Page:United States Statutes at Large Volume 98 Part 1.djvu/1134

 98 STAT. 1086

Effective date. 42 USC 1395x note.

PUBLIC LAW 98-369—JULY ife, 1984

furnished by a physician or as an incident to a physician's service; and", (b) The amendments made by subsection (a) shall be effective with respect to services furnished on or after the date of the enactment of this Act. COVERAGE OF ADMINISTRATION OF HEPATITIS B VACCINE

42 USC 1395x.

42 USC 1395/.

42 USC 1395CC.

42 USC 1395Z. Supra.

42 USC 1395rr.

Effective date. 42 USC 1395/ note. 42 USC 1395/ note. 42 USC 1395J.

SEC. 2323. (a) Section 1861(s)(10) of the Social Security Act is (1) by inserting "(A)" after "(10)"; (2) by striking out the period at the end thereof and inserting in lieu thereof "; and"; and (3) by adding at the end thereof the following new subparagraph: "(B) hepatitis B vaccine and its administration, furnished to an individual who is at high or intermediate risk of contracting hepatitis B (as determined by the Secretary under regulations).". (b)(1) Paragraphs (1)(B), (2)(A), and (3) of section 1833(a) of such Act are each amended by striking out "1861(s)(10)" and inserting in lieu thereof "1861(s)(10XA)". (2) Section 1833(b)(l) of such Act is amended by striking out "ISGKsXlO)" and inserting in lieu thereof "1861(s)(10)(A)". (3) The last sentence of section 1866(a)(2)(A) of such Act is amended by striking out "1861(s)(10)" and inserting in lieu thereof "1861(s)(10XA)'' (4) Section 1833 of such Act is amended by adding at the end thereof the following new subsection: "(k) With respect to services described in section 1861(s)(10XB), the Secretary may provide, instead of the amount of payment otherwise provided under this part, for payment of such an amount or amounts as reasonably reflects the general cost of efficiently providing such services.". (c) Section 1881(b) of such Act is amended by adding at the end thereof the following new paragraph: "(11) Hepatitis B vaccine and its administration, when provided to a patient determined to have end stage renal disease, shall not be included as dialysis services for purposes of payment under any prospective payment amount or comprehensive fee established under this section. Payment for such vaccine and its administration shall be made separately in accordance with section 1833.". (d) The amendments made by this section apply to services furnished on or after September 1, 1984. (e) The Secretary shall monitor the provision of hepatitis B vaccine under part B of title XVIII of the Social Security Act, and shall review any changes in medical technology which may have an effect on the amounts which should be paid for such service. C O V E R A G E OF H E M O P H I U A CLOTTING FACTOR

42 USC I395x. j^,

SEC. 2324. (a) Section 1861(s)(2) of the Social Security Act is amended by striking out "and" at the end of subparagraph (G) and by adding at the end thereof the following new subparagraph: "(I) blood clotting factors, for hemophilia patients competent to use such factors to control bleeding without medical or other

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