Page:United States Statutes at Large Volume 95.djvu/820

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PUBLIC LAW 97-000—MMMM. DD, 1981

95 STAT. 794

PUBLIC LAW 97-35—AUG. 13, 1981 (A) by striking out "(other than ancillary, ambulatory care, and long-term care services)" and (B) by striking out "under subsection (f)(2) or subsection (f)(4)" and inserting in lieu thereof "under subsection (f)". (2) Subsection (f) of such section is amended— (A) by striking out the parenthetical phrase in paragraph (1); (B) by striking out paragraphs (2) and (3); (C) by redesignating paragraph (4) as paragraph (2) and amending it to read as follows: "(2) Where the Secretary finds that the review of particular health care services is cost-effective or yields other significant benefits, the Secretary may require Professional Standards Review Organizations (either generally or under such conditions and circumstances as the Secretary may specify) to review such services under this part."; and (D) by striking out the parenthetical phrase in paragraph (5) . J' and redesignating such paragraph as paragraph (3). OPTIONAL USE OF PSRO'S UNDER STATE MEDICAID PLANS

42 USC 1320c.

42 USC 1320C-1. 42 USC 1320C-3. 42 USC 1320C-4.

42 USC 1320C-7.

SEC. 2113. (a) Section 1151 of the Social Security Act is amended— (1) by striking out "under this Act" and inserting in lieu thereof "under title XVIII of this Act"; and (2) by striking out "the Social Security Act" and inserting in lieu thereof "title XVIII of this Act". (b) Section 1152(e) of such Act is amended by inserting "title XVIII o f before "this Act" each place it appears. (c) Section 1152 of such Act is amended by striking out subsection (h), and section 1154 of such Act is amended by striking out subsection (e). (d)(1) Section 1155(a) of such Act is amended by inserting "title XVIII o f before "this Act" each place it appears in paragraphs (1) and (2). (2) Section 1155(a)(l) of such Act is amended by adding after and below subparagraph (C) the following new sentence: "Each agreement with an Organization under this part shall require the Organization, if requested by a State with a plan approved under title XIX, to enter into a contract with the State, for the performance of review functions in the case of health care services and items provided under such State plan under terms and conditions similar to those contained in the agreement between the Organization and the Secretary under this part.". (3) Section 1155(a) of such Act is amended by striking out paragraph (7). (4) Section 1155(e)(l) of such Act is amended by striking out ", or intermediate care facility, as defined in section 1905(c) and "or intermediate care facility. (e)(1) Section 1158(a) of such Act is amended by striking out "under any title of this Act (other than title V)" and inserting in lieu thereof "under title XVIII" and by striking out "or any program established pursuant thereto". (2) Section 1158(c) of such Act is amended— (A) by striking out "(subject to sections 1159, 1171(a)(l), and 1171(d)(3)) for purposes of payment under this Act" and inserting in lieu thereof "(subject to section 1159) for purposes of payment under title XVIII"; and (B) by striking out ", or single State agencies" and all that follows through "under title XIX".