PUBLIC LAW 101-508—NOV. 5, 1990 104 STAT. 1388-207 (C) by inserting after paragraph (57) the following new paragraph: "(58) maintain a list (updated not less often than monthly, and containing each physician's unique identifier provided under the system established under subsection (v)) of all physicians who are certified to participate under the State plan.". (2) EFFECTIVE DATE. — The amendments made by paragraph (1) shall apply to medical assistance for calendar quarters beginning more than 60 days after the date of establishment of the physician identifier system under section 1902(x) of the Social Security Act. (d) FOREIGN MEDICAL GRADUATE CERTIFICATION.— (1) PASSAGE OF FMGEMS EXAMINATION IN ORDER TO OBTAIN IDENTIFIER.— The Secretary of Health and Human Service '^^ shall provide, in the identifier system established under section 1902(x) of the Social Security Act, that no foreign medical graduate (as defined in section 1886(h)(5)(D) of such Act) shall be issued an identifier under such system unless the individual— (A) has passed the FMGEMS examination (as defined in section 1886(h)(5)(E) of such Act); (B) has previously received certification from, or has previously passed the examination of, the Elducational Commission for Foreign Medical Graduates; or (C) has held a license from 1 or more States continuously since 1958. (2) EFFECTIVE DATE. —Paragraph (1) shall apply with respect to issuance of an identifier applicable to services furnished on or after January 1, 1992. (e) MINIMUM QUALIFICATIONS FOR BILLING FOR PHYSICIANS' SERV- ICES TO CHILDREN AND PREGNANT WOMEN.—Section 1903(i) (42 U.S.C. 1396b(i)), as amended by this title and subsection (a)(2) of this section, is further amended— (1) by striking the period at the end of paragraph (13) and inserting "; or"; and (2) by inserting after paragraph (13) the following new paragraph: "(14) with respect to any amount expended for physicians' services furnished by a physician on or after January 1, 1992, to— "(A) a child under 21 years of age, unless the physician— "(i) is certified in family practice or pediatrics by the medical specialty board recognized by the American Board of Medical Specialties for family practice or pediatrics, "(ii) is employed by, or affiliated with, a Federally- qualified health center (as defined in section 1905(1)(2)(B)), "(iii) holds admitting privileges at a hospital participating in a State plan approved under this title, "(iv) is a member of the National Health Service Corps, "(v) documents a current, formal, consultation and referral arrangement with a pediatrician or family practitioner who has the certification described in clause (i) for purposes of specialized treatment and admission to a hospital, or 42 USC 1396a note. 42 USC 1396a note. " So in original. Probably should be "Services".