— MEDICARE, MEDICAID, AND OTHER HEALTH-RELATED PROGRAMS
Subtitle A — Medicare
Sec. 4000. References in Subtitle; Table of Contents.
Sec. 4001. Payments for Capital-Related Costs of Inpatient Hospital Services. Sec. 4002. Prospective Payment Hospitals. Sec. 4003. Expansion of DRG Payment Window. Sec. 4004. Payments for Medical Education costs. Sec. 4005. PPS-Exempt Hospitals. Sec. 4006. Hospice Benefit Extension. Sec. 4007. Freeze in Payments Under PART A Through December 31. Sec. 4008. Miscellaneous and technical provisions relating to PART A.
Subpart A — Payment for Physicians' Services
Sec. 4101. Certain Overvalued Procedures. Sec. 4102. Radiology Services. Sec. 4103. Anesthesia Services. Sec. 4104. Physician Pathology Sservices. Sec. 4105. Update for Physicians' Services. Sec. 4106. New Physicians and Other New Health Care Practitioners. Sec. 4107. Assistants at Surgery. Sec. 4108. Technical Components of Certain Diagnostic Tests. Sec. 4109. Interpretation of Electrocardiograms. Sec. 4110. Reciprocal Billing Arrangements. Sec. 4111. Study of Prepayment Medical Review Screens. Sec. 4112. Practicing Physicians Advisory Council. Sec. 4113. Study of Aggregation Rule for Claims for Similar Physicians' Services. Sec. 4114. Utilization Screens for Physician Visits in Rehabilitation Hospitals. Sec. 4115. Study of Regional Variations in Impact of Medicare Physician Payment Reform. Sec. 4116. Limitation on Beneficiary Liability. Sec. 4117. Statewide Fee Schedule Areas for Physicians' Services. Sec. 4118. Technical Corrections.
Subpart B — Other Items and Services
Sec. 4151. Payments for Hospital Outpatient Sservices. Sec. 4152. Durable Medical Equipment. Sec. 4153. Provisions Relating to Orthotics and Prosthetics. Sec. 4154. Clinical Diagnostic Laboratory Tests. Sec. 4155. Coverage of Nurse Practitioners in Rural Areas. Sec. 4156. Coverage of Injectable Drugs for Treatment of Osteoporosis. Sec. 4157. Separate Payment Under PART B for Services of Certain Health Practitioners. Sec. 4158. Reduction in Payments Under PART B During Final 2 Months of 1990. Sec. 4159. Payments for Medical Education Costs. Sec. 4160. Certified Registered Nurse Anesthetists. Sec. 4161. Community Health Centers and Rural Health Clinics. Sec. 4162. Partial Hospitalization in Community Mental Health Centers. Sec. 4163. Coverage of Screening Mammography. Sec. 4164. Miscellaneous and Technical Provisions Relating to PART B.
Sec. 4201. Provisions Relating to End Stage Renal Disease. Sec. 4202. Staff-Assisted Home Dialysis Demonstration Project. Sec. 4203. Extension of Secondary Payor Provisions. Sec. 4204. Health Maintenance Organizations. Sec. 4205. Peer Review Organizations. Sec. 4206. Medicare Provider Agreements Assuring the Implementation of a Patient's Right to Participate in and Direct Health Care Decisions Affecting the Patient.
Sec. 4207. Miscellaneous and Technical Provisions Relating to PARTS A and B.
Sec. 4301. PART B Premium. Sec. 4302. PART B Deductible.
Sec. 4351. Simplification of Medicare Supplemental Policies. Sec. 4352. Guaranteed Renewability. Sec. 4353. Enforcement of Standards. Sec. 4354. Preventing Duplication. Sec. 4355. Loss Ratios and Refund of Premiums. Sec. 4356. Clarification of Treatment of Plans Offered by Health Maintenance Organizations. Sec. 4357. Pre-Existing Condition Limitations and Limitation on Medical Underwriting. Sec. 4358. Medicare Select Policies. Sec. 4359. Health Insurance Advisory Services for Medicare Beneficiaries. Sec. 4360. Health Insurance Information, Counseling, and Assistace Grants. Sec. 4361. Medicare and Medigap Information by Telephone.
Subtitle B — Medicaid
Sec. 4401. Reimbursement for Prescribed Drugs. Sec. 4402. Requiring Medicaid Payment of Premiums and Cost-Sharing for Enrollment Under Group Health Plans Where Cost-Effective.
Sec. 4501. Phased-In Extension of Medicaid Payments for Medicare Premiums for Certain Individuals with Income Below 120 Percent of the Official Poverty Line.
Sec. 4601. Medicaid Child Health Provisions. Sec. 4602. Mandatory Use of Outreach Locations Other Than Welfare Offices. Sec. 4603. Mandatory Continuation of Benefits Throughout Pregnancy or First Year of Life. Sec. 4604. Adjustment in Payment for Hospital Services Furnished to Low-Income Children Under the Age of 6 Years. Sec. 4605. Presumptive Eligibility. Sec. 4606. Role in Paternity Determinations. Sec. 4607. Report and Transition on Errors in Eligibility Determinations.