Page:United States Statutes at Large Volume 92 Part 1.djvu/369

 PUBLIC LAW 95-292—JUNE 13, 1978 " (12) the results of cost-saving experiments; "(13) the results of basic kidney disease research conducted by the Federal Government, private institutions, and foreign governments; "(14) information on the activities of medical review boards and other networks organizations; and "(15) estimated program costs over the next five years.". SEC. 3. (a) Section 226(a) of the Social Security Act is amended— (1) by striking out "specified in subparagraph (B) " and inserting in lieu thereof "specified in paragraph (1)"; and (2) by striking out "specified in subparagraphs (A) and (B) " and inserting in lieu thereof "specified in paragraphs (1) and (2)". (b) Paragraphs (2) and (3) of section 226(e) of such Act (as redesignated by subsection (b)(2) of the first section of this Act) are each amended by striking out "subsection b" and inserting in lieu thereof "subsection (b)". SEC. 4. (a) Section 1811 of the Social Security Act is amended— (1) by striking out "section 226" and inserting in lieu thereof "sections 226 and 226A"; (2) by striking out "and" at the end of clause (1), and inserting in lieu thereof a comma; and (3) by inserting immediately before the period the following: ", and (3) certain individuals who do not meet the conditions specified in either clause (1) or (2) but who are medically determined to have end stage renal disease". (b) Section 1833(a)(1) of such Act is amended— (1) by striking out "and" at the end of clause (C), and (2) by adding the following after "section)," in clause (D): "and (E) with respect to services furnished to individuals who have been determined to have end stage renal disease, the amounts paid shall be determined subject to the provisions of section 1881, and". (c) Section 1833(a)(2) of such Act is amended by inserting " (unless otherwise specified in section 1881)" after "other services". (d) Section 1861(s)(2) of such Act is amended— (1) by striking out "and" at the end of clause (D); (2) by inserting "and" at the end of clause (E); and (3) by adding the following new clause after clause (E): " (F) home dialysis supplies and equipment, self-care home dialysis support services, and institutional dialysis services and supplies;". (e) The first sentence of section 1866(a)(2)(A) of such Act is amended by inserting the following before the period: " (but in the case of items and services furnished to individuals with end-stage renal disease, an amount equal to 20 percent of the estimated amounts for such items and services calculated on the basis established by the Secretary)". (f) Section 1814(b)(1) of such Act is amended by inserting "and as further limited by section 1881(b)(2)(B) " after "1861 (v)". SEC. 5. The third sentence of section 1817(b) of the Social Security Act, and the third sentence of section 1841(b) of such Act, and section 1876(b)(2)(B) of such Act, are each amended by striking out "Commissioner of Social Security" and inserting in lieu thereof "Administrator of the Health Care Financing Administration". SEC. 6. The amendments made by the preceding sections of this Act shall become effective with respect to services, supplies, and equipment furnished after the third calendar month which begins after the date

39-194 O-80-pt. 1

24: QU

92 STAT. 315

Hospital insurance benefits.

42 USC 426.

Insurance program. 42 USC 1395c.

Payment of benefits. 42 USC 1395/.

Ante, p. 308. 42 USC 1395/. 42 USC 1395x.

Agreements, service providers. 42 USC 1395cc.

42 USC 1395f.

42 USC 1395i. 42 USC 1395t.

42 USC 1395mm. Effective date. 42 USC 426 note.

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