Page:United States Statutes at Large Volume 95.djvu/810

 95 STAT. 784

PUBLIC LAW 97-35—AUG. 13, 1981 Sec. 2113. Optional use of PSRO's under State medicaid plans. Sec. 2114. Secretarial determination in lieu of PSRO certification. Subtitle B—Provisions Relating to Medicare CHAPTER 1-CHANGES IN SERVICES AND BENEFITS Sec. 2121. Elimination of part A coverage of alcohol detoxification facility services. Sec. 2122. Elimination of occupational therapy as a basis for initial entitlement to home health services. CHAPTER 2-CHANGES IN COINSURANCE, DEDUCTIBLES, AND COPAYMENTS Sec. 2131. Making part A coinsurance current with the year in which services furnished. Sec. 2132. Making part A coinsurance and deductible more current. Sec. 2133. Elimination of carryover from previous year of incurred expenses for meeting the part B deductible. Sec. 2134. Increase in part B deductible. CHAPTER 3-REIMBURSEMENT CHANGES Sec. 2141. Limitation on routine nursing differential. Sec. 2142. Limitation on reeisonable cost and reasonable charge for outpatient services. Sec. 2143. Limits on reimbursement to hospitals. Sec. 2144. Limits on reimbursement to home health agencies. Sec. 2145. Incentive reimbursement rate for renal dialysis services. Sec. 2146. Medicare payments secondary in cases of end stage renal disease services covered under certain group health policies. CHAPTER 4-MISCELLANEOUS CHANGES Sec. 2151. Elimination of unlimited open enrollment. Sec. 2152. Utilization guidelines for provision of home health services. Sec. 2153. Repeal of statutory time limitation on agreement with skilled nursing facilities. Sec. 2154. Removal of limitation on number of medicare demonstration projects. Sec. 2155. Repeal of temporary delay in periodic interim payments (PIP). Sec. 2156. Statutory deadlines for implementing AFDC home health aide demonstration projects. Subtitle C—Provisions Relating to Medicaid CHAPTER 1—CHANGES IN PAYMENTS TO STATES Sec. 2161. Reduction in medicaid payments to States and offset for meeting Federal medicaid expenditure targets. Sec. 2162, Payments to territories. Sec. 2163. Eliminating time period limitation on payment of interest on disputed claims. Sec. 2164. Eliminating Federal matching for certain laboratory tests. Sec. 2165. Study of Federal medical assistance percentage formula and of actjustments of target amounts for Federal medicaid expenditures. CHAPTER 2-INCREASED FLEXIBILITY FOR STATES Sec. Sec. Sec. Sec. Sec.

2171. Coverage of, and services for, the medically needy. 2172. Flexibility in coverage of individuals aged 18-20. 2173. Reimbursement of hospitals. 2174. Removal of medicaid reasonable charge limitation. 2175. Inapplicability and waiver of freedom-of-choice and other State plan requirements. Sec. 2176. Waiver to provide home and community-based services for certain individuals. Sec. 2177. Time limitation for action on requests for plan amendments and waivers. Sec. 2178. Flexibility in HMO and prepaid provider participation in State plans.

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