81 STAT. ]
PUBLIC LAW 90-248-JAN. 2, 1968
and surgical supplies and the use of equipment and facilities for which a separate charge is not customarily made; the term "ancillary services" shall mean those special services for which charges are customarily made in addition to routine services. (2) Before applying paragraph (1), payments made under this section shall be reduced to the extent provided for under section 1813 of the Social Security Act in the case of benefits payable to providers of services under part A of title X VIII of such Act. (d) For the purposes of this section— (1) the 90-day period, referred to in subsection (b)(3)(A), shall be reduced by the number of days of inpatient hospital services furnished to such individual during the spell of illness, referred to therein, and with respect to which he was entitled to have payment made under part A of title X VIII of the Social Security Act; (2) the 20-day period, referred to in subsection (b)(3)(B) shall be reduced by the number of days in excess of 70 days of inpatient hospital services furnished during the spell of illness, referred to therein, and with respect to which such individual was entitled to have payment made under such part A; (3) the term "spell of illness" shall have the meaning assigned to it by subsection (a) of section 1861 of such Act except that the term "inpatient hospital services" as it appears in such subsection shall have the meaning assigned to it by subsection (a) of this section.
857 id's^""^*"^
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79 Stat. 29:;. ^^ u s e ^^^^^ ^^^ 1395e. 42 42 USC 1395013951.
"speii of inhospit"i'srrv^-^'^"* ices." '^^ ^^^ i395x.
P A Y M E N T S FOR E M E R G E N C Y H O S P I T A L SERVICES
SEC. 143. (a) The second sentence following paragraph (8) of section 1861(e) of the Social Security Act is amended by striking out "which meets the requirement of paragraphs (1), (2), (3), (4), (5) and (7) of this subsection" and inserting in lieu thereof "which (i) meets the retjuirements of paragraphs (5) and (7) of this subsection, (ii) is not primarily engaged in providing the services described in section 1861 (]) (1)(A) and (iii) is primarily engaged in providing, by or under the supervision of individuals referred to in paragraph (1) of section 1861(r), to inpatients diagnostic services and therapeutic services for medical diagnosis, treatment, and care of injured, disabled, or sick persons, or rehabilitation services for the rehabilitation of injured, disabled, or sick persons." (b) That portion of section 1812(a) of such Act that precedes paragraph (1) thereof is amended by inserting "or, in the case of payments referred to in section 1814(d)(2) to him" after "on his behalf". (c) Section 1814(d) of such Act is amended by— (1) striking out "Payments" and inserting in lieu thereof "(1) Payments"; (2) deleting "furnished" and inserting "furnished in a calendar year"; (3) deleting "and" at the end of clause (A) and inserting a comma in lieu thereof; (4) inserting before the period at the end of the first sentence the following: ", and (C) such hospital has elected to claim payments for all such inpatient emergency services and for the emergency outpatient services referred to in section 1835(b) furnished during such year"; and (5) adding at the end of such section 1814(d) the following new paragraphs:
42 USC i395d. ^°s p- sss. 79 st^a^. 296^^ •^^ u c i395f.
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