Page:United States Statutes at Large Volume 98 Part 1.djvu/1126

 98 STAT. 1078 Effective date. 42 USC 1395WW note. Study. 42 USC 1395. Report.

PUBLIC LAW 98-369—JULY 18, 1984

(c) The amendments made by subsections (a) and (b) shall apply to cost reporting periods beginning on or after October 1, 1984, and before October 1, 1987. (d) The Secretary of Health and Human Services shall conduct a study of possible methods of reimbursement under title XVIII of the Social Security Act which would not discourage the use of certified registered nurse anesthetists by hospitals. The Secretary shall report the results of such study to the Congress as soon as is practicable. PROSPECTIVE PAYMENT ASSESSMENT COMMISSION

97 Stat. 152.

SEC. 2313. (a) Section 1886(e)(2) of the Social Security Act is amended by inserting "(without regard to the provisions of title 5, 42 USC I395ww. United States Code, governing appointments in the competitive service)" after "appointed by the Director". (b)(1) Section 1886(e)(6)(C)(i) of such Act is amended to read as follows: "(i) employ and fix the compensation of an Executive Director (subject to the approval of the Director of the Office) and such other personnel (not to exceed 25) as may be necessary to carry out its duties (without regard to the provisions of title 5, United States Code, governing appointments in the competitive service);". (2) Section 1886(e)(6)(C)(iii) of such Act is amended by inserting "(without regard to section 3709 of the Revised Statutes (41 U.S.C. 5))" after "Commission". (3) Section 1886(e)(6)(C) of such Act is amended by adding at the end the following: "Section 10(a)(1) of the Federal Advisory Commit5 USC app. tee Act shall not apply to any portion of a Commission meeting if the Commission, by majority vote, determines that such portion of such meeting should be closed.". (4) Section 1886(e)(6)(D) of such Act is amended by adding at the end thereof the following sentence: "Physicians serving as personnel of the Commission may be provided a physician comparability alloMv ance by the Commission in the same manner as Government physi cians may be provided such an allowance by an agency under section 5948 of title 5, United States Code, and for such purpose subsection (i) of such section shall apply to the Commission in the same manner as it applies to the Tennessee Valley Authority.". Ante, p. 1068. (c) Section 1862 of such Act, as amended by section 2304(c) of this title, is amended by adding at the end the following new subsection, "(i) In order to supplement the activities of the Prospective PaySupra, ment Assessment Commission under section 1886(e) in assessing the safety, efficacy, and cost-effectiveness of new and existing medical procedures, the Secretary may carry out, or award grants or contracts for, original research and experimentation of the type described in clause (ii) of section 1886(e)(6)(E) with respect to such a procedure if the Secretary finds that— "(1) such procedure is not of sufficient commercial value to justify research and experimentation by a commercial organization; "(2) research and experimentation with respect to such procedure is not of a type that may appropriately be carried out by an institute, division, or bureau of the National Institutes of Health; and -

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