Page:United States Statutes at Large Volume 91.djvu/1218

 91 STAT. 1184 42 USC 1320C-3.

Trial period, extension.

42 USC 1320C-4.

Grants.

Review responsibility requests.

Ambulatory care services, review.

"Shared health facility." 42 USC 1301.

PUBLIC LAW 95-142—OCT. 25, 1977 (b)(1) Section 1154(b) of such Act is amended— (A) by striking out "(which may not exceed 24 months)" in the first sentence and inserting in lieu thereof "(which may not exceed 48 months except as provided in subsection (c)) "; (B) by inserting ", in addition to review of health care services provided by or in institutions," in the first sentence after "perform"; and (C) by striking out "or ordered by physicians" and all that follows through "and organizations" in the second sentence and inserting in lieu thereof "by or in institutions (including ancillary services) and, in addition, review of such other health care services as the Secretary may require". (2) Section 1154 of such Act is further amended by redesignating subsection (c) as subsection (d) and by inserting after subsection (b) the following new subsection: "(c) If the Secretary finds that an organization designated under subsection (a) has been unable to perform satisfactorily all of the duties and functions recjuired under this part for reasons beyond the organization's control, he may extend such organization's trial period for an additional period not exceeding twenty-four months.". (c)(1) Section 1155 of such Act is amended— (A) by striking out "directly or indirectly involved in" in subsection (a)(6)(A) and inserting in lieu thereof "directly responsible for"; (B) by striking out "any financial" in subsection (a)(6)(B) and inserting in lieu thereof "a significant financial"; (C) by inserting after subsection (f)(2) the following new paragraph: "(3) Any such agreement with an organization under this part may be in the form of a grant or an assistance agreement."; and (D) by striking out subsection (g) and inserting in lieu thereof the following new subsection: "(g)(1) Where a Professional Standards Review Organization (whether designated on a conditional basis or otherwise) requests review responsibility with respect to services furnished in shared health facilities, the Secretary must give priority to such request, with the highest priority being assigned to requests from organizations located in areas with substantial numbers of shared health facilities. "(2) The Secretary shall require any Professional Standards Review Organization which is capable of exercising review responsibility with respect to ambulatory care services to perform review responsibility with respect to such services on and after a date not earlier than the date the organization is designated as a Professional Standards Review Organization (other than under section 1154) and not later than two years after the date the organization has been so designated, but any Such designated Professional Standards Review Organization may be approved to perform such review responsibility at any earlier time if such organization applies for, and is found capable of exercising, such responsibility.". (2) Section 1101(a) of such Act is amended by inserting after paragraph (8) the following new paragraph: "(9) The term 'shared health facility' means any arrangement whereby— "(A) two or more health care practitioners practice their professions at a common physical location; "(B) such practitioners share (i) common waiting areas, examining rooms, treatment rooms, or other space, (ii) the services of supporting staff, or (iii) equipment;

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