Page:United States Statutes at Large Volume 98 Part 1.djvu/1138

 98 STAT. 1090

PUBLIC LAW 98-369—JULY 18, 1984 PROVIDER REPRESENTATION IN PEER REVIEW ORGANIZATIONS

42 USC 1320C-2.

42 USC 1395mm. Effective date. 42 USC 1320C-2 note.

SEC. 2334. (a) Section 1153(b)(3) of the Social Security Act is amended by inserting "(A)" after "(3)" and by adding at the end thereof the following new subparagraph: "(B) For purposes of subparagraph (A), an entity shall not be considered to be affiliated with a health care facility or association of facilities by reason of management, ownership, or common control if the management, ownership, or common control consists only of not more than 20 percent of the members of the governing board of the entity being affiliated (through management, ownership, or common control) with one or more of such facilities or associations.". (b) Section 1153(b)(2)(A) of such Act is amended— (1) by striking out "an entity which directly" and inserting in lieu thereof "an entity (other than a self-insured employer) which directly"; and (2) by adding at the end thereof the following new sentence: "For purposes of this paragraph, an entity shall not be considered to be affiliated with another entity which makes payments (directly or indirectly) to any practitioner or provider, by reason of management, ownership, or common control, if the management, ownership, or common control consists only of one individual member of the governing board being affiliated (through management, ownership, or common control) with a health maintenance organization or competitive medical plan which is an 'eligible organization' as defined in section 1876(b).". (c) The amendments made by this section shall become effective on the date of the enactment of this Act. REPEAL O F SPECIAL TUBERCULOSIS TREATMENT REQUIREMENTS UNDER MEDICARE AND MEDICAID

42 USC 1395f

42 USC I395x.

42 USC I395z.. 42 USC 1395CC.

SEC. 2335. (a) Section 1814(a) of the Social Security Act is amended— (1) in paragraph (2), by striking out subparagraph (B) and redesignating subparagraphs (C), (D), and (E) as subparagraphs (B), (C), and (D), respectively; (2) in paragraph (3), by striking out "and inpatient tuberculosis hospital services"; (3) by striking out paragraph (5) and redesignating paragraphs (6), (7), and (8) as paragraphs (5), (6), and (7), respectively; and (4) in the matter following paragraph (7) (as so redesignated), by striking out "(D), or (E)" and inserting in lieu thereof "or (D)". (b)(l) Subsections (d) and (g) of section 1861 of such Act are repealed. (2) The fifth sentence of section 1861(e) of such Act is amended by striking out "or tuberculosis unless it is a tuberculosis hospital (as defined in subsection (g)) or". (3) Section 1861(j) of such Act is amended in the matter following paragraph (15) by striking out "or tuberculosis". (c) Section 1863 of such Act is amended by striking out "(g)(4),". (d) Section 1866 of such Act is amended— (1) in subsection (b)(3), by striking out "tuberculosis hospital services and"; and

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