Page:United States Statutes at Large Volume 94 Part 2.djvu/1352

 94 STAT. 2630

PUBLIC LAW 96-499—DEC. 5, 1980 EFFICIENCY IN DELEGATED REVIEW

42 USC 1320C-4.

SEC. 925. Section 1155(e) of the Social Security Act is amended by striking out "effectively and in timely fashion" and inserting in lieu thereof "effectively, efficiently, and in timely fashion". REVIEW OF ROUTINE HOSPITAL ADMISSION SERVICES AND PROPERTYE HOSPITAL STAYS BY PROFESSIONAL STANDARDS REVIEW ORGANIZATIONS

42 USC 1320C-4.

Ante, p. 2628.

SEC. 926. Section 1155(a)(2) of the Social Security Act is amended to read as follows: "(2) Each Professional Standards Review Organization shall have the authority to determine, in advance, in the case of— "(A) any elective admission to a hospital or other health care facility (including admissions occurring on weekends), and "(B) any routine diagnostic services furnished in connection with such an admission, whether such service, if provided, or if provided by a particular health care practitioner or by a particular hospital or other health care facility, organization, or agency, would meet the criteria specified in subparagraphs (A) and (C) of paragraph (1). Each such Organization may be directed by the Secretary to excercise such authority where the Secretary finds (consistent with section 1154(f)) that such determinations can be made on a timely basis by the Organization and appropriate procedures will be applied to assure prompt notification of such determinations to providers, physicians, practitioners, and persons on whose behalf payment may be made under this Act for services and items.". CONSULTATION BY PROFESSIONAL STANDARDS REVIEW ORGANIZATIONS WITH HEALTH CARE PRACTITIONERS

42 USC 1320C-4.

42 USC 1395x.

42 USC 1320C-11. Effective date. 42 USC 1320C-4 note.

SEC 927. (a) Section 1155(a) of the Social Security Act is amended by adding at the end thereof the following new paragraph: "(8) Each Professional Standards Review Organization shall consult (with such frequency and in such manner as may be prescribed by the Secretary) with representatives of health care practitioners (other than physicians described in section 1861(r)(l)) and of institutional and noninstitutional providers of health care services, in relation to the Professional Standards Review Organization's responsibility for the review under paragraph (1) of the professional activities of such practitioners and providers.". (b) Section 1162(e) of such Act is amended by striking out the first parenthetical material in paragraph (1) and the parenthetical material in paragraph (2). (c) The amendments made by this section shall become effective 180 days after the date of the enactment of this Act. RESPONSE OF PROFESSIONAL STANDARDS REVIEW ORGANIZATIONS TO FREEDOM OF INFORMATION ACT REQUESTS

42 USC 1320C-15 note. 42 USC 1320c.

SEC. 928. No Professional Standards Review Organization designated (conditionally or otherwise) under part B of title XI of the Social Security Act shall be required to make available any records pursuant to a request made under section 552 of title 5, United States Code, until the later of (1) one year after the date of entry of a final court order requiring that such records be made available, or (2) the last date of the Congress during which the court order was entered.

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