Page:United States Statutes at Large Volume 86.djvu/1488

 1446

PUBLIC LAW 92-603-OCT. 30, 1972

81 Stat. 850. 42 USC 1395x.

Effective date.

[86 STAT;'

amount included in any payment to such provider or other organization under this title as the reasonable cost of such services (as furnished under such arrangements) shall not exceed an amount equal to the salary which would reasonably have been paid for such services (together with any additional costs that would have been incurred by the provider or other organization) to the person performing them if they had been performed in an employment relationship with such provider or other organization (rather than under such arrangement) plus the cost of such other expenses (including a reasonable allowance for traveltime and other reasonable types of expense related to any differences in acceptable methods of organization for the provision of such therapy) incurred by such person, as the Secretary may in regulations determine to be appropriate. " (B) Notwithstanding the provisions of subparagraph (A), if a provider of services or other organization specified in the first sentence of section 1861(p) requires the services of a therapist on a limited part-time basis, or only to perform intermittent services, the Secretary may make payment on the basis of a reasonable rate per unit of service, even though such rate is greater per unit of time than salary related amounts, where he finds that such greater payment is, in the aggregate, less than the amount that would have been paid if such organization had employed a therapist on a full- or part-time salary basis." (d)(1) The amendments made by subsection (a) shall apply with respect to services furnished on or after July 1, 1973. (2) The amendments made by subsection (b) shall apply with respect to services furnished on or after the date of enactment of this Act. (3) The amendments made by subsection (c) shall be effective with respect to accounting periods beginning after December 31, 1972. COVERAGE OF S U P P L I E S RELATED TO COLOSTOMIES

79 Stat. 3 U. 42 USC 1395x.

Effective date.

SEC. 252. (a) Section 1861(s)(8) of the Social Security Act is amended by inserting after "organ" the following: "(including colostomy bags and supplies directly related to colostomy care)". (b) The amendment made by subsection (a) shall apply only with respect to items furnished on or after the date of the enactment of this Act. C O V E R A G E P R I O R TO APPLICATION FOR M E D I C A L ASSISTANCE

Ante, 1417.

p p. 1415,

Effective date.

SEC. 255. (a) Section 1902(a) of the Social Security Act (as amended by sections 236(b) and 239(b) of this Act) is furither amended— (1) by striking out "and" at the end of paragraph (32); (2) by striking out the period at the end of paragraph (33) and inserting in lieu thereof "; and"; and (3) by inserting after paragraph (33) the following new paragraph: "(34) provide that in the case of any individual who has been determined to be eligible for medical assistance under the plan, such assistance will \^ made available to him for care and services included under the plan and furnished in or after the third month before the month in which he made application for such assistance if such individual was (or upon application would have been) eligible for such assistance at the time such care and services were furnished." (b) The amendments made by subsection (a) shall be effective July 1, 1973. , ,, ,

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