.djvu/881

 81 STAT. ]

PUBLIC LAW 90-248-JAN. 2, 1968

847

" (A) the treatment of flat foot conditions and the prescription of supportive devices therefor, " (B) the treatment of subluxations of the foot, or " (C) routine foot care (including the cutting or removal of corns, warts, or calluses, the trimming of nails, and other routine hygienic care)." (c) The amendments made by subsections (a) and (b) shall apply with respect to services furnished after December 31, 1967. EXCLUSION OF CERTAIN

SERVICES

SEC. 128. Section 1862(a)(7) of the Social Security Act is amended by inserting after "changing eyeglasses," the following: "procedures performed (during the course of any eye examination) to determine the refractive state of the eyes,".

79 Stat. 3:25. 42 USC 1395y.

TRANSFER OF ALL O U T P A T I E N T H O S P I T A L SERVICES TO S U P P L E M E N T A R Y MEDICAL INSURANCE PROGRAM

SEC. 129. (a) Section 1861(s)(2) of the Social Security Act is amended— (1) by inserting " (A) "after " (2) "; (2) by striking out "physicians' bills" and all that follows and inserting in lieu thereof the following: "physicians' bills; " (B) hospital services (including drugs and biologicals which cannot, as determined in accordance with regulations, be selfadministered) incident to physicians' services rendered to outpatients; and " (C) diagnostic services which are— " (i) furnished to an individual as an outpatient by a hospital or by others under arrangements with them made by a hospital, and "(ii) ordinarily furnished by such hospital (or by others under such arrangements) to its outpatients for the purpose of diagnostic study;". (b) Section 1861(s) of such Act is further amended by adding at the end thereof (after and below paragraph (11)) the following new sentence: "There shall be excluded from the diagnostic services specified in paragraph (2)(C) any item or service (except services referred to in paragraph (1)) which— "(12) would not be included under subsection (b) if it were furnished to an inpatient of a hospital; or "(13) is furnished under arrangements referred to in such paragraph (2)(C) unless furnished in the hospital or in other facilities operated by or under the supervision of the hospital or its organized medical staff." (c)(1) Section 226(b)(1) of such Act is amended by striking out "post-hospital home health services, and outpatient hospital diagnostic services" and inserting in lieu thereof "and post-hospital home health services". (2) Section 1812(a) of such Act is amended— (A) by adding "and" at the end of paragraph (2); (B) by striking out "; and" at the end of paragraph (3) and inserting in lieu thereof a period; and (C) by striking out paragraph (4). (3) Section 1813(a) of such Act is amended by striking out paragraph (2), and by redesignating paragraphs (3) and (4) as paragraphs (2) and (3), respectively. 85-622 0-68—56

42 USC UQSX.

J^ st^a^. 290.

79 st^a^ 29^1.^

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