Page:United States Statutes at Large Volume 104 Part 2.djvu/737

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PUBLIC LAW 101-508—NOV. 5, 1990 104 STAT. 1388-329 "(i) separates before October 1, 1990, and receives (or elects, in accordance with applicable provisions of this subchapter, to receive) a refund (described in paragraph (1)) which relates to a period of service ending before October 1, 1990; "(ii) is entitled to an annuity under this subchapter (other than a disability annuity) which is based on service of such employee or Member, and which commences on or after December 2, 1990; and "(iii) does not make the deposit (described in paragraph (1)) required in order to receive credit for the period of service with respect to which the refund relates. "(B) Notwithstanding the second sentence of paragraph (1), the annuity to which an employee or Member under this paragraph is entitled shall (subject to adjustment under section 8340) be equal to an amount which, when taken together with the unpaid amount referred to in subparagraph (A)(iii), would result in the present value of the total being actuarially equivalent to the present value of the annuity which would otherwise be provided the employee or Member under this subchapter, as computed under subsections (a)- (i) and (n) of section 8339 (treating, for purposes of so computing the annuity which would otherwise be provided under this subchapter, the deposit referred to in subparagraph (A)(iii) as if it had been timely made). "(C) The Office of Personnel Management shall prescribe such regulations as may be necessary to carry out this paragraph.". (2)(A) Section 8334 of title 5, United States Code, is amended in paragraphs (1) and (2) of subsection (e), and in subsection (h), by striking "(d)," and inserting "(d)(1),". (B) Section 8334(f) and section 8339(i)(l) of title 5, United States Code, are amended by striking "(d)" and inserting "(d)(1)". (C) Section 8339(e) of title 5, United States Code, is amended by striking "8334(d)" and inserting "8334(d)(1)". (D) The second sentence of section 8342(a) of title 5, United States Code, is amended by inserting "or 8334(d)(2)" after "8343a". (3) The amendments made by this subsection shall be effective 5 USC 8334 note, with respect to any annuity having a commencement date later than December 1, 1990. SEC. 7002. REFORMS IN THE HEALTH BENEFITS PROGRAM. (a) HospiTALizATiON-CosT-CoNTAiNMENT MEASURES.— Section 8902 of title 5, United States Code, is amended by adding at the end the following: "(n) A contract for a plan described by section 8903(1), (2). or (3), or section 8903a, shall require the carrier— "(1) to implement hospitalization-cost-containment measures, such as measures— "(A) for verifying the medical necessity of any proposed treatment or surgery; "(B) for determining the feasibility or appropriateness of providing services on an outpatient rather than on an inpatient basis; "(C) for determining the appropriate length of stay (through concurrent review or otherwise) in cases involving inpatient care; and "(D) involving case management, if the circumstances so warrant; and 39-194O-91-24:QL3Part2