Page:United States Statutes at Large Volume 86.djvu/1426

 1384 42 USC i395y.

42 USC 1395X. 1449! 14T1'. '

42 USC 1395U.

42 USC i395gg. 42 USC 1395Z.

Effective date.

PUBLIC LAW 92-603-OCT. 30, 1972

[86 STAT.

(c)(1) Section 1862(a)(4) of such Act is amended— (A) by striking out "emergency"; and (B) by inserting after "1814(f)" the following: "and, subject to such conditions, limitations, and requirements as are provided under or pursuant to this title, physicians' services and ambulance services furnished an individual in conjunction with such inpatient hospital services but only for the period during which such inpatient hospital services were furnished". (2) Section 1861(r) of such Act (as amended by sections 256(b) aud 264 of this Act) is further amended by adding at the end thereof the following new sentence: "For the purposes of section 1862(a)(4) and subject to the limitations and conditions provided in the previous sentence, such term includes a doctor of one of the arts, specified in such previous sentence, legally authorized to practice such art in the country in which the inpatient hospital services (referred to in such section 1862(a)(4)) are furnished." (3) Section 1842(b)(3)(B) (ii) of such Act is amended by striking out "service;" and inserting in lieu thereof the following: "service (except in the case of physicians' services and ambulance service furnished as described in section 1862(a)(4), other than for purposes of section 1870(f));". (4) Section 1838(a)(1) of such Act is amended by striking out "and" before " (B) ", and by inserting before the semicolon at the end thereof the following: ", and (C) with respect to expenses incurred for those physicians' services for which payment may be made under this part that are described in section 1862(a)(4), the amounts paid shall be subject to such limitations as may be prescribed by regulations". ((J) The amendments made by this section shall applv to services furnished with respect to admissions occurring after December 31, 1972. OPTOMETRISTS' SERVICES UNDER MEDICAID

42 USC i396d.

SEC. 212. (a) Section 1905 of the Social Security Act is amended by inserting at the end thereof the following ncAv subsection: "(e) In the case of any State the State plan of which (as approved under this title) — "(1) does not provide for the payment of services (other than 42 USC 1396a. services covered under section 1902(a) (12)) provided by an optometrist; but "(2) at a prior period did provide for the payment of services referred to in paragraph (1); services^'*'^"^' ^^^ tcTm 'physiciaus' services' (as used in subsection (a)(5)) shall include services of the type which an optometrist is legally authorized to perform where the State plan specifically provides that the term 'physicians' services', as employed m such plan, includes services of the type which an optometrist is legally authorized to perform, and shall be reimbursed whether furnished by a physician or an optometrist." Effective date. (b) The provisions of subsection (e) of section 1905 of the Social Security Act (as added by subsection (a) of this section) shall be applicable in the case of services performed on or after the date of enactment of this Act. LIMITATION ON LIABILITY OF BENEFICIARY WHERE MEDICARE CLAIMS ARE DISALLOWED

SEC. 213. (a) Title X VIII of the Social Security Act, as amended i4r9°*i'420* ^^^^' ^y sections 226, 242, and 243 of this Act, is further amended by adding at the end thereof the following new section:

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