Page:United States Statutes at Large Volume 104 Part 2.djvu/512

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104 STAT. 1388-104 PUBLIC LAW 101-508—NOV. 5, 1990 "(ii) in the case of er3d;hropoietin provided by a provider of services, renal dialysis facility, or other supplier of home dialy- sis supplies and equipment— "(I) for erythropoietin provided during 1991, in an amount equal to $11 per thousand units (rounded to the nearest 100 units), and "(ID for erythropoietin provided during a subsequent year, in an amount determined to be appropriate by the Secretary, except that such amount may not exceed the amount determined under this clause for the previous year increased by the percentage increase (if any) in the implicit price deflator for gross national product (as published by the Department of Commerce) for the second quarter of the preceding year over the implicit price deflator for the second quarter of the second preceding year.". 42 USC I395rr (2) EFFECTIVE DATE.— The amendments made by paragraph (1) °°*®' shall apply to er5rthropoietin furnished on or after January 1, 1991. (d) SELF-ADMINISTERED ERYTHROPOIETIN.— (1) COVERAGE.— Section 1861(s)(2) (42 U.S.C. 1395x(s)(2)) as amended by section 4156(a)(1), is amended— (A) by striking "and" at the end of subparagraph (N); (B) by adding and" at the end of subparagraph (O); and (C) by adding at the end the following new subparagraph: "(P) erjrthropoietin for home dialysis patients competent to use such drug without medical or other supervision with respect to the administration of such drug, subject to methods and standards established by the Secretary by regulation for the safe and effective use of such drug, and items related to the administration of such drug;". (2) COVERAGE FOR METHOD II PATIENTS.— Section 1881(b) (42 U.S.C. 1395rr(b)) is further amended— (A) in paragraph (1)— (B) by striking "and (B)" and inserting "(B), 18 and (C) by striking "equipment." and inserting "equipment, and (C) payments to a supplier of home dialysis supplies and equipment that is not a provider of services, a renal dialysis facility, or a physician for self-administered erythropoietin as described in section 1861(s)(2)(Q) if the Secretary finds that the patient receiving such drug from such a supplier can safely and effectively administer the drug (in accordance with the applicable methods and standards established by the Secretary pursuant to such section)."; and (3) by adding at the end of paragraph (11), as amended by subsection (c), the following new subparagraph: "(C) The amount payable to a supplier of home dialysis supplies and equipment that is not a provider of services, a renal dialysis facility, or a physician for erjrthropoietin shall be determined in the same manner as the amount payable to a renal dialysis facility for such item.". 42 USC 1395x (3) EFFECTIVE DATE. — The amendments made by paragraphs ^°^- (1) and (2) shall apply to items and services furnished on or after July 1, 1991. 42 USC 1395rr SEC. 4202. STAFF-ASSISTED HOME DIALYSIS DEMONSTRATION PROJECT. (a) ESTABLISHMENT. — " So in original. Probably should be " "(B)", ".