Page:United States Statutes at Large Volume 114 Part 5.djvu/521

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PUBLIC LAW 106-554—APPENDIX F 114 STAT. 2763A-481 TITLE II—RURAL HEALTH CARE IMPROVEMENTS Subtitle A—Critical Access Hospital Provisions SEC. 201. CLARIFICATION OF NO BENEFICIARY COST-SHARING FOR CLINICAL DIAGNOSTIC LABORATORY TESTS FURNISHED BY CRITICAL ACCESS HOSPITALS. (a) PAYMENT CLARIFICATION. —Section 1834(g) (42 U.S.C. 1395m(g)) is amended by adding at the end the following new paragraph: "(4) No BENEFICIARY COST-SHARING FOR CLINICAL DIAG- NOSTIC LABORATORY SERVICES.— No coinsurance, deductible, copayment, or other cost-sharing otherwise applicable under this part shall apply with respect to clinical diagnostic laboratory services furnished as an outpatient critical access hospital service. Nothing in this title shall be construed as providing for payment for clinical diagnostic laboratory services furnished as part of outpatient critical access hospital services, other than on the basis described in this subsection.". (b) TECHNICAL AND CONFORMING AMENDMENTS.— (1) Paragraphs (l)(D)(i) and (2)(D)(i) of section 1833(a) (42 U.S.C. 13951(a)) are each amended by striking "or which are furnished on an outpatient basis by a critical access hospital". (2) Section 403(d)(2) of BBRA (113 Stat. 1501A.-371) is amended by striking "The amendment made by subsection (a) shall apply" and inserting "Paragraphs (1) through (3) of section 1834(g) of the Social Security Act (as amended by paragraph (D) apply". (c) EFFECTIVE DATES.—The amendment made— (1) by subsection (a) shall apply to services furnished on or after the date of the enactment of BBRA; (2) by subsection (b)(1) shall apply as if included in the enactment of section 403(e)(1) of BBRA (113 Stat. 1501A-371); and (3) by subsection (b)(2) shall apply as if included in the enactment of section 403(d)(2) of BBRA (113 Stat. 150lA- 371). SEC. 202. ASSISTANCE WITH FEE SCHEDULE PAYMENT FOR PROFES- SIONAL SERVICES UNDER ALL-INCLUSIVE RATE. (a) IN GENERAL. —Section 1834(g)(2)(B) (42 U.S.C. 1395m(g)(2)(B)) is amended by inserting "115 percent of before "s uch amounts". (b) EFFECTIVE DATE.—The amendment made by subsection (a) shall apply with respect to items and services furnished on or afterJuly 1, 2001. SEC. 203. EXEMPTION OF CRITICAL ACCESS HOSPITAL SWING BEDS FROM SNF PPS. (a) IN GENERAL. —Section 1888(e)(7) (42 U.S.C. 1395yy(e)(7)) is amended— (1) in the heading, by striking "TRANSITION FOR" and inserting "TREATMENT OF";