COVERAGE OF CERTIFIED NURSE-MIDWIFE SERVICES.

SEC. 4073. COVERAGE OF CERTIFIED NURSE-MIDWIFE SERVICES. (a) Coverage of Services.— Section 1861(s)(2) of the Social Security Act (42 U.S.C. 1395x(s)(2)) is amended— (1) by striking “and” at the end of subparagraph (J); (2) by adding “and” at the end of subparagraph (K); and (3) by adding at the end thereof the following new subparagraph: “(L) certified nurse-midwife services;”. (b) Payment of Benefits.— (1) Section 1832(a)(2)(B) of such Act (42 U.S.C. 1395k(a)(2)(B)) is amended— (A) by striking “and” at the end of clause (ii); (B) by striking the semicolon at the end of clause (iii) and inserting a comma; and (C) by adding at the end thereof the following new clause: “(iv) certified nurse-midwife services; and”. (2) Section 1833(a)(1) of such Act (42 U.S.C. 1395k(a)(l)) is amended— (A) by striking “and” at the end of clause (F); (B) by striking “services; and” in clause (G) and inserting “services,”; and (C) 3737Copy read “(D)”. by adding at the end thereof the following: “and (I) with respect to certified nurse-midwife services under section 1861(s)(2)(L), the amounts paid shall be the amount determined by a fee schedule established by the Secretary for the purposes of this subparagraph (but in no event more than 65 percent of the prevailing charge that would be allowed for the same service performed by a physician);”. (3) Section 1833 of such Act (42 U.S.C. 13951) is amended by adding at the end the following new subsection: “(m) In the case of certified nurse-midwife services for which payment may be made under this part only pursuant to section 1861(s)(2)(L), payment may only be made under this part for such services on an assignment-related basis.”. 101 STAT. 1330–119 (c) Definition.— Section 1861 of such Act (42 U.S.C. 1395x) is amended by adding at the end thereof the following new subsection: “Certified Nurse-Midwife Services “(ff) (1) The term ‘certified nurse-midwife services’ means such services furnished by a certified nurse-midwife (as defined in paragraph (2)) and such services and supplies furnished as an incident to his service which the certified nurse-midwife is legally authorized to perform under State law (or the State regulatory mechanism provided by State law) as would otherwise be covered if furnished by a physician or as an incident to a physician’s service. “(2) The term ‘certified nurse-midwife’ means a registered nurse who has successfully completed a program of study and clinical experience meeting guidelines prescribed by the Secretary, or has been certified by an organization recognized by the Secretary, and performs services in the area of management of the care of mothers and babies throughout the maternity cycle.”. (d) 3838Copy read “(c)”. Conforming Changes.— (1) Section 1905(a)(17) of such Act (42 U.S.C. 1396d(a)(17)) is amended by striking “as defined in subsection (m)” and inserting “as defined in section 1861(ff)”. (2) Section 1905 of such Act (42 U.S.C. 1396d) is amended by striking subsection (m). (e) 3939Copy read “(d)”. Effective Date.— The amendments made by this section shall be effective with respect to services performed on or after July 1, 1988.