Page:United States Statutes at Large Volume 101 Part 2.djvu/891

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101 STAT. 1330-97
101 STAT. 1330-97
PUBLIC LAW 100-000—MMMM. DD, 1987

PUBLIC LAW 100-203—DEC. 22, 1987

101 STAT. 1330-97

T JO practice, if such group practice submits bills under this program as a group, rather than by individual physicians. "(e) TRANSFER FROM TRUST FUNDS.—Amounts equal to the amounts deducted pursuant to this section shall be transferred from the Trust Fund from which the payment to the physician, provider, or other entity would otherwise have been made, to the general fund in the Treasury, and shall be credited as payment of the past-due obligation of the physician from whom (or with respect to whom) the deduction was made.". (b) CONFORMING REFERENCE.—Section 338E(b)(l) of the Public Health Service Act (42 U.S.C. 254o(b)(l)) is amended by adding at the end thereof the following new sentence: "Amounts not paid within such period shall be subject to collection through deductions in Medicare payments pursuant to section 1892 of the Social Security Act.". (c) EFFECTIVE DATE.—The amendments made by this section shall 42 USC 1395CCC note. be effective on the date of the enactment of this Act. SEC. 40.52. ELIMINATION OF 197.5 FLOOR FOR PREVAILING PHYSICIAN CHARGES.

(a) IN GENERAL.—Section 1842(b)(3) of the Social Security Act (42 U.S.C. 1395u(b)(3)) is amended by striking the next-to-last sentence (which begins "Notwithstanding the provisions of). (b) EFFECTIVE DATE.—The amendment made by subsection (a) 42 USC 1395u shall apply to payment for services furnished on or after January 1, note. 1988. SEC. 4053. APPLICATION OF MAXIMUM ALLOWABLE ACTUAL CHARGE (MAAC).

(a) APPLICATION ON INDIVIDUAL CHARGE BASIS.—Section 1842(j)(l) of the Social Security Act (42 U.S.C. 1395u(j)(l)) is amended— ', -, (1) in the first sentence of subparagraph (B)(i), by striking "each such physician's actual charges" and inserting "the 5itt actual charges of each such physician"; (2) in the second sentence of subparagraph (B)(i)^ by striking "for such a service a physician's actual charge {as defined in ' subparagraph (C)(vi)" and inserting "on a repeated basis for such a service an actual charge"; and (3) in subparagraph (C)(vi), by striking "and subparagraph (B)". (b) ADJUSTMENT.—In the case of a physician who did not have actual charges under title XVIII of the Social Security Act for a procedure in the calendar quarter beginning on April 1, 1984, but who establishes to the satisfaction of a carrier that he or she had actual charges (whether under such title or otherwise) for the procedure performed prior to June 30, 1984, the carrier shall compute the maximum allowable actual charge under section 1842(j) of the Social Security Act for such procedure performed by such physician in 1988 based on such physician's actual charges for the procedure. (c) EFFECTIVE DATE.—The amendment made by subsection (a) shall apply to charges imposed for services furnished on or after April 1, 1988.

42 USC 1395u note.

42 USC 1395u note.