MISCELLANEOUS AND TECHNICAL CORRECTIONS.

SEC. 126. MISCELLANEOUS AND TECHNICAL CORRECTIONS. (a) Overvalued Procedures.— (1) Section 1842(b)(16)(B)(iii) (42 U.S.C. 1395u(b)(16)(B)(iii)) is amended— (A) by striking “, simple and subcutaneous”, (B) by striking “; small” and inserting “and small”, (C) by striking “treatments;” the first place it appears and inserting “and”, (D) by striking “lobectomy;”, (E) by striking “enterectomy; colectomy; cholecystectomy;”, (F) by striking “; transurerethral resection” and inserting “and resection”, and (G) by striking “sacral laminectomy;”. (2) Section 4101(b)(2) of OBRA-1990 is amended— (A) in the matter before subparagraph (A), by striking “1842(b)(16)” and inserting “1842(b)(16)(B)”, and (B) in subparagraph (B)— (i) by striking “, simple and subcutaneous”, (ii) by striking “(HCPCS codes 19160 and 19162)” and inserting “(HCPCS code 19160)”, and (iii) by striking all that follows “(HCPCS codes 92250” and inserting “and 92260).”. (b) Radiology Services.— (1) Section 1834(b)(4) (42 U.S.C. 1395m(b)(4)) is amended by redesignating the subparagraphs (E) and (F) redesignated by section 4102(a)(1) of OBRA-1990 as subparagraphs (F) and (G), respectively. (2) Section 1834(b)(4)(D) (42 U.S.C. 1395m(b)(4)(D)) is amended— (A) in the matter before clause (i), by striking “shall be determined as follows:” and inserting “shall, subject to clause (vii), be reduced to the adjusted conversion factor for the locality determined as follows:”, (B) in clause (iv), by striking “Local adjustment.—Subject to clause (vii), the conversion factor to be applied to” and inserting “Adjusted conversion factor.—The adjusted conversion factor for”, (C) in clause (vii), by striking “under this subparagraph”, and (D) in clause (vii), by inserting “reduced under this subparagraph by” after “shall not be”. 108 STAT. 4415 (3) Section 4102(c)(2) of OBRA-1990 is amended by striking “radiology services” and all that follows and inserting “nuclear medicine services.”. (4) Section 4102(d) of OBRA-1990 is amended by striking “new paragraph” and inserting “new subparagraph”. (5) Section 1834(b)(4)(E) (42 U.S.C. 1395m(b)(4)(E)) is amended by inserting “Rule for certain scanning services.—” after “(E)”. (6) Section 1848(a)(2)(D)(iii) (42 U.S.C. 1395w–4(a)(2)(D)(iii)) is amended by striking “that are subject to section 6105(b) of the Omnibus Budget Reconciliation Act of 1989” and by striking “provided under such section” and inserting “provided under section 6105(b) of the Omnibus Budget Reconciliation Act of 1989”. (c) Anesthesia Services.— (1) Section 4103(a) of OBRA-1990 is amended by striking “Reduction in Fee Schedule” and inserting “Reduction in Prevailing Charges”. (2) Section 1842(q)(l)(B) (42 U.S.C. 1395u(q)(1)(B)) is amended— (A) in the matter before clause (i), by striking “shall be determined as follows:” and inserting “shall, subject to clause (iv), be reduced to the adjusted prevailing charge conversion factor for the locality determined as follows:”, and (B) in clause (iii), by striking “Subject to clause (iv), the prevailing charge conversion factor to be applied in” and inserting “The adjusted prevailing charge conversion factor for”. (d) Assistants at Surgery.— (1) Section 4107(c) of OBRA-1990 is amended by inserting “(a)(1)” after “subsection”. (2) Section 4107(a)(2) of OBRA-1990 is amended by adding at the end the following: “In applying section 1848(g)(2)(D) of the Social Security Act for services of an assistant-at-surgery furnished during 1991, the recognized payment amount shall not exceed the maximum amount specified under section 1848(i)(2)(A) of such Act (as applied under this paragraph in such year).”. (e) Technical Components of Diagnostic Services.— Section 1842(b) (42 U.S.C. 1395u(b)) is amended by redesignating paragraph (18), as added by section 4108(a) of OBRA-1990, as paragraph (17) and, in such paragraph, by inserting “, tests specified in paragraph (14)(C)(i),” after “diagnostic laboratory tests”. (f) Statewide Fee Schedules.— Section 4117 of OBRA-1990 is amended— (1) in subsection (a)— (A) by striking “(a) In General.—”, and (B) by striking “, if the” and all that follows through “1991,”; and (2) by striking subsections (b), (c), and (d). (g) Other Miscellaneous and Technical Amendments.— (1) The heading of section 1834(f) (42 U.S.C. 1395m(f)) is amended by striking “Fiscal Year”. (2) (A) Section 4105(b) of OBRA-1990 is amended— (i) in paragraph (2), by striking “amendments” and inserting “amendment”, and (ii) in paragraph (3), by striking “amendments made by paragraphs (1) and (2)” and inserting “amendment made by paragraph (1)”. (B) Section 1848(f)(2)(C) (42 U.S.C. 1395w–4(f)(2)(C)) is amended by inserting “Performance standard rates of increase for fiscal year 1991.—” after “(C)”. 108 STAT. 4416 (C) Section 4105(d) of OBRA-1990 is amended by inserting “Publication of Performance Standard Rates.—” after “(d)”. (3) Section 4106(c) of OBRA-1990 is amended by inserting “of the Social Security Act” after “1848(d)(l)(B)”. (4) Section 4114 of OBRA-1990 is amended by striking “patients” the second place it appears. (5) Section 1848(e)(1)(C) (42 U.S.C. 1395w–4(e)(1)(C)) is amended by inserting “date of the” after “since the”. (6) Section 4118(f)(l)(D) of OBRA-1990 is amended by striking “is amended”. (7) Section 4118(f)(1)(N)(ii) of OBRA-1990 is amended by striking “subsection (f)(5)(A)” and inserting “subsection (f)(5)(A))”. (8) Section 1845(e) (42 U.S.C. 1395w–l(e)) is amended— (A) by striking paragraph (2); and (B) by redesignating paragraphs (3), (4), and (5) as paragraphs (2), (3), and (4). (9) Section 4118(j)(2) of OBRA-1990 is amended by striking “In section” and inserting “Section”. (10) (A) Section 1848(i)(3) (42 U.S.C. 1395w–4(i)(3)) is amended by striking the space before the period at the end. (B) Section 1834(a)(10)(B) (42 U.S.C. 1395m(a)(10)(B)) is amended— (i) by striking “apply to” and inserting “would otherwise apply to”, and (ii) by inserting before the period at the end “but for the application of section 1848(i)(3)”. (h) Other Corrections.— (1) Effective on the date of the enactment of this Act, section 6102(d)(4) of OBRA-1989 is amended by striking all that follows the first sentence. (2) Effective for payments for fiscal years beginning with fiscal year 1994, section 1842(c)(1) (42 U.S.C. 1395u(c)(1)) is amended— (A) in subparagraph (A), by striking “(A) Any contract” and inserting “Any contract”; and (B) by striking subparagraph (B). (i) Effective Date.— Except as provided in subsection (h), the amendments made by this section and the provisions of this section shall take effect as if included in the enactment of OBRA-1990.