Page:United States Statutes at Large Volume 104 Part 2.djvu/484

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104 STAT. 1388-76 PUBLIC LAW 101-508—NOV. 5, 1990 (iii) in clause (ii)— (I) by striking "75" and inserting "67"; and (II) by striking "25" and inserting "33", and (iv) in clause (iii)— (I) in subclause (I), by striking "50" and inserting "33" and by striking "(A)(ii)(II)" and inserting "(A)(ii)(III)"; and (II) in subclause (II), by striking "50" and inserting "67"; and (D) by striking subparagraph (D). (3) OXYGEN AND OXYGEN EQUIPMENT.—Section 1834(a)(9) of such Act (42 U.S.C. 1395m(a)(9)) is amended— (A) in subparagraph (A)(ii)(II), by striking "the percentage increase" and all that follows through the period and inserting "the covered item increase for the year."; (B) by amending subparagraph (B) to read as follows: " (B) COMPUTATION OF NATIONAL LIMITED MONTHLY PAY- MENT RATE.— With respect to the furnishing of an item in a year, the Secretary shall compute a national limited monthly payment rate equal to— ' (i) for 1991, the local monthly payment rate computed under subparagraph (A)(ii)(II) for the item for the year, except that such national limited monthly pay- ment rate may not exceed 100 percent of the weighted average of all local monthly payment rates computed for the item under such subparagraph for the year, and may not be less than 85 percent of the weighted average of all local monthly payment rates computed for the item under such subparagraph for the year; and "(ii) for each subsequent year, equal to the amount determined under this subparagraph for the preceding year increased by the covered item update for such subsequent year.; (C) in subparagraph (C)— (i) by striking "regional monthly payment rate" each place it appears and inserting "national limited monthly payment rate", (ii) in clause (ii)— (I) by striking "75" and inserting "67"; and (II) by striking "25" and inserting "33", and (iii) in clause (iii)— (I) in subclause (I), by striking "50" and inserting " 33"; and (II) in subclause (II), by striking "50" and inserting "67" and by striking "(B)(i)" and inserting "(B)(ii)"; and (D) by striking subparagraph (D). (4) DEFINITION.— Section 1834(a) (42 U.S.C. 1395m(a)) is amended by adding at the end the following new paragraph: "(14) COVERED ITEM UPDATE. — In this subsection, the term 'covered item update' means, with respect to a year— "(A) for 1991 and 1992, ^^ reduction of 1 percentage point; and "(B) for a subsequent year, the percentage increase in the consumer price index for all urban consumers (U.S. city average) for the 12-month period ending with June of the previous year.". " So in original. Probably should be "a reduction".