Page:United States Statutes at Large Volume 87.djvu/998

 966 86 Stat. 1406. 42 USC 1395k.

42 USC 1395X.

42 USC 1395. Study.

42 USC 1396.

Reports to cong r e s s i o n a l corn-

A n a l y s i s, submittal to c o n g r e s sional committees

PUBLIC LAW 93-233-DEC. 31, 1973

[87 STAT.

(2) Notwithstaiicling any other provision of law, the provisions of section 1832(a)(2)(B)(i) of the Social Security Act, shall, subject to subsection (b) of this section, for the period with respect to which this paragraph is applicable, be administered as if subclanse II of such section read as follows: " ( II) a physician to a patient in a hospital which has a teaching program approved as specified in paragraph (6) of section 1861(b) (including services in conjunction with the teaching programs of such hospital whether or not such patient is an inpatient of such hospital), where the conditions specified in paragraph (7) of such section are met, and". (b) The provisions of subsection (a) shall not be deemed to render improper any determination of payment under title X VIII of the Social Secui"ity Act for any service provided prior to the enactment of this Act. (c)(1) The Secretary of Health, Education, and Welfare shall arrange for the conduct of a study or studies concerning (A) appropriate and equitable methods of reimbursement for pliysicians' services under titles X VIII and X IX of the Social Security Act in hospitals which have a teaching program approved as specified in section 1861 (b)(6) of such Act, (B) the extent to which funds expended under such titles are supporting the training of medical specialties which are in excess supply, (C) how such funds could be expended in ways which support more rational distribution of physician manpower both geographically and by specialty, (I)) the extent to which such funds support or encourage teaching programs which tend to disproportionately attract foreign medical graduates, and (E) the existing and appropriate role that part of such funds which are expended to meet in whole or in part the cost of salaries of interns and residents in teaching programs api^roved as specified in section 1861(b)(6) of such Act. (2) The studies required by paragraph (1) shall be the subject of an interim report thereon submitted not later than December 1, 1971, and a final report not later than July 1, 1975. Such reports shall be submitted to the Secretary, the Committee on Finance of the Senate, and the Committee on Ways and Means of the House of Representatives, simultaneously. (3) The Secretary shall I'equest the National Academy of Sciences to conduct such studies under an arrangement under which the actual expenses incurred by such Academy in conducting such studies will be paid by the Secretary. If the National Academy of Sciences is willing to do so, the Secretary shall enter into such an arrangement with such Academy forthe conduct of such studies. (4) If the National Academy of Sciences is unwilling to conduct rhe studies required under this section, under such an arrangement with the Secretary, then the Secretary shall enter into a similar arrangement with other appropriate nonprofit private groups or associations under which such groups or associations shall conduct such studies and prepare and submit the reports thereon as provided in paragraph (2). (5) The Social Security Administration shall study the interim report called for in paragraph (2) and shall submit its analysis of such interim report to the Committee on Finance of the Senate and the Committee on Ways and Means of the House of Representatives not later than March 1, 1975, The Social Security Administration shall study and submit its analysis of the final report to the Committee on Finance of the Senate and the Committee on Ways and Means of the House of Representatives by October 1, 1975.

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