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compliance of home health agencies with requirements,
shall make available, upon request of any person, informa-
tion the Secretary or agency has on individuals who have
been convicted of felonies relating to the provision of home
health services.’’.
(b) EFFECTIVE DATE.—The amendment made by
subsection (a) shall take effect on the date of the enact-
ment of this Act.
SEC. 15745. REQUIRING RENAL DIALYSIS FACILITIES TO
MAKE SERVICES AVAILABLE ON A 24-HOUR
BASIS.
(a) IN GENERAL.—Section 1881(b)(1) (42 U.S.C.
1395rr(b)(1)) is amended by striking the period at the end
and inserting the following: ‘‘, together with a requirement
(in the case of a renal dialysis facility) that the facility
make institutional dialysis services and supplies available
on a 24-hour basis (either directly or through arrange-
ments with providers of services or other renal dialysis fa-
cilities that meet the requirements of such subparagraph)
and that the facility provide notice informing its patients
of the other providers of services or renal dialysis facilities
(if any) with whom the facility has made such arrange-
ments.’’.
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(b) EFFECTIVE DATE.—The amendment made by
subsection (a) shall apply to items and services furnished
on or after January 1, 1996.
Subtitle I—Clinical Laboratories
SEC. 15801. EXEMPTION OF PHYSICIAN OFFICE LABORA-
TORIES.
Section 353(d) of the Public Health Service Act (42
U.S.C. 263a(d)) is amended—
(1) by redesignating paragraphs (2), (3), and
(4) as paragraphs (3), (4), and (5) and by adding
after paragraph (1) the following:
‘‘(2) EXEMPTION OF PHYSICIAN OFFICE LAB-
ORATORIES.—
‘‘(A) IN GENERAL.—Except as provided in
subparagraph (B), a clinical laboratory in a
physician’s office (including an office of a group
of physicians) which is directed by a physician
and in which examinations and procedures are
either performed by a physician or by individ-
uals supervised by a physician solely as an ad-
junct to other services provided by the physi-
cian’s office is exempt from this section.
‘‘(B) EXCEPTION.—A clinical laboratory
described in subparagraph (A) is not exempt
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from this section when it performs a pap smear
(Papanicolaou Smear) analysis.
‘‘(C) DEFINITION.—For purposes of sub-
paragraph (A), the term ‘physician’ has the
same meaning as is prescribed for such term by
section 1861(r) of the Social Security Act (42
U.S.C. 1395x(r)).’’;
(2) in paragraph (3) (as so redesignated) by
striking ‘‘(3)’’ and inserting ‘‘(4)’’; and
(3) in paragraphs (4) and (5) (as so redesig-
nated) by striking ‘‘(2)’’ and inserting ‘‘(3)’’.
Subtitle 
J—Lock-Box 
Provisions
for Medicare Part B Savings
from Growth Reductions
SEC. 15901. ESTABLISHMENT OF MEDICARE GROWTH RE-
DUCTION TRUST FUND FOR PART B SAVINGS.
Part B of title XVIII is amended by inserting after
section 1841 the following new section:
‘‘MEDICARE GROWTH REDUCTION TRUST FUND
‘‘SEC. 1841A. (a)(1) There is hereby created on the
books of the Treasury of the United States a trust fund
to be known as the ‘Federal Medicare Growth Reduction
Trust Fund’ (in this section referred to as the ‘Trust
Fund’). The Trust Fund shall consist of such gifts and
bequests as may be made as provided in section 201(i)(1)
and amounts appropriated under paragraph (2).
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‘‘(2) There are hereby appropriated to the Trust
Fund, out of any amounts in the Treasury not otherwise
appropriated, amounts equivalent to 100 percent of the
Secretary’s estimate of the reductions in outlays under
this part that are attributable to the Medicare Preserva-
tion Act of 1995. The amounts appropriated by the pre-
ceding sentence shall be transferred from time to time (not
less frequently than monthly) from the general fund in the
Treasury to the Trust Fund.
‘‘(3)(A) Subject to subparagraph (B), with respect to
monies transferred to the Trust Fund, no transfers, au-
thorizations of appropriations, or appropriations are per-
mitted.
‘‘(B) Beginning with fiscal year 2003, the Secretary
may expend funds in the Trust Fund to carry out this
title, but only to the extent provided by Congress in ad-
vance through a specific amendment to this section.
‘‘(b) The provisions of subsections (b) through (e) of
section 1841 shall apply to the Trust Fund in the same
manner as they apply to the Federal Supplementary Medi-
cal Insurance Trust Fund, except that the Board of Trust-
ees and Managing Trustee of the Trust Fund shall be
composed of the members of the Board of Trustees and
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the Managing Trustee, respectively, of the Federal Supple-
mentary Medical Insurance Trust Fund.’’.
Passed the House of Representatives October 19,
1995.
Attest:
ROBIN H. CARLE,
Clerk.
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