A BILL
To amend title XIX of the Social Security Act to make
certain technical corrections relating to physicians’ services.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ‘‘Medicaid Certification
Act of 1995’’.
SEC. 2. TECHNICAL CORRECTIONS RELATING TO PHYSI-
CIANS’ SERVICES.
(a) IN GENERAL.—
(1) UNIQUE IDENTIFIERS.—Paragraph (59) of
section 1902(a) of the Social Security Act (42
U.S.C. 1396a(a)) is amended by striking ‘‘subsection
(v)’’ and inserting ‘‘subsection (x)’’.
(2) EXPENDITURES
FOR
PHYSICIANS’
SERV-
ICES.—Section 1903(i)(12) of the Social Security
Act (42 U.S.C. 1396b(i)(12)) is amended—
(A) by amending clause (i) of subpara-
graph (A) to read as follows:
‘‘(i) is certified in family practice or
pediatrics by the medical specialty board
recognized by the American Board of Med-
ical Specialties for family practice or pedi-
atrics or is certified in family practice or
pediatrics by the medical specialty board
recognized by the American Osteopathic
Association,’’;
(B) by amending clause (i) of subpara-
graph (B) to read as follows:
‘‘(i) is certified in family practice or
obstetrics by the medical specialty board
recognized by the American Board of Med-
ical Specialties for family practice or ob-
stetrics or is certified in family practice or
obstetrics by the medical specialty board
recognized by the American Osteopathic
Association,’’; and
(C) in subparagraphs (A) and (B)—
(i) by striking ‘‘or’’ at the end of
clause (v);
(ii) by redesignating clause (vi) as
clause (vii); and
(iii) by inserting after clause (v) the
following new clause:
‘‘(vi) delivers such services in the
emergency department of a hospital par-
ticipating in the State plan approved under
this title, or’’.
(b) EFFECTIVE DATE.—The amendments made by
subsection (a) shall be effective as if included in the enact-
ment of the Omnibus Budget Reconciliation Act of 1990.
SECTION 1. TECHNICAL CORRECTIONS RELATING TO PHY-
SICIANS’ SERVICES.
(a) CORRECTING REFERENCE TO UNIQUE IDENTIFIER
SYSTEM.—
(1) IN GENERAL.—Section 1902(a) of the Social
Security Act (42 U.S.C. 1396a(a)) is amended, in the
paragraph redesignated as paragraph (59) by section
13623(a)(6) of the Omnibus Budget Reconciliation
Act of 1993 and inserted by section 4752(c)(1)(C) of
the Omnibus Budget Reconciliation Act of 1990, by
striking ‘‘subsection (v)’’ and inserting ‘‘subsection
(x)’’.
(2) EFFECTIVE DATE.—The amendment made by
paragraph (1) shall be effective as if included in the
enactment of the amendments made by section
4752(c)(1) of the Omnibus Budget Reconciliation Act
of 1990.
(b) CORRECTION IN MINIMUM QUALIFICATIONS FOR
BILLING FOR PHYSICIANS’ SERVICES TO CHILDREN AND
PREGNANT WOMEN.—
(1) IN GENERAL.—Section 1903(i) of the Social
Security Act (42 U.S.C. 1396b(i)) is amended, in the
paragraph redesignated as paragraph (12) by section
13631(c)(3) of the Omnibus Budget Reconciliation
Act of 1993 and inserted by section 4752(a)(2)(B) of
the Omnibus Budget Reconciliation Act of 1990—
(A) in subparagraph (A)(i), by inserting
‘‘or is certified in family practice or pediatrics
by the medical specialty board recognized by the
American Osteopathic Association’’ before the
comma at the end;
(B) in subparagraph (B)(i), by inserting
‘‘or is certified in family practice or obstetrics by
the medical specialty board recognized by the
American Osteopathic Association’’ before the
comma at the end; and
(C) in each of subparagraphs (A) and
(B)—
(i) by striking ‘‘or’’ at the end of clause
(v),
(ii) in clause (vi), by inserting ‘‘(or
certified by the State in accordance with
policies of the Secretary)’’ after ‘‘Secretary’’,
(iii) by redesignating clause (vi) as
clause (vii), and
(iv) by inserting after clause (v) the
following new clause:
‘‘(vi) delivers such services in the emer-
gency department of a hospital participat-
ing in the State plan approved under this
title, or’’.
(2) EFFECTIVE DATE.—The amendments made
by paragraph (1) shall apply to physicians’ services
furnished on or after January 1, 1992.