108 STAT. 4416 PUBLIC LAW 103-432—OCT. 31, 1994 42 USC 1395W-4 note. 42 USC 1395W-4 note. 42 USC 1395u note. 42 USC 1395W-4. 42 USC 1395u. 42 USC 1395W-4 note. 42 USC 1395m note. (C) Section 4105(d) of OBRA-1990 is amended by insertii^ "PUBLICATION OF PERFORMANCE STANDARD RATES.—" after "(d). (3) Section 4106(c) of OBRA-1990 is amended by inserting "of the Social Security Actf' after "1848(d)(1)(B). (4) Section 4114 of OBRA-1990 is amended by striking "patients" the second place it appears. (5) Section 1848(e)(1)(C) (42 U.S.C. 1395w-4(e)(l)(C)) is amended by inserting "date of the" after "since the". (6) Section 4118(f)(1)(D) of OBRA-1990 is amended by striking "is amended". (7) Section 4118(f)(l)(N)(ii) of OBRA-1990 is amended by striking "subsection (f)(5)(A)" and inserting "subsection (f)(5)(A))". (8) Section 1845(e) (42 U.S.C. 1395w-l(e)) is amended— (A) by striking paragraph (2); and (B) by redesignating paragraphs (3), (4), and (5) as paragraphs (2), (3), and (4). (9) Section 4118(j)(2) of OBRA-1990 is amended by striking "In section" and inserting "Section". (10)(A) Section 1848(i)(3) (42 U.S.C. 1395w-4(i)(3)) is amended by striking the space before the period at the end. (B) Section 1834(a)(10)(B) (42 U.S.C. 1395m(a)(10)(B)) is amended— (i) by striking "apply to" and inserting "would otherwise apply to", and (ii) by inserting before the period at the end "but for the application of section 1848(i)(3)". (h) OTHER CORRECTIONS. — (1) Eflfective on the date of the enactment of this Act, section 6102(d)(4) of OBRA-1989 is amended by striking all that follows the first sentence. (2) Effective for payments for fiscal years beginning with fiscal year 1994, section 1842(c)(1) (42 U.S.C. 1395u(c)(l)) is amended— (A) in subparagraph (A), by striking *XA) Any contract" and inserting "Any contract"; and (B) by striking subparagraph (B). (i) EFFECTIVE DATE. —Except as provided in subsection (h), the amendments made by this section and the provisions of this section shall take effect as if included in the enactment of OBRA- 1990. PART II—DURABLE MEDICAL EQUIPMENT SEC. 131. CERTIFICATION OF SUPPUERS. (a) REQUIREMENTS.— (1) IN GENERAL.— Section 1834 (42 U.S.C. 1395m), as amended by section 13544(b)(1) of OBRA-1993, is amended by adding at the end the following new subsection: "g) REQUIREMENTS FOR SUPPLIERS OF MEDICAL EQUIPMENT AND SUPPLIES.— "(1) ISSUANCE AND RENEWAL OF SUPPUER NUMBER.— "(A) PAYMENT.— Except as provided in subparagraph (C), no payment may be made under this part after the date of the enactment of the Social Security Act Amendments of 1994 for items furnished by a supplier of medical equipment and supplies unless such supplier obtains (and renews at such intervals as the Secretary may require) a supplier number. (B) STANDARDS FOR POSSESSING A SUPPUER NUMBER.— A suppher may not obtain a supplier number unless—
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