Page:United States Statutes at Large Volume 94 Part 2.djvu/1361

 PUBLIC LAW 96-499—DEC. 5, 1980

94 STAT. 2639

"(4)(A) The Secretary is authorized to provide by regulations that in the case of a surgical procedure, specified by the Secretary pursuant to paragraph (1)(A), performed in an ambulatory surgical center described in such paragraph, there shall be paid (in lieu of any amounts otherwise payable under this part) with respect to the facility services furnished by such center and with respect to all related services (including physicians' services, laboratory, X-ray, and diagnostic services) a single all-inclusive fee established pursuant to subparagraph (B), if all parties furnishing all such services agree to accept such fee (to be divided among the parties involved in such manner as they shall have previously agreed upon) as full payment for the services furnished. "(B) In implementing this paragraph, the Secretary shall establish with respect to each surgical procedure specified pursuant to paragraph (1)(A) the amount of the all-inclusive fee for such procedure, taking into account such factors as may be appropriate. The amount so established with respect to any surgical procedure shall be reviewed periodically and may be adjusted by the Secretary, when appropriate, to take account of varying conditions in different areas.". (c)(1) Section 1863 of the Social Security Act is amended by inserting "or by ambulatory surgical centers under section 1832(a)(2)(F)(i)," after "section 1861,". (2) Section 1864(a) of such Act is amended— (A) by inserting before the period at the end of the first sentence the following: ", or whether an ambulatory surgical center meets the standards specified under section 1832(a)(2)(F)(i)"; and (B) by inserting "ambulatory surgical center," in the fifth sentence after "health care facility," each place it appears. (d)(1) Section 1833(a)(1) of such Act, as amended by section 932(a)(1) of this title, is further amended by inserting after the comma at the end of clause (F) the following new clause: "and (G) with respect to expenses incurred for services described in subsection (i)(3) under the conditions specified in such subsection, the amounts paid shall be the reasonable charge for such services,". (2) For an additional amendment to section 1833(a) of the Social Security Act with respect to the amount of payment for outpatient surgical procedures, see section 942 of this title. (3) The first sentence of section 1833(b) of such Act, as amended by section 930(h) of this title, is further amended by adding before the period at the end the following: ", and (4) such total amount shall not include expenses incurred for services the amount of payment for which is determined under subsection (a)(1)(G) or under subsection (i)(2) or (i)(4)".

42 USC 1395z. Ante, p. 2637, 42 u s e 1395x. 42 USC 1395aa.

Ante, p. 2637.

42 USC 1395/.

O U T P A T I E N T PHYSICAL THERAPY SERVICES

SEC. 935. (a) Section 1833(g) of the Social Security Act is amended by 42 USC 1395Z. striking out "$100" and inserting in lieu thereof "$500", (b) The amendment made by subsection (a) shall apply to expenses 42 USC 1395/ incurred in calendar years beginning with calendar year 1982. note. DENTISTS

SERVICES

SEC. 936. (a) Clause (2) of the first sentence of section 1861(r) of the 42 USC 1395x. Social Security Act is amended to read as follows: "(2) a doctor of dental surgery or of dental medicine who is legally authorized to

79-194 O—81—pt. 2

86: QL3

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