86
STAT.]
1405
PUBLIC LAW 92-603-OCT. 30, 1972
regularly billed by the hospital for services rendered by physicians and reasonable efforts have been made to collect in full from all patients and payment of reasonable charges (including applicable deductibles and coinsurance) has been regularly collected in full or in substantial part from at least 50 percent of all inpatients." (b)(1) So much of section 1814(a) of such Act as precedes paragraph (1) (as amended by section 226(c)(1) of this Act) is further amended by striking out "subsection (d) " and inserting in lieu thereof "subsections (d) and (g) ". (2) Section 1814 is further amended by adding at the end thereof the following new subsection:
42 USC 1395f.
Ante,
p. 1382.
"Payment for Services of a Physician Rendered in a Teaching Hospital " (g) For purposes of services for which the reasonable cost thereof is determined under section 1861(v)(1)(D), payment under this part shall be made to such fund as may be designated by the organized medical staff of the hospital in which such services were furnished or, if such services were furnished in such hospital by the faculty of a medical school, to such fund as may be designated by such faculty, but only if— "(1) such hospital has an agreement with the Secretary under section 1866, and "(2) the Secretary has received written assurances that (A) such payment will be used by such fund solely for the improvement of care of hospital patients or for educational or charitable purposes and (B) the individuals who were furnished such services or any other persons will not be charged for such services (or if charged, provision will be made for return of any moneys incorrectly collected)." (c) Section 1861(v)(1) of such Act (as amended by section 223 of this Act) is amended— (1) by inserting " (A) " after " (1) "; (2) by striking out " (A) take" and " (B) provide" in the fourth sentence and inserting in lieu thereof "(i) take" and "(ii) provide", respectively; (3) by inserting " (B) " immediately 4)receding "Such regulations in the case of extended care services"; and (4) by adding at the end thereof the following new subparagraphs: " (C) Where a hospital has an arrangement with a medical school under which the faculty of such school provides services at such hospital, an amount not in excess of the reasonable cost of such services to the medical school shall be included in determining the reasonable cost to the hospital of furnishing services— " (i) for which payment may be made under part A, but only if " (I) payment for such services as furnished under such arrangement would be made under part A to the hospital had such services been furnished by the hospital, and " ( II) such hospital pays to the medical school at least the reasonable cost of such services to the medical school, or
Infra.
42 USC 1395CC.
42 USC 1395X.
42 USC 1395c.
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