Page:United States Statutes at Large Volume 115 Part 1.djvu/1029

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PUBLIC LAW 107-105—DEC. 27, 2001 115 STAT. 1007 "(i) there is no method available for the submission of claims in an electronic form; or "(ii) the entity submitting the claim is a small provider of services or supplier; and "(B) may waive the application of such subsection in such unusual cases as the Secretary finds appropriate. "(2) For purposes of this subsection, the term 'small provider of services or supplier' means— "(A) a provider of services with fewer than 25 full-time equivalent employees; or "(B) a physician, practitioner, facility, or supplier (other than provider of services) with fewer than 10 full-time equivalent employees.". (b) EFFECTIVE DATE. —The amendments made by subsection 42 USC I395y (a) shall apply to claims submitted on or after October 16, 2003. i^o^. SEC. 4. CLARIFICATION WITH RESPECT TO APPLICABILITY OF ADMINISTRATIVE SIMPLIFICATION REQUIREMENTS TO MEDICARE+CHOICE ORGANIZATIONS. Section 1171(5)(D) of the Social Security Act (42 U.S.C. 1320d(5)(D)) is amended by striking "Part A or part B" and inserting "Parts A, B, or C". SEC. 5. AUTHORIZATION OF APPROPRIATIONS FOR IMPLEMENTATION OF REGIHATIONS. (a) IN GENERAL. —Subject to subsection (b), and in addition to any other amounts that may be authorized to be appropriated, there are authorized to be appropriated a total of $44,200,000, for— (1) technical assistance, education and outreach, and enforcement activities related to subparts I through R of part 162 of title 45, Code of Federal Regulations; and (2) adopting the standards required to be adopted under section 1173 of the Social Security Act (42 U.S.C. 1320d-2). (b) REDUCTIONS.— (1) MODEL FORM 14 DAYS LATE.—If the Secretary fails to promulgate the model form described in section 1(a)(4) by the date that is 14 days after the deadline described in such section, the amount referred to in subsection (a) shall be reduced by 25 percent. (2) MODEL FORM 30 DAYS LATE.—If the Secretary fails to promulgate the model form described in section 1(a)(4) by the date that is 30 days after the deadline described in such section, the amount referred to in subsection (a) shall be reduced by 50 percent. (3) MODEL FORM 45 DAYS LATE.—If the Secretary fails to promulgate the model form described in section 1(a)(4) by the date that is 45 days after the deadline described in such section, the amount referred to in subsection (a) shall be reduced by 75 percent. (4) MODEL FORM 60 DAYS LATE.—If the Secretary fails to promulgate the model form described in section 1(a)(4) by the date that is 60 days after the deadline described in such section.