95 STAT. 796
Ante, p. 795. Effective date. 42 USC 1320c note.
PUBLIC LAW 97-35—AUG. 13, 1981 the State plan) as are attributable to the performance of medical and utilization review by a Professional Standards Review Organization under a contract entered into under section 1902(d); plus" (o) The amendments made by this section apply to agreements with Professional Standards Review Organizations entered into on or after October 1, 1981. SECRETARIAL DETERMINATION IN UEU OF PSRO CERTIFICATION
42 USC 1395X.
SEC. 2114. Section 1861(v)(l)(G)(i) of the Social Security Act is amended by striking out "an organization or agency with review responsibility as is otherwise provided for under part A of title XI" and inserting in lieu thereof "the Secretary or such agent as the Secretary may designate".
Subtitle B—Provisions Relating to Medicare CHAPTER 1—CHANGES IN SERVICES AND BENEFITS ELIMINATION OF PART A COVERAGE OF ALCOHOL DETOXIFICATION FACILITY SERVICES 42 USC 1395d.
42 USC 1395f.
42 USC 1395X.
42 USC 1320C-3. 42 USC 1320C-4. 42 USC 1320C-7.
42 USC 1395// note. Effective date. 42 USC 1320C-3 note.
SEC. 2121. (a) Section 1812(a) of the Social Security Act is amended— (1) by inserting "and" at the end of paragraph (2), (2) by striking out "; and" at the end of paragraph (3) and inserting in lieu thereof a period, and (3) by striking out paragraph (4). (b) Section 1814(a)(2) of such Act is amended— (1) by inserting "or" at the end of subparagraph (D), (2) by striking out "or" at the end of subparagraph (E), and (3) by striking out subparagraph (F). (c) Section 1861(u) of such Act is amended by striking out "detoxification facility,". (d) Subsection (bb) of section 1861 of such Act is repealed. (e) The first sentence of section 1154(b) of such Act is amended by striking out "and to review of alcohol detoxification facility services'. (f) Section 1155 of such Act is amended by striking out subsection (i). (g) Section 1158 of such Act is amended— (1) by striking out "subsections (d) and (e)" in subsection (a) and inserting in lieu thereof "subsection (d)", and (2) by striking out subsection (e). (h) Section 931 of the Medicare and Medicaid Amendments of 1980 (P.L. 96-499; 94 Stat. 2634) is amended by striking out subsection (f) (relating to a study of medicare coverage of certain additional detoxification-related services). (i) The amendments made by this section (other than by subsection (h)) shall apply to services furnished in detoxification facilities for inpatient stays beginning on or after the tenth day after the date of the enactment of this Act. EUMINATION OF OCCUPATIONAL THERAPY AS A BASIS FOR INITIAL ENTITLEMENT TO HOME HEALTH SERVICES
42 USC 1395f, 1395n.
SEC. 2122. (a)(1) Sections 1814(a)(2)(D) and 1835(a)(2)(A) of the Social Security Act are each amended by striking out "needed skilled
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