REDUCTION IN DEFAULT UPDATE FOR CONVERSION FACTOR FOR 1994 AND 1995.

SEC. 13511. REDUCTION IN DEFAULT UPDATE FOR CONVERSION FACTOR FOR 1994 AND 1995. (a) In General.— Section 1848 (42 U.S.C. 1395w–4) is amended— (1) in subsection (d)(3)(A)— (A) in clause (i), by striking “clause (iii)” and inserting “clauses (iii) through (v)”, and (B) by adding at the end the following new clauses: “(iv) Adjustment in percentage increase for 1994.— In applying clause (i) for services furnished in 1994, the percentage increase in the appropriate update index shall be reduced by— “(I) 3.6 percentage points for services included in the category of surgical services (as defined for purposes of subsection (j)(1)), and “(II) 2.6 percentage points for other services, “(v) Adjustment in percentage increase for 1995.— In applying clause (i) for services furnished in 1995, the percentage increase in the appropriate update index shall be reduced by 2.7 percentage points. “(vi) Exception for category of primary care services.— Clauses (iv) and (v) shall not apply to serv-107 STAT. 581ices included in the category of primary care services (as defined for purposes of subsection (j)(1)).”; and (2) in subsection (i)(1), by striking “Secretary)” and inserting “Secretary and including anesthesia services), primary care services (as defined in section 1842(i)(4)),”. (b) Effective Dates.— The amendments made by this section shall apply to services furnished on or after January 1, 1994; except that amendment made by subsection (a)(2) shall not apply— (1) to volume performance standard rates of increase established under section 1848(f) of the Social Security Act for fiscal years before fiscal year 1994, and (2) to adjustment in updates in the conversion factors for physicians’ services under section 1848(d)(3)(B) of such Act for physicians’ services to be furnished in calendar years before