Page:United States Statutes at Large Volume 94 Part 2.djvu/1356

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PUBLIC LAW 96-000—MMMM. DD, 1980

94 STAT. 2634

PUBLIC LAW 96-499—DEC. 5, 1980

eliminate the amount of alcohol in the body, but only to the extent that such services would be covered under subsection (b) if furnished as inpatient services by a hospital, or are physicians' services covered under subsection (s). "(2) The term 'detoxification facility' means a public or voluntary community-based nonprofit facility, other than a hospital, which— "(A) is engaged in furnishing to inpatients the services described in paragraph (1); "(B) is accredited by the Joint Commission on the Accreditation of Hospitals as meeting the Accreditation Program for Psychiatric Facilities standards (1979 edition), or is found by the Secretary to meet such standards; "(C) has arrangements with one or more hospitals, having 42 USC 1395CC. agreements in effect under section 1866, for the referral and admission of patients requiring services not available at the facility; and "(D) meets such other requirements as the Secretary may find necessary in the interest of the health and safety of individuals who are furnished services by the facility.". Effective date. (e) The amendments made by subsections (a) through (d) of this 42 USC 1395d section shall become effective on April 1, 1981. note. (f) The Secretary of Health and Human Services shall conduct a Study. study and make recommendations, within 18 months after the date of 42 USC 1395// note. the enactment of this Act, concerning the appropriateness of extending medicare coverage to drug detoxification, postdetoxification rehabilitation, and to outpatient detoxification and concerning incentives for the use of lower-cost detoxification facilities. 42 USC 1320C-4. (g) Section 1155 of the Social Security Act is amended by adding after subsection (h) (added by section 924(d) of this title) the following new subsection: "(i) Any Professional Standards Review Organization which has assumed responsibility under this section for review of inpatient hospital services in an area shall also assume responsibility in such area for review of detoxification facility services.". 42 USC 1320C-7. (h) Section 1158 of such Act is amended— (1) by striking out "section 1159 and subsection (d)" in subsection (a) and inserting in lieu thereof "subsections (d) and (e) of this section and in sections 1159, 1861(v)(l)(G), and 1902(h)", and (2) by adding after subsection (d) the following new subsection: "(e) Subsection (a) of this section shall not apply to a determination by a Professional Standards Review Organization under section 42 USC 1320C-4. 1155(a)(1)(C) that detoxification services provided or proposed to be provided in a hospital on an inpatient basis could be more economically provided in a detoxification facility.". PREADMISSION DIAGNOSTIC TESTING 42 USC 1395/.

42 USC 1395U.

SEC. 932. (a)(1) Section 1833(a)(1) of the Social Security Act is amended— (A) by striking out "and (E)" and inserting in lieu thereof "(E)", and (B) by inserting the following after "section 1881," at the end of clause (E): "(F) with respect to expenses incurred for physicians' services (furnished by a physician who has an agreement in effect with the Secretary by which the physician agrees to accept an assignment described in section 1842(b)(3)(B)(ii) with respect to payment for all physicians' services which are preadmission diagnostic services furnished by the physician to individuals