SEPARATE PAYMENT UNDER PART B FOR SERVICES OF CERTAIN HEALTH PRACTITIONERS.

SEC. 4157. SEPARATE PAYMENT UNDER PART B FOR SERVICES OF CERTAIN HEALTH PRACTITIONERS. (a) Services of Certain Health Practitioners Not To Be Included in Inpatient Hospital Services.— Section 1861(b) (42 U.S.C. 1395x(b)) is amended— (1) in paragraph (3), by striking “(including clinical psychologist (as defined by the Secretary))”, and 104 STAT. 1388–89 (2) in paragraph (4), by striking everything after “intern” and inserting “, services described by subsection (s)(2)(K)(i), certified nurse-midwife services, qualified psychologist services, and services of a certified registered nurse anesthetist; and”. (b) Treatment of Services Furnished in Inpatient Setting.—Section 1832(a)(2)(B)(iii) (42 U.S.C. 1395k(a)(2)(B)(iii)) is amended to read as follows: “(iii) services described by section 1861(s)(2)(K)(i), certified nurse-midwife services, qualified psychologist services, and services of a certified registered nurse anesthetist;”. (c) Conforming Amendments.— (1) Section 1862(a)(14) (42 U.S.C. 1395y) is amended— (A) by striking “or are services of a certified registered nurse anesthetist”, and (B) by inserting after “this paragraph)” a comma and the following: “services described by section 1861(s)(2)(K)(i), certified nurse-midwife services, qualified psychologist services, and services of a certified registered nurse anesthetist,”. (2) The matter in section 1866(a)(1)(H) (42 U.S.C. 1395x(a)(l)(H)) preceding clause (i) is amended by inserting after “and other than” the following: “services described by section 1861(s)(2)(K)(i), certified nurse-midwife services, qualified psychologist services, and”. (d) Effective Date.—The amendments made by the preceding subsections apply to services furnished on or after January 1, 1991.