Pub. L. 111-148, tit. X, subtit. D, sec. 10406
AMENDMENT RELATING TO WAIVING COINSURANCE FOR PREVENTIVE SERVICES.
SEC. 10406. AMENDMENT RELATING TO WAIVING COINSURANCE FOR PREVENTIVE SERVICES. Section 4104(b) of this Act is amended to read as follows:“(b) Payment and Elimination of Coinsurance in All Settings.—Section 1833(a)(1) of the Social Security Act (42 U.S.C. 1395l(a)(1)), as amended by section 4103(c)(1), is amended—“(1) in subparagraph (T), by inserting ‘(or 100 percent if such services are recommended with a grade of A or B by the United States Preventive Services Task Force for any indication or population and are appropriate for the individual)’ after ‘80 percent’;“(2) in subparagraph (W)—124 STAT. 976“(A) in clause (i), by inserting ‘(if such subparagraph were applied, by substituting “100 percent” for “80 percent”)’ after ‘subparagraph (D)’; and“(B) in clause (ii), by striking ‘80 percent’ and inserting ‘100 percent’;“(3) by striking ‘and’ before ‘(X)’; and“(4) by inserting before the semicolon at the end the following: ‘, and (Y) with respect to preventive services described in subparagraphs (A) and (B) of section 1861(ddd)(3) that are appropriate for the individual and, in the case of such services described in subparagraph (A), are recommended with a grade of A or B by the United States Preventive Services Task Force for any indication or population, the amount paid shall be 100 percent of (i) except as provided in clause (ii), the lesser of the actual charge for the services or the amount determined under the fee schedule that applies to such services under this part, and (ii) in the case of such services that are covered OPD services (as defined in subsection (t)(1)(B)), the amount determined under subsection (t)’.”.