Page:United States Statutes at Large Volume 94 Part 3.djvu/922

 94 STAT. 3566

PUBLIC LAW 96-611—DEC. 28, 1980

Public Law 96-611 96th Congress An Act Dec. 28, 1980 [H.R. 8406] Social Security Act, amendment. 42 USC 1395x.

42 USC 1395aa.

42 USC 1395y.

42 USC 1395Z. Ante, pp. 2634, 2637, 2641.

42 USC 1395cc.

To amend title XVIII of the Social Security Act to provide for medicare coverage of pneumococcal vaccine and its administration.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, That (a)(1) section 1861(s) of the Social Security Act is amended— (A) by redesignating paragraphs (10) through (13) as paragraphs (11) through (14), respectively; (B) by striking out "and" at the end of paragraph (8); (C) by striking out the period at the end of paragraph (9) and inserting in lieu thereof "; and"; and (D) by inserting after paragraph (9) the following paragraph: "(10) pneumococcal vaccine and its administration.". (2) Section 1864(a) of such Act is amended by striking out "paragraphs (10) and (11) of section 1861(s)" and inserting in lieu thereof "paragraphs (11) and (12) of section 1861(s)". (3) Section 1862(a) of such Act is amended— (A) by inserting ", or, in the case of items and services described in section 1861(s)(10), which are not reasonable and necessary for the prevention of illness" before the semicolon at the end of paragraph (1), and (B) by inserting "(except as otherwise allowed under section 1861(s)(10) and paragraph (1))" in paragraph (7) after "immunizations". (b)(1) Section 1833(a) of such Act (as amended by sections 932(a)(1)(B), 934(d), and 942 of the Medicare and Medicaid Amendments of 1980) is amended— (A) by striking out "and" before "(G)" in paragraph (1); (B) by inserting at the end of paragraph (1) the following: "and (H) with respect to items and services described in section 1861(s)(10), the amounts paid shall be 100 percent of the reasonable charges for such items and services,"; (C) by inserting "and to items and services described in section 1861(s)(10)" in paragraph (2)(A) after "home health services"; and (D) by inserting "(other than for items and services described in section 1861(s)(10))" in paragraph (3) after "but in no case may the payment for such services', (2) The first sentence of section 1833(b) of such Act is amended by inserting "(A)" in clause (2) after "expenses incurred", and by inserting before the comma at the end of such clause the following: ", or (B) for items and services described in section 1861(s)(10)". (3) Subparagraph (A) of section 1861(aa)(l) of such Act is amended by inserting before the comma at the end the following: "and items and services described in section 1861(s)(10)". (4) Section 1866(a)(2)(A) of such Act is amended by adding at the end the following new sentence: "A provider of services may not impose a charge under clause (ii) of the first sentence of this subparagraph with respect to items and services described in section 1861(s)(10) for which payment is made under part B.".

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