PUBLIC LAW 98-21 —APR. 20, 1983 97 STAT. 163 96 Stat. 331. 42 USC 1395WW. 42 USC 1395WW note. 42 USC 1395f, 1395n. 42 USC 1395x. research and experimentation conducted by, or under contract with, the Prospective Payment Assessment Commission or the Secretary, which are not reasonable and necessary to carry out the purposes of section 1886(e)(6);". (g) In determining whether a hospital is in an urban or rural area for purposes of section 1886(d) of the Social Security Act, the Secre- tary of Health and Human Services shall classify any hospital located in New England as being located in an urban area if such hospital was classified as being located in an urban area under the Standard Metropolitan Statistical Area system of classification in effect in 1979. CONFORMING AMENDMENTS SEC. 602. (a) Section 1153(b)(2) of the Social Security Act is 42 USC i320c-2. amended by adding at the end the following new subparagraph: "(C) The twelve-month period referred to in subparagraph (A) shall be deemed to begin not later than October 1983.". (b) Sections 1814(g) and 1835(e) of the Social Security Act are each amended by inserting "(or would be if section 1886 did not apply)" after "section 1861(v)(l)(D)". (c) Section 1814(h)(2) of such Act is amended by striking out "the reasonable costs for such services" and inserting in lieu thereof "the amount that would be payable for such services under subsection (b) and section 1886". (d)(1) The matter in section 1861(v)(l)(G)(i) of such Act following subclause (III) is amended by striking out "on the basis of the reasonable cost of and inserting in lieu thereof "the amount other- wise payable under part A with respect to". (2) Section 1861(v)(2)(A) of such Act is amended by striking out "an amount equal to the reasonable cost of and inserting in lieu thereof "the amount that would be taken into account with respect to". (3) Section 1861(v)(2)(B) of such Act is amended by striking out "the equivalent of the reasonable cost of. (4) Section 1861(v)(3) of such Act is amended by striking out "the reasonable cost of such bed and board furnished in semiprivate accommodations (determined pursuant to paragraph (1))" and inserting in lieu thereof "the amount otherwise payable under this title for such bed and board furnished in semiprivate accommodations". (e) Section 1862(a) of such Act is amended— (1) by striking out "or" at the end of paragraph (12), (2) by striking out the period at the end of paragraph (13) and inserting in lieu thereof "; or", and (3) by adding at the end the following new paragraph: "(14) which are other than physicians' services (as defined in regulations promulgated specifically for purposes of this para- graph) and which are furnished to an individual who is an inpatient of a hospital by an entity other than the hospital, unless the services are furnished under arrangements (as de- fined in section 1861(w)(l)) with the entity made by the hospi- tal.". (fKD Section 1866(a)(l) of such Act is amended— (A) by striking out "and" at the end of subparagraph (D), (B) by striking out the period at the end of subparagraph (E), and (C) by adding at the end the following new subparagraphs: 42 USC 1395y. 42 USC 1395CC.
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