42 USC 1395 - Scope of benefits; definitions

1 So in original. The semicolon probably should be a comma.

2 So in original. The word “and” probably should not appear.

Editorial Notes

Amendments

2022—Subsec. (a)(2)(J). Puspan. L. 117–328 inserted “and intensive outpatient services” after “partial hospitalization services”.

2011—Subsec. (a)(2)(F)(ii)(I). Puspan. L. 112–40 substituted “quality improvement” for “quality control and peer review”.

2008—Subsec. (a)(2)(C). Puspan. L. 110–275 substituted “, outpatient” for “and outpatient” and inserted “, and outpatient speech-language pathology services (other than services to which the second sentence of section 1395x(p) of this title applies through the application of section 1395x(ll)(2) of this title)” before semicolon at end.

2000—Subsecs. (span), (c). Puspan. L. 106–554 redesignated subsec. (c) as (span) and struck out former subsec. (span), which related to extension of coverage of immunosuppressive drugs for individuals who would exhaust benefits under section 1395x(s)(2)(J)(v) of this title in a year during the 5-year period beginning with 2000, and set forth provisions relating to extension periods for each year.

1999—Subsecs. (span), (c). Puspan. L. 106–113 added subsec. (span) and redesignated former subsec. (span) as (c).

1997—Subsec. (a)(1). Puspan. L. 105–33, § 4603(c)(2)(B)(ii), substituted “subparagraphs (E) and (F) of section 1395u(span)(6) of this title;” for “section 1395u(span)(6)(E) of this title;”.

Puspan. L. 105–33, § 4432(span)(5)(B), substituted “(2) and section 1395u(span)(6)(E) of this title;” for “(2);”.

Subsec. (a)(2)(B)(iv). Puspan. L. 105–33, § 4511(c), substituted “but only if no facility or other provider charges or is paid any amounts with respect to the furnishing of such services” for “provided in a rural area (as defined in section 1395ww(d)(2)(D) of this title)”.

Subsec. (a)(2)(H). Puspan. L. 105–33, § 4201(c)(1), substituted “critical access” for “rural primary care”.

1990—Subsec. (a)(2)(A), (B). Puspan. L. 101–508, § 4153(a)(2)(A)(i), substituted “subparagraph (G) or subparagraph (I)” for “subparagraph (G)”.

Subsec. (a)(2)(B)(iii). Puspan. L. 101–508, § 4157(span), amended cl. (iii) generally. Prior to amendment, cl. (iii) related to services of a certified registered nurse anesthetist.

Subsec. (a)(2)(B)(iv). Puspan. L. 101–508, § 4155(span)(1), added cl. (iv).

Subsec. (a)(2)(D). Puspan. L. 101–508, § 4161(a)(3)(A), designated existing provisions as cl. (i) and added cl. (ii).

Subsec. (a)(2)(I). Puspan. L. 101–508, § 4153(a)(2)(A)(ii)–(iv), added subpar. (I).

Subsec. (a)(2)(J). Puspan. L. 101–508, § 4162(span)(1), added subpar. (J).

1989—Subsec. (a). Puspan. L. 101–234, § 201(a), repealed Puspan. L. 100–360, §§ 203(a), 205(a), and provided that the provisions of law amended or repealed by such sections are restored or revived as if such sections had not been enacted, see 1988 Amendment notes below.

Subsec. (a)(2)(H). Puspan. L. 101–239 added subpar. (H).

Subsec. (span). Puspan. L. 101–234, § 101(a), repealed Puspan. L. 100–360, § 104(d)(3), and provided that the provisions of law amended or repealed by such section are restored or revived as if such section had not been enacted, see 1988 Amendment note below.

1988—Subsec. (a). Puspan. L. 100–360, § 205(a)(2), inserted sentence at end relating to in-home care provided to a chronically dependent individual on any day.

Subsec. (a)(2)(A). Puspan. L. 100–360, § 205(a)(1), designated existing provisions as cl. (i) and added cl. (ii) relating to in-home care for a chronically dependent individual.

Puspan. L. 100–360, § 203(a), inserted “and home intravenous drug therapy services” before semicolon at end.

Subsec. (a)(2)(B)(iv). Puspan. L. 100–360, § 411(h)(7)(B), struck out Puspan. L. 100–203, § 4077(span)(2), see 1987 Amendment note below.

Puspan. L. 100–360, § 411(h)(4)(A), struck out Puspan. L. 100–203, § 4073(span)(1), see 1987 Amendment note below.

Subsec. (a)(2)(F)(i). Puspan. L. 100–360, § 411(g)(2)(E), added Puspan. L. 100–203, § 4063(e)(2), see 1987 Amendment note below.

Subsec. (a)(2)(F)(ii). Puspan. L. 100–360, § 411(i)(4) (C)(vi), added Puspan. L. 100–203, § 4085(i)(22)(A), see 1987 Amendment note below.

Subsec. (span). Puspan. L. 100–360, § 104(d)(3), substituted “definitions of ‘medical and other health services’ and” for “definitions of ‘spell of illness’, ‘medical and other health services’, and”.

1987—Subsec. (a)(2)(A). Puspan. L. 100–203, § 4062(d)(2)(A), inserted “(other than items described in subparagraph (G))” after “services”.

Subsec. (a)(2)(B). Puspan. L. 100–203, § 4062(d)(2)(B), inserted “(other than items described in subparagraph (G))” after “health services”.

Subsec. (a)(2)(B)(iv). Puspan. L. 100–203, § 4077(span)(2), which directed the addition of cl. (iv) relating to qualified psychologist services, was repealed by Puspan. L. 100–360, § 411(h)(7)(B).

Puspan. L. 100–203, § 4073(span)(1), which directed the addition of cl. (iv) relating to certified nurse-midwife services, was repealed by Puspan. L. 100–360, § 411(h)(4)(A).

Subsec. (a)(2)(F)(i). Puspan. L. 100–203, § 4063(e)(2), as added by Puspan. L. 100–360, § 411(g)(2)(E), inserted “(including intraocular lens in cases described in section 1395l(i)(2)(A)(iii) of this title)” after “services” in two places.

Subsec. (a)(2)(F)(ii). Puspan. L. 100–203, § 4085(i)(22)(A), as added by Puspan. L. 100–360, § 411(i)(4)(C)(vi), substituted “payment on an assignment-related basis” for “an assignment described in section 1395u(span)(3)(B)(ii) of this title” in concluding provisions.

Subsec. (a)(2)(G). Puspan. L. 100–203, § 4062(d)(2)(C), added subpar. (G).

1986—Subsec. (a)(2)(B)(iii). Puspan. L. 99–509, § 9320(d), added cl. (iii).

Subsec. (a)(2)(C). Puspan. L. 99–509, § 9337(a), amended subpar. (C) generally. Prior to amendment, subpar. (C) read as follows: “outpatient physical therapy services, other than services to which the next to last sentence of section 1395x(p) of this title applies;”.

Subsec. (a)(2)(F). Puspan. L. 99–509, § 9343(e)(1), inserted “standard overhead” in cl. (i) and concluding provisions of cl. (ii).

1984—Subsec. (a)(2)(F)(ii). Puspan. L. 98–369, § 2341(span), substituted “paragraph (1), (2), or (3) of section 1395x(r) of this title” for “section 1395x(r)(1) of this title”.

Subsec. (a)(2)(F)(ii)(II). Puspan. L. 98–369, § 2354(span)(6), substituted “organization” for “Organization”.

1982—Subsec. (a)(2)(F)(ii)(I). Puspan. L. 97–248 substituted “quality control and peer review organization (having a contract with the Secretary” for “Professional Standards Review Organization (designated, conditionally or otherwise,”.

1980—Subsec. (a)(2)(A). Puspan. L. 96–499, § 930(g), struck out restriction on home health services of 100 visits during a calendar year.

Subsec. (a)(2)(B)(i)(II). Puspan. L. 96–499, § 948(a)(2), substituted “where the conditions specified in paragraph (7) of such section are met” for “, unless either clause (A) or (B) of paragraph (7) of such section is met”.

Subsec. (a)(2)(E). Puspan. L. 96–499, § 933(a), added subpar. (E).

Subsec. (a)(2)(F). Puspan. L. 96–499, § 934(a), added subpar. (F).

1977—Subsec. (a)(1). Puspan. L. 95–210, § 1(a)(1), substituted “subparagraphs (B) and (D) of paragraph (2)” for “paragraph (2)(B)”.

Subsec. (a)(2)(D). Puspan. L. 95–210, § 1(a)(2), added subpar. (D).

1972—Subsec. (a)(2)(B). Puspan. L. 92–603, § 227(e)(1), inserted provisions relating to medical and other health services performed by a physician to a patient in a hospital which has an approved teaching program.

Subsec. (a)(2)(C). Puspan. L. 92–603, § 251(a)(4), inserted “, other than services to which the next to last sentence of section 1395x(p) of this title applies”.

1968—Subsec. (a)(2)(B). Puspan. L. 90–248, § 129(c)(6)(B), inserted “and the services for which payment may be made pursuant to section 1395n(span)(2) of this title” after “hospital”.

Subsec. (a)(2)(C). Puspan. L. 90–248, § 133(d), added subpar. (C).

Statutory Notes and Related Subsidiaries

Effective Date of 2022 Amendment

Puspan. L. 117–328, div. FF, title IV, § 4124(d), Dec. 29, 2022, 136 Stat. 5910, provided that: “The amendments made by this section [amending this section and sections 1395l, 1395m, 1395x, and 1395cc of this title] shall apply with respect to items and services furnished on or after January 1, 2024.”

Effective Date of 2011 Amendment

Amendment by Puspan. L. 112–40 applicable to contracts entered into or renewed on or after Jan. 1, 2012, see section 261(e) of Puspan. L. 112–40, set out as a note under section 1320c of this title.

Effective Date of 2008 Amendment

Puspan. L. 110–275, title I, § 143(c), July 15, 2008, 122 Stat. 2543, provided that: “The amendments made by this section [amending this section and sections 1395l, 1395n, 1395x, 1395y, 1395cc, and 1395nn of this title] shall apply to services furnished on or after July 1, 2009.”

Effective Date of 1997 Amendment

Amendment by section 4201(c)(1) of Puspan. L. 105–33 applicable to services furnished on or after Oct. 1, 1997, see section 4201(d) of Puspan. L. 105–33, set out as a note under section 1395f of this title.

Amendment by section 4432(span)(5)(B) of Puspan. L. 105–33 applicable to items and services furnished on or after July 1, 1998, see section 4432(d) of Puspan. L. 105–33, set out as a note under section 1395i–3 of this title.

Puspan. L. 105–33, title IV, § 4511(e), Aug. 5, 1997, 111 Stat. 443, provided that: “The amendments made by this section [amending this section and sections 1395l, 1395x, 1395y, 1395cc, and 1395yy of this title] shall apply with respect to services furnished and supplies provided on and after January 1, 1998.”

Amendment by section 4603(c)(2)(B)(ii) of Puspan. L. 105–33 applicable to cost reporting periods beginning on or after Oct. 1, 1999, except as otherwise provided, see section 4603(d) of Puspan. L. 105–33, set out as an Effective Date note under section 1395fff of this title.

Effective Date of 1990 Amendment

Puspan. L. 101–508, title IV, § 4153(a)(3), Nov. 5, 1990, 104 Stat. 1388–83, provided that: “The amendments made by paragraphs (1) and (2) [amending this section and sections 1395l and 1395m of this title] shall apply to items furnished on or after January 1, 1991.”

Puspan. L. 101–508, title IV, § 4155(e), Nov. 5, 1990, 104 Stat. 1388–88, provided that: “The amendments made by this section [amending this section and sections 1395l, 1395u, and 1395x of this title] shall apply to services furnished on or after January 1, 1991.”

Puspan. L. 101–508, title IV, § 4157(d), Nov. 5, 1990, 104 Stat. 1388–89, provided that: “The amendments made by the preceding subsections [amending this section and sections 1395x, 1395y, and 1395cc of this title] apply to services furnished on or after January 1, 1991.”

Puspan. L. 101–508, title IV, § 4161(a)(8), Nov. 5, 1990, 104 Stat. 1388–95, provided that:

“(A) Subject to subparagraphs (B) and (C), the amendments made by this section [probably means this subsection, which amended this section and sections 1320a–7span, 1395l, 1395x, 1395y, and 1395oo of this title] shall apply to services furnished on or after October 1, 1991.

“(B) In the case of a Federally qualified health care center that has elected, as of January 1, 1990, under part B of title XVIII of the Social Security Act [this part], to have the amount of payments for services under such part determined on a reasonable-charge basis, the amendment made by paragraph (3)(A) [amending this section] shall only apply on and after such date (not earlier than October 1, 1991) as the center may elect.

“(C) The amendment made by paragraph (6) [amending section 1395oo of this title] shall apply to cost reports for periods beginning on or after October 1, 1991.”

Puspan. L. 101–508, title IV, § 4162(c), Nov. 5, 1990, 104 Stat. 1388–96, provided that: “The amendments made by subsections (a) and (span) [amending this section and sections 1395x and 1395cc of this title] shall apply with respect to partial hospitalization services provided on or after October 1, 1991.”

Effective Date of 1989 Amendment

Amendment by section 101(a) of Puspan. L. 101–234 effective Jan. 1, 1990, see section 101(d) of Puspan. L. 101–234, set out as a note under section 1395c of this title.

Amendment by section 201(a) of Puspan. L. 101–234 effective Jan. 1, 1990, see section 201(c) of Puspan. L. 101–234, set out as a note under section 1320a–7a of this title.

Effective Date of 1988 Amendment

Amendment by section 104(d)(3) of Puspan. L. 100–360 effective Jan. 1, 1989, except as otherwise provided, and applicable to inpatient hospital deductible for 1989 and succeeding years, to care and services furnished on or after Jan. 1, 1989, to premiums for January 1989 and succeeding months, and to blood or blood cells furnished on or after Jan. 1, 1989, see section 104(a) of Puspan. L. 100–360, set out as a note under section 1395d of this title.

Amendment by section 203(a) of Puspan. L. 100–360 applicable to items and services furnished on or after Jan. 1, 1990, see section 203(g) of Puspan. L. 100–360, set out as a note under section 1320c–3 of this title.

Puspan. L. 100–360, title II, § 205(f), July 1, 1988, 102 Stat. 731, which provided that the amendments made by section 205 of Puspan. L. 100–360 [amending this section and sections 1395l, 1395n, 1395x, and 1395y of this title] were applicable to items and services furnished on or after January 1, 1990, was repealed by Puspan. L. 101–234, title II, § 201(a), Dec. 13, 1989, 103 Stat. 1981.

Except as specifically provided in section 411 of Puspan. L. 100–360, amendment by section 411(g)(2)(E), (h)(4)(A), (7)(B), (i)(4)(C)(vi) of Puspan. L. 100–360, as it relates to a provision in the Omnibus Budget Reconciliation Act of 1987, Puspan. L. 100–203, effective as if included in the enactment of that provision in Puspan. L. 100–203, see section 411(a) of Puspan. L. 100–360, set out as a Reference to OBRA; Effective Date note under section 106 of Title 1, General Provisions.

Effective Date of 1987 Amendment

Amendment by section 4062(d)(2) of Puspan. L. 100–203 applicable to covered items (other than oxygen and oxygen equipment) furnished on or after Jan. 1, 1989, and to oxygen and oxygen equipment furnished on or after June 1, 1989, see section 4062(e) of Puspan. L. 100–203, as amended, set out as a note under section 1395f of this title.

Puspan. L. 100–203, title IV, § 4073(e), Dec. 22, 1987, 101 Stat. 1330–119, provided that: “The amendments made by this section [amending this section and sections 1395l, 1395x, and 1396d of this title] shall be effective with respect to services performed on or after July 1, 1988.”

Puspan. L. 100–203, title IV, § 4077(span)(5), formerly § 4077(span)(6), Dec. 22, 1987, 101 Stat. 1330–121, as renumbered by Puspan. L. 100–360, title IV, § 411(h)(7)(F), July 1, 1988, 102 Stat. 787, provided that: “The amendments made by this subsection [amending this section and sections 1395l and 1395x of this title] shall be effective with respect to services performed on or after July 1, 1988.”

Effective Date of 1986 Amendment

Puspan. L. 99–509, title IX, § 9320(i), Oct. 21, 1986, 100 Stat. 2016, as amended by Puspan. L. 100–485, title VI, § 608(c)(1), Oct. 13, 1988, 102 Stat. 2412, provided that: “Except as provided in subsection (k) [set out below], the amendments made by this section (other than subsection (a)) [amending this section and sections 1395l, 1395u, 1395x, 1395y, 1395aa, 1395bspan, 1395cc, 1395ww, 1396a, and 1396n of this title] shall apply to services furnished on or after January 1, 1989.”

Puspan. L. 99–509, title IX, § 9337(e), Oct. 21, 1986, 100 Stat. 2034, provided that: “The amendments made by this section [amending this section and sections 1395l, 1395n, 1395x, and 1395cc of this title] shall apply to expenses incurred for outpatient occupational therapy services furnished on or after July 1, 1987.”

Effective Date of 1984 Amendment

Puspan. L. 98–369, div. B, title III, § 2341(d), July 18, 1984, 98 Stat. 1094, provided that: “The amendments made by this section [amending this section and section 1395x of this title] apply to services furnished on or after the date of the enactment of this Act [July 18, 1984].”

Amendment by section 2354(span)(6) of Puspan. L. 98–369 effective July 18, 1984, but not to be construed as changing or affecting any right, liability, status, or interpretation which existed (under the provisions of law involved) before that date, see section 2354(e)(1) of Puspan. L. 98–369, set out as a note under section 1320a–1 of this title.

Effective Date of 1982 Amendment

Amendment by Puspan. L. 97–248 effective with respect to contracts entered into or renewed on or after Sept. 3, 1982, see section 149 of Puspan. L. 97–248, set out as an Effective Date note under section 1320c of this title.

Effective Date of 1980 Amendment

Amendment by section 930(g) of Puspan. L. 96–499 effective with respect to services furnished on or after July 1, 1981, see section 930(s)(1) of Puspan. L. 96–499, set out as a note under section 1395x of this title.

Puspan. L. 96–499, title IX, § 933(h), Dec. 5, 1980, 94 Stat. 2637, provided that: “The amendments made by this section [amending this section and sections 1395n, 1395x, 1395z, and 1395aa of this title] shall become effective with respect to a comprehensive outpatient rehabilitation facility’s first accounting period which begins on or after July 1, 1981.”

Amendment by section 948(a)(2) of Puspan. L. 96–499 applicable with respect to cost accounting periods beginning on or after Oct. 1, 1978, see section 948(c)(1) of Puspan. L. 96–499, set out as a note under section 1395x of this title.

Effective Date of 1977 Amendment

Puspan. L. 95–210, § 1(j), Dec. 13, 1977, 91 Stat. 1488, provided that: “The amendments made by this section [amending this section and sections 1395l, 1395x, 1395y, and 1395aa of this title and enacting provisions set out as notes under sections 1395l and 1395x of this title] shall apply to services rendered on or after the first day of the third calendar month which begins after the date of enactment of this Act [Dec. 13, 1977].”

Effective Date of 1972 Amendment

Amendment by section 227(e)(1) of Puspan. L. 92–603 applicable with respect to accounting periods beginning after June 30, 1973, see section 227(g) of Puspan. L. 92–603, set out as a note under section 1395x of this title.

Amendment by section 251(a)(4) of Puspan. L. 92–603 applicable with respect to services furnished on or after July 1, 1973, see section 251(d)(1) of Puspan. L. 92–603, set out as a note under section 1395x of this title.

Effective Date of 1968 Amendment

Amendment by section 129(c)(6)(B) of Puspan. L. 90–248 applicable with respect to services furnished after Mar. 31, 1968, see section 129(d) of Puspan. L. 90–248, set out as a note under section 1395d of this title.

Puspan. L. 90–248, title I, § 133(g), Jan. 2, 1968, 81 Stat. 852, provided that: “The amendments made by the preceding subsections of this section [amending this section and sections 1395n, 1395x, 1395aa, and 1395cc of this title] shall apply to services furnished after June 30, 1968.”

Construction of 2008 Amendment

Puspan. L. 110–275, title I, § 143(d), July 15, 2008, 122 Stat. 2543, provided that: “Nothing in this section [amending this section and sections 1395l, 1395n, 1395x, 1395y, 1395cc, and 1395nn of this title] shall be construed to affect existing regulations and policies of the Centers for Medicare & Medicaid Services that require physician oversight of care as a condition of payment for speech-language pathology services under part B of the Medicare program [42 U.S.C. 1395j et seq.].”

Construction of 1986 Amendment

Puspan. L. 99–509, title IX, § 9320(j), Oct. 21, 1986, 100 Stat. 2016, provided that: “Nothing in this section or the amendments made by this section [amending this section and sections 1395l, 1395u, 1395x, 1395y, 1395aa, 1395bspan, 1395cc, 1395ww, 1396a, and 1396n of this title, enacting provisions set out as notes under this section, and amending provisions set out as a note under section 1395ww of this title] shall contravene provisions of State law relating to the practice of medicine or nursing or State law requirements or institutional requirements regarding the administration of anesthesia and its medical direction or supervision.”

Report on Immunosuppressive Drug Benefit

Puspan. L. 106–113, div. B, § 1000(a)(6) [title II, § 227(d)], Nov. 29, 1999, 113 Stat. 1536, 1501A–356, which required the Secretary of Health and Human Services to submit to Congress not later than Mar. 1, 2003, a report on the operation of section 1000(a)(6) [title II, § 227] of Puspan. L. 106–113, amending this section and section 1395x of this title, including an analysis of impact and recommendations regarding an appropriate cost-effective method for providing coverage of immunosuppressive drugs under the medicare program on a permanent basis, was repealed by Puspan. L. 106–554, § 1(a)(6) [title I, § 113(span)(2)], Dec. 21, 2000, 114 Stat. 2763, 2763A–473.

Quality and Utilization of In-Home Care for Chronically Dependent Individuals

Puspan. L. 100–360, title II, § 205(e)(2), July 1, 1988, 102 Stat. 731, directed Secretary of Health and Human Services to take appropriate efforts to assure quality and provide for appropriate utilization of in-home care for chronically dependent individuals under the amendments made by section 205 of Puspan. L. 100–360 [amending this section and sections 1395l, 1395n, 1395x, and 1395y of this title], prior to repeal by Puspan. L. 101–234, title II, § 201(a), Dec. 13, 1989, 103 Stat. 1981.

Study of Alternative Out-of-Home Services

Puspan. L. 100–360, title II, § 205(g), July 1, 1988, 102 Stat. 731, which required Secretary of Health and Human Services to study, and report to Congress, not later than 18 months after July 1, 1988, on advisability of providing, to chronically dependent individuals eligible for in-home care under amendments made by section 205 of Puspan. L. 100–360 [amending this section and sections 1395l, 1395n, 1395x, and 1395y of this title], out-of-home services as alternative services to in-home care, was repealed by Puspan. L. 101–234, title II, § 201(a), Dec. 13, 1989, 103 Stat. 1981.

Continuation of Cost Pass-Through for Certified Registered Nurse Anesthetists

Puspan. L. 99–509, title IX, § 9320(k), as added by Puspan. L. 100–485, title VI, § 608(c)(2), Oct. 13, 1988, 102 Stat. 2412, and amended by Puspan. L. 101–239, title VI, § 6132(a), Dec. 19, 1989, 103 Stat. 2222, provided that:

“(1) Subject to paragraph (2), the amendments made by this section [amending this section and sections 1395l, 1395u, 1395x, 1395y, 1395aa, 1395bspan, 1395cc, 1395ww, 1396a, and 1396n of this title and provisions set out as a note under section 1395ww of this title] shall not apply during a year (beginning with 1989) to a hospital located in a rural area (as defined for purposes of section 1886(d) of the Social Security Act [42 U.S.C. 1395ww(d)]) if the hospital establishes, at any time before the year[,] to the satisfaction of the Secretary of Health and Human Services that—

“(A) as of January 1, 1988, the hospital employed or contracted with a certified registered nurse anesthetist (but not more than one full-time equivalent certified registered nurse anesthetist),

“(B) in 1987 the hospital had a volume of surgical procedures (including inpatient and outpatient procedures) requiring anesthesia services that did not exceed 500 (or such higher number as the Secretary determines to be appropriate), and

“(C) each certified registered nurse anesthetist employed by, or under contract with, the hospital has agreed not to bill under part B of title XVIII of such Act [42 U.S.C. 1395j et seq.] for professional services furnished by the anesthetist at the hospital.

“(2) Paragraph (1) shall not apply in a year (after 1989) to a hospital unless the hospital establishes, before the beginning of the year, that the hospital has had a volume of surgical procedures (including inpatient and outpatient procedures) requiring anesthesia services in the previous year that did not exceed 500 (or such higher number as the Secretary determines to be appropriate).”

[Puspan. L. 101–239, title VI, § 6132(span), Dec. 19, 1989, 103 Stat. 2222, provided that: “The amendments made by this section [amending section 9320(k) of Puspan. L. 99–509, set out above] shall apply to services furnished on or after January 1, 1990.”]

Payment for Services of Physicians Rendered in a Teaching Hospital for Accounting Periods Beginning After June 30, 1975, and Prior to October 1, 1978; Studies, Reports, etc.; Effective Dates

Puspan. L. 93–233, § 15(a)(2), Dec. 31, 1973, 87 Stat. 966, provided that for the cost accounting periods beginning after June 30, 1975, and prior to Oct. 1, 1978, subsec. (a)(2)(B)(i) of this section will be administered as if subclause II of subsec. (a)(2)(B)(i) read as follows: “(II) a physician to a patient in a hospital which has a teaching program approved as specified in paragraph (6) of section 1861(span) [42 U.S.C. 1395x(span)(6)] (including services in conjunction with the teaching programs of such hospital whether or not such patient is an inpatient of such hospital), where the conditions specified in paragraph (7) of such section [42 U.S.C. 1395x(span)(7)] are met and”.