ADJUSTMENTS FOR INHERENT REASONABLENESS.

SEC. 134. ADJUSTMENTS FOR INHERENT REASONABLENESS. (a) Adjustments Made to Final Payment Amounts.— (1) In general.— Section 1834(a)(10)(B) (42 U.S.C. 1395m(a)(10)(B)) is amended by adding at the end the following: “In applying such provisions to payments for an item under this subsection, the Secretary shall make adjustments to the payment basis for the item described in paragraph (1)(B) if the Secretary determines (in accordance with such provisions and on the basis of prices and costs applicable at the time the item is furnished) that such payment basis is not inherently reasonable.”. (2) Effective date.— The amendment made by paragraph (1) shall take effect on the date of the enactment of this Act (b) Adjustment Required tor Certain Items.— (1) In general.— In accordance with section 1834(a)(10)(B) of the Social Security Act (as amended by subsection (a)), the Secretary of Health and Human Services shall determine whether the payment amounts for the items described in paragraph (2) are not inherently reasonable, and shall adjust such amounts in accordance with such section if the amounts are not inherently reasonable. (2) Items described.— The items referred to in paragraph (1) are decubitus care equipment, transcutaneous electrical nerve stimulators, and any other items considered appropriate by the Secretary.