103 STAT. 2216 PUBLIC LAW 101-239—DEC. 19, 1989 drugs and biologicals) and durable medical equipment while under such a plan;". (2) EXCLUSION FROM COVERED ITEMS. — Section 1834(a)(13) of such Act (42 U.S.C. 1395m(a)(13)) is amended by inserting after "intraocular lenses" the following: "or medical supplies (includ- ing catheters, catheter supplies, ostomy bags, and supplies re- lated to ostomy care) furnished by a home health agency under section 1861(m)(5)". (3) REQUIRING PROVISION AS PART or HOME HEALTH SERVICES.— Section 1866(a)(l) of such Act (42 U.S.C. 1395cc(a)(l)) is amend- ed— (A) by striking "and" at the end of subparagraph (N), (B) by striking the period at the end of subparagraph (O) and inserting "; and", (C) and by inserting after subparagraph (O) the following new subparagraph: "(P) in the case of home health agencies which provide home health services to individuals entitled to benefits under this title who require ostomy supplies (described in section 1861(m)(5)), to offer to furnish such supplies to such an individual as part of their furnishing of home health services.". 42 USC 1395m (4) EFFECTTVE DATE.—The amendments made by this subsec- ^°^- tion shall apply with respect to items furnished on or after January 1, 1990. SEC. 6113. MENTAL HEALTH SERVICES. (a) EUMINATING RESTRICTION ON PSYCHOLOGISTS' SERVICES TO SERVICES FURNISHED AT COMMUNITY MENTAL HEALTH CENTERS.— Section 1861(ii) of the Social Security Act (42 U.S.C. 1395x(ii)) is amended by striking "on-site at a community mental health center" and all that follows through "because of similar circtmistances of the individual,". (b) CuNicAL SOCIAL WORKERS. — (1) (AVERAGE OF SERVICES. —Section 1861(s)(2) of the Social Security Act (42 U.S.C. 1395x(s)(2)) is amended— (A) by striking "and" at the end of subparagraph (L); (B) by adding "and" at the end of subparagraph (M); and (C) by adding at the end the following new subparagraph: "(N) clinical social worker services (as defined in subsecticm (hhX2));". (2) DEFiNmoNS.—Section 1861 of such Act (42 U.S.C. 1395x) is amended— ^ (A) in subsection (s)(2)(H)(ii), by striking "(hh)" Mid insert- , ing"(hhX2)",and (B) in subsection (hh)— (i) by amending the heading to read as follows: "Clinical Social Worker; Clinical Social Worker Services", (ii) by redesignating clauses (i) and (ii) of paragraph (3)(B) as subclauses (I) and (II), respectively, (iii) by redesignating subparagraphs (A) and (B) of paragraph (3) as clauses (i) and (ii), respectively, (iv) by redesignating paragraphs (1), (2), and C3) as subparagraphs (A), (B), and (C), respectively, (v) by striking "(hh)" and inserting "(hhXD", and
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