PUBLIC LAW 103-432—OCT. 31, 1994 108 STAT. 4431 (C) The amendments made by subparagraphs (A) and (B) shall take effect on the first day of the first month that begins after the expiration of the 120-day period that begins on the date of the enactment of this Act (2) CONICAL DIAGNOSTIC LABORATORY TESTS. —Section 4154(e)(5) of OBRA-1990 is amended by striking (1)(A)" and inserting (1)(A),. (3) SEPARATE PAYMENT UNDER PART B FOR CERTAIN SERV- ICES.— Section 4157(a) of OBRA-1990 is amended by striking "(a) SERVICES OF" and all that follows through "Section" and inserting "(a) TREATMENT OF SERVICES OF CERTAIN HEALTH PRACTITIONERS.—Section". (4) COMMUNITY HEALTH CENTERS AND RURAL HEALTH CLIN- ICS. — (A) The fourth sentence of section 1861(aa)(2) (42 U.S.C. 1395x(aa)(2)) is amended— (i) by striking "certification" the first place it appears and inserting "approval"; and (ii) by striking "the Secretary's approval or disapproval of the certification" and inserting "Secretary's approval or disapproval". (B) Section 4161(a)(7)(B) of OBRA-1990 is amended by inserting "and to the Committee on Finance of the Senate" after "Representatives". (5) SCREENING MAMMOGRAPHY. —Section 4163 of OBRA- 1990 is amended— (A) by adding at the end of subsection (d) the following new paragraph: "(3) The amendment made by paragraph (2)(A)(iv) shall apply to screening pap smears performed on or after July 1, 1990."; and (B) in subsection (e), by striking "The amendments" and inserting "Except as provided in subsection (d)(3), the amendments. (6) INJECTABLE DRUGS FOR TREATMENT OF OSTEOPOROSIS. — (A) CLARIFICATION OF DRUGS COVERED. —The section 1861(jj) (42 U.S.C. 1395xm)) inserted by section 4156(a)(2) of OBRA-1990 is amended— (i) in the matter preceding paragraph (1), by striking "a bone fracture related to; and (ii) in paragraph (1), by striking "patient" and inserting "individual has suffered a bone firacture related to post-menopausal osteoporosis and that the individual". (B) LIMITING COVERAGE TO DRUGS PROVIDED BY HOME HEALTH AGENCIES.— <i) The section 1861(jj) (42 U.S.C. 1395x(jj)) inserted by section 4156(a)(2) of OBRA-1990 is amended by striking "if and inserting "by a home health agency if'. (ii) Section 1861(m)(5) (42 U.S.C. 1395x(m)(5)) is amended by striking "but excluding" and inserting "and a covered osteoporosis drug (as defined in subsection (kk)), but excluding other". (iii) Section 1861(s)(2) (42 U.S.C. 1395x(s)(2)) is amended— (I) by adding "and" at the end of subparagraph (N), and Effective date. 42 USC 1395p note. 42 USC 1395/ note. 42 USC 1395x. 42 USC 254b note. 42 USC 1395y note. 42 USC 1395/ note.
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