Pub. L. 100-203, tit. IV, pt. 3, subpt. D, sec. 4082

REVISION OF PART B HEARINGS.

EnactedYear: 1987Length: 399 wordsOfficial source
SEC. 4082. REVISION OF PART B HEARINGS. (a) Clarification of OBRA Amendment.— Section 1869(b)(3)(B) of the Social Security Act (42 U.S.C. 1395ff(b)(3)(B)) is amended 43a43aCopy read “is amended is amended”. by striking “chapter 5” and inserting “section 553”. (b) Expedited Administrative Hearing Where Only Issues of Law.— Section 1869(b) of such Act (42 U.S.C. 1395ffrb)) is amended by adding at the end the following new paragraph: “(5) In an administrative hearing pursuant to paragraph (1), where the moving party alleges that there are no material issues of fact in dispute, the administrative law judge shall make an expedited determination as to whether any such facts are in dispute and, if not, shall determine the case expeditiously.”. (c) Timely Carrier Hearings on Part B Appeals.— Section 1842(b)(5) of such Act (42 U.S.C. 1395u(b)(5)) is amended— (1) by inserting “(A)” after “(5)”, and (2) by adding at the end the following new subparagraph: “(B) The Secretary shall establish standards for evaluating carriers’ performance of reviews of initial carrier determinations and of fair hearings under paragraph (3)(C), under which a carrier is expected— “(i) to complete such reviews, within 45 days after the date of a request by an individual enrolled under this part for such a review, in 95 percent of such requests, and “(ii) to make a final determination, within 120 days after the date of receipt of a request by an individual enrolled under this part for a fair hearing under paragraph (3)(C), in 90 percent of such cases.”. (d) GAO Study.— The Comptroller General shall conduct a study concerning the cost effectiveness of requiring hearings with a carrier under part B of title XVIII of the Social Security Act before having a hearing before an administrative law judge respecting carrier determinations under that part. The Comptroller General shall report to the Congress on the results of such study by not later than June 30, 1989. (e) Effective Dates.— (1) The amendment made by subsection (a) shall take effect on the date of the enactment of this Act. 101 STAT. 1330–129 (2) The amendment made by subsection (b) shall apply to requests for hearings filed after the end of the 60-day period beginning on the date of the enactment of this Act. (3) The amendments made by subsection (c) shall apply to evaluation of performance of carriers under contracts entered into or renewed on or after October 1, 1988.
Pub. L. 100-203, tit. IV, pt. 3, subpt. D, sec. 4082: REVISION OF PART B HEARINGS. | Justis AI