Page:United States Statutes at Large Volume 92 Part 1.djvu/367

 PUBLIC LAW 9 5 - 2 9 2 — J U N E 13, 1978 warranted on the basis of such consultation and evidence to further the national objective of maximizing the use of home dialysis and transplantation consistent with good medical practice. " (d) Notwithstanding any provision to the contrary in section 22G any individual who donates a kidnej' for transplant surgery shall be entitled to benefits under part s A and B of this title with respect to such donation. Reimbursement for the reasonable expenses incurred by such an individual with respect to a kidney donation shall be made (without regard to the deductible, premium, and coinsurance provisions of this title), in such manner as may be prescribed by the Secretary in regulations, for all reasonable preparatory, operation, and postoperation recovery expenses associated with such donation, including but not limited to the expenses for which payment could be made if he were an eligible individual for purposes of parts A and B of this title without regard to this subsection. Payments for postoperation recovery expenses shall be limited to the actual period of recovery. " (e)(1) Notwithstanding any other provision of this title, the Secretary may, pursuant to agreements with approved providers of services and renal dialysis facilities, reimburse such providers and facilities (without regard to the deductible and coinsurance provisions of this title) for the reasonable cost of the purchase, installation, maintenance and reconditioning for subsequent use of artificial kidney and automated dialysis peritoneal machines (including supportive equipment) which are to be used exclusively by entitled individuals dialyzing at home. " (2) An agreement under this subsection shall lequire that the provider or facility will— " (A) make the equipment available for use only by entitled individuals dialyzing at home; " (B) recondition the equipment, as needed, for reuse by such individuals throughout the useful life of the equipment, including modification of the equipment consistent with advances in research and technology; " (C) provide for full access for the Secretary to all records and information relating to the purchase, maintenance, and use of the equipment; and " (D) submit such reports, data, and information as the Secretary may require with respect to the cost, management, and use of the equipment, " (3) For purposes of this section, the term 'supportive equipment' includes blood pumps, heparin pumps, bubble detectors, other alarm systems, and such other items as the Secretary may determine are medically necessary. " (f)(i) The Secretary shall initiate and carry out, at selected locations in the United States, pilot projects under which financial assistance in the purchase of new or used durable medical equipment for renal dialysis is provided to individuals suflFering from end stage renal disease at the time home dialysis is begun, with provision for a trial period to assure successful adaptation to home dialysis before the actual purchase of such equipment. " (2) The Secretary shall conduct experiments to evaluate methods for reducing the costs of the end stage renal disease propram. Such experiments shall include (without being limited to) reimbursement for nurses and dialysis technicians to assist with home dialvsis, and reimbursement to family members assisting with home dialysis. " (3) The Secretary shall conduct experiments to evaluate methods of dietary control for reducing the costs of the end stage lenal disease program, including (without being limited to) the use of protein-

92 STAT. 313

42 USC 426. 42 USC 1395c, 1395J. Regulations.

Agreements.

Reports. "Supportive equipment." Experiments amd pilot projects.

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