PUBLIC LAW 106-113—APPENDIX F 113 STAT. 1501A-351 services. The study shall also include an estimate of the cost of implementing such recommendations. Subtitle C—Other Services SEC. 221. REVISION OF PROVISIONS RELATING TO' THERAPY SERVICES. (a) 2-YEAR MORATORIUM ON CAPS. — (1) IN GENERAL.— Section 1833(g) of the Social Security Act (42 U.S.C. 13951(g)) is amended— (A) in paragraphs (1) and (3), by striking "In the case" each place it appears and inserting "Subject to paragraph (4), in the case"; and (B) by adding at the end the following: "(4) This subsection shall not apply to expenses incurred with respect to services furnished during 2000 and 2001.". (2) FOCUSED MEDICAL REVIEWS OF CLAIMS DURING MORATO- RIUM PERIOD.— During years in which paragraph (4) of section 1833(g) of the Social Security Act (42 U.S.C. 13951(g)) applies (under the amendment made by paragraph (1)(B)), the Secretary of Health and Human Services shall conduct focused medical reviews of claims for reimbursement for services described in paragraph (1) or (3) of such section, with an emphasis on such claims for services that are provided to residents of skilled nursing facilities. (b) TECHNICAL AMENDMENT RELATING TO BEING UNDER THE CARE OF A PHYSICIAN. — (1) IN GENERAL.— Section 1861 (42 U.S.C. 1395x) is amended— (A) in subsection (p)(l), by striking "or (3)" and inserting ", (3), or (4)"; and (B) in subsection (r)(4), by inserting "for purposes of subsection (p)( 1) and" after "but only". (2) EFFECTIVE DATE.—The amendments made by paragraph (1) apply to services furnished on or after January 1, 2000. (c) REVISION OF REPORT. — (1) IN GENERAL.— Section 4541(d)(2) of BBA (42 U.S.C. 13951 note) is amended to read as follows: "(2) REPORT. — Not later than January 1, 2001, the Secretary of Health and Human Services shall submit to Congress a report that includes recommendations on— "(A) the establishment of a mechanism for assuring appropriate utilization of outpatient physical therapy services, outpatient occupational therapy services, and speechlanguage pathology services that are covered under the medicare program under title XVIII of the Social Security Act (42 U.S.C. 1395); and "(B) the establishment of an alternative pa3anent policy for such services based on classification of individuals by diagnostic category, functional status, prior use of services (in both inpatient and outpatient settings), and such other criteria as the Secretary determines appropriate, in place of the uniform dollar limitations specified in section 1833(g) of such Act, as amended by paragraph (1). The recommendations shall include how such a mechanism or policy might be implemented in a budget-neutral manner.".
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