Page:United States Statutes at Large Volume 91.djvu/1519

 PUBLIC LAW 95-210—DEC. 13, 1977

91 STAT. 1485

Public Law 95-210 95th Congress An Act To amend titles X VIII and X IX of the Social Security Act to provide paymt'nt for rural health clinic services, and for other purposes.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, MEDICARE

SECTION

AMENDMENTS

Dec. 13, 1977 [H.R. 8422]

Social Security Act, amendment.

1. (a) Section 1832(a) of the Social Security Act is 42 USC 1395k

amended— (1) by striking out "paragraph (2)(B) " in paragraph (1) and inserting in lieu thereof "subparagraphs (B) and (D) of paragraph (2)"; and (2) by striking out the period at the end of paragraph (2)(C) and inserting in lieu thereof "; and" and by adding the following new subparagraph at the end of paragraph (2),: " (D) rural health clinic services." (b) Section 1833(a) of such Act is amended— 42 USC 1395/. (1) by striking out "and" at the end of paragraph (1); (2) by inserting "(except those services described in subparagraph (D) of section 1832(a)(2))" in paragraph (2) after Supra. "1832(a)(2)"; (3) by striking out the period at the end of paragraph (2) and inserting in lieu thereof ", and"; and (4) by inserting the following new paragraph after paragraph "(3) in the case of services described in section 1832(a)(2)(D), 80 percent of costs which are reasonable and related to the cost of furnishing such services or on such other tests of reasonableness as the Secretary may prescribe in regulations, including those authorized under section 1861(v)(1)(A)." (c) The Secretary of Health, Education, and Welfare (hereinafter in this Act referred to as the "Secretary") shall conduct a study of the feasibility and desirability of imposing a copayment for each visit to a rural health clinic for rural health clinic services under part B of title X VIII of the Social Security Act, instead of the deductible and coinsurance amounts otherwise required under section 1833 of such Act with respect to the provision of such services. The Secretary shall report to the appropriate committees of Congress, not later than one year after the date of enactment of this Act, on such study and on any recommendations he may have for changes in the provisions of part B of title X VIII of the Social Security Act to reflect the findings of such study. (d) Section 1861 of such Act is amended by adding at the end thereof the following new subsection: "Rural Health Clinic Services " (aa)(1) The term 'rural health clinic services' means— "(A) physicians' services and such services and supplies as are covered under section 1861(s)(2)(A) if furnished as an incident to a physician's professional service,

42 USC 1395x. Study. 42 USC 1395/ note. 42 USC 1395J. Supra. Report to congressional committees.

Definitions. 42 USC 1395x.

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