Page:United States Statutes at Large Volume 102 Part 1.djvu/825

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PUBLIC LAW 100-000—MMMM. DD, 1988

PUBLIC LAW 100-360—JULY 1, 1988

102 STAT. 787

(D) in the subsection added by subsection (c)— (i) by redesignating such subsection as subsection (gg), and (ii) in paragraph (1), by striking "his" and inserting "the nurse-midwife's" and by striking "physician's" and inserting "physicians' "; and (E) in the matter inserted by subsection (d)(D, by striking "section 1861(ff)" and inserting "section 1861(gg)". (5) SECTION 4074.—Section 4074 of OBRA is amended— (A) in the matter inserted by subsection (a)(D, by striking "(ff)" and inserting "(hh)", and (B) by redesignating the subsection added by subsection G)) as subsection (hh). (6) SECTION 4076.—Subsection (a) of section 4076 of OBRA is amended to read as follows: "(a) SERVICES COVERED.—Section 1861(s)(2)(K) of the Social Security Act (42 U.S.C. 1395x(s)(2)(K)) is amended by inserting '(I)' before 'in a hospital' and by striking 'or as an assistant at surgery' and inserting ', (II) as an assistant at surgery, or (III) in a rural area (as defined in section 1886(d)(2)(D)) that is designated, under section 332(a)(l)(A) of the Public Health Service Act, as a heedth manpower shortage area,'.". (7) SECTION 4077.—Section 4077(b) of OBRA is amended— (A) in paragraph (1), by inserting "by section 4073(a) of this title' after "as amended"; (B) by striking paragraph (2); (C) in paragraph (3)— (i) by striking "1395k(a)(l))" and inserting "13951(a)(l)), (ii) by striking subparagraphs (A) and (B), (iii) in subparagraph (C), by striking "(I)" and inserting "(K)" and by redesignating such subparagraph as subparagraph (A), (iv) in subparagraph (D), by striking "subparagraph:" and inserting "clause:" and by redesignating such subparagraph as subparagraph (B), and (v) in the matter added by subparagraph (B), as so

42 USC 1395x.

(I) by striking "(J)" and inserting "(L)", and (II) by inserting "80 percent of the lesser of the actual charge for the services or" after "amounts paid shall be"; (D) in paragraph (4), by striking "section 40730^X3)" and inserting "4073a)X2)"; (E) in paragraph (5), by redesignating the subsection (gg) added by such paragraph as subsection (ii); and (F) by redesignating paragraphs (3) through (6) as paragraphs (2) through (5), respectively. (8) SECTION 4079.—Section 4079(c)(l) of OBRA is amended by striking "subsection (d)" and inserting "subsection (e)". (i) PROVISIONS RELATING TO SUBPART D OF PART 3 OF SUBTITLE A OF TITLE IV (OTHER PART B PROVISIONS).— (1) SECTION 408i.—(A) Section 1842(h)(3)(B) of the Social Secu-

42 USC 1396d. 42 USC 1395x.

42 USC 1395x. Rural areas.

42 USC 1395x. 42 USC 1395k. 42 USC 1395/.

42 USC 1395/. 42 USC 1395x. 42 USC 1395/, 1395x, 1395k note. 42 USC 1395mm note.

rity Act, as added by section 4081(a) of OBRA, is amended— 42 USC 1395U. (i) in the second sentence— (I) by striking "claims" and inserting "payment", and