Page:United States Statutes at Large Volume 86.djvu/1452

 1410

PUBLIC LAW 92-603-OCT. 30, 1972

Ante,

p. 1408.

Ante,

p. 1395.

Ante, p. 1395; Post, p. 1447.

42 USC 1395. Ante, Ante, Ante,

p. 1408. p. 1409. p. 1395.

[86 STAT.

costs incurred by such provider for rendering such services, or (F) that such provider has furnished services or supplies which are determined by the Secretary, with the concurrence of the members of the appropriate program review team appointed pursuant to section 1862(d)(4) who are physicians or other professional personnel in the health care field, to be substantially in excess of the needs of individuals or to be harmful to individuals or to be of a grossly inferior quality." (c) Section 1903(i) of such Act (as added by section 224(c) of this Act) is further amended by striking out "shall not be made" and all that follows and inserting in lieu thereof the following: "shall not be made— "(1) with respect to any amount paid for it€>ms or services furnished under the plan after December 31, 1972, to the extent that such amount exceeds the charge which would be determined to be reasonable for such items or services under the fourth and fifth sentences of section 1842(b)(3); or "(2) with respect to any amount paid for services furnished under the plan after December 31, 1972, by a provider or other person during any period of time, if payment may not be made under title X VIII with respect to services furnished by such provider or person during such period of time solely by reason of a determination by the Secretary under section 1862(d)(1) or under clause (D), (E), or (F) of section 1866(b)(2)." (d) Section 506(f) of such Act (as added by section 224(d) of this Act) is further amended by striking out "no payment shall be made" and all that follows and inserting in lieu thereof the following: "no payment shall be made to any State thereunder— "(1) with respect to any amount paid for items or services furnished under the plan after December 31, 1972, to the extent that such amount exceeds the charge which would be determined to be reasonable for such items or services under the fourth and fifth sentences of section 1842(b)(3); or "(2) with respect to any amount paid for services furnished under the plan after December 31, 1972, by a provider or other person during any period of time, if payment may not be made under title X VIII with respect to services furnished by such provider or person during such period of time solely by reason of a determination by the Secretary under section 1862(d)(1) or under clause (D), (E), or (F) of section 1866(b)(2)." E L I M I N A T I O N OF REQUIREMENT T H A T STATES MOVE TOWARD C O M P R E H E N SIVE MEDICAID PROGRAMS

Repeals. 42 USC 1396b. 42 USC 1396b note.

SEC. 230. Section 1903(e) of the Social Security Act, and section 2(b) of Public Law 91-56 (approved August 9, 1969), are repealed. REPEAL, OF

42 USC 1396a,

SECTION

1902(d)

OF

MEDICAID

SEC. 231. Section 1902(d) of the Social Security Act is repealed. DETERMINATION OF REASONABLE COST OF I N P A T I E N T H O S P I T A L SERVICES U N D E R MEDICAID A N D U N D E R M A T E R N A L A N D C H I L D H E A L T H PROGRAM

81 Stat. 902. 42 USC 1396a.

SEC. 232. (a) Section 1902(a) (13)(D) of the Social Security Act is amended to read as follows: " (D) for payment of the reasonable cost of inpatient hospital services provided under the plan, as determined in

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