Social Security Act §1833

[71]See Vol. II, P.L. 108-173,416, with respect to treatment of certain clinical diagnosticlaboratory tests furnished to hospital outpatients in certain ruralareas and 733, with respect to payments for pancreatic isletcell investigational transplants for medicare beneficiaries in clinicaltrials.See Vol. II, P.L. 112-96, 3005(d),with respect to the implementation of the amendments made by 3005;3005(e), with respect to the effective date for the amendmentto 1833(g)(5)(B); 3005(g), with respect to the collectionof additional data; and 3005(h), with respect to a GAO reporton manual medical review process implementation.[72]Formattingfor this subparagraph appears different than in law because of limitationsof the software used in designation of clauses and subclauses.[73]P.L. 113-93, 216(b)(1)(A)(i), struck (i) onthe basis and inserted (i)(I) on the basis. EffectiveApril 1, 2014.[74]P.L. 113-93, 216(b)(1)(A)(ii), struck subsection (h)(1)and inserted subsection (h)(1) (for tests furnished beforeJanuary 1, 2017). Effective April 1, 2014.[75]P.L.113-93, 216(b)(1)(A)(iii), struck or (ii) andinserted or (II) under section 1834A (for tests furnished onor after January 1, 2017), the amount paid shall be equal to 80 percent(or 100 percent, in the case of such tests for which payment is madeon an assignment-related basis) of the lesser of the amount determinedunder such section or the amount of the charges billed for the tests,or (ii). Effective April 1, 2014.P.L.113-93, 216(b)(1)(A)(iv), struck on the basisand inserted for tests furnished before January 1, 2017, onthe basis. Effective April 1, 2014.[76]As in original law. 2nd comma should be deleted.[77]P.L.114-113,504(b)(1) inserted subparagraph (AA). Effective for devicesfurnished on or after January 1, 2017.[78]P.L.114-255, 5012(c)(1), inserted new subparagraph (BB), Effectivefor items and services furnished on or after January 1, 2021.[79]P.L.115271, 2005(c), inserted subparagraph (CC). EffectiveOctober 24, 2018.[80]P.L. 113-93, 216(b)(1)(B)(i), struck (i) onthe basis and inserted (i)(I) on the basis. EffectiveApril 1, 2014.[81]P.L. 113-93, 216(b)(1)(B)(ii), struck subsection(h)(1) and inserted subsection (h)(1) (for tests furnishedbefore January 1, 2017). Effective April 1, 2014.[82]P.L.113-93, 216(b)(1)(B)(iii), struck or (ii) andinserted or (II) under section 1834A (for tests furnished onor after January 1, 2017), the amount paid shall be equal to 80 percent(or 100 percent, in the case of such tests for which payment is madeon an assignment-related basis or to a provider having an agreementunder section 1866) of the lesser of the amount determined under suchsection or the amount of the charges billed for the tests, or (ii).Effective April 1, 2014.[83]P.L. 113-93, 216(b)(1)(B)(iv), struck on the basisand inserted for tests furnished before January 1, 2017, onthe basis. Effective April 1, 2014.[84]As in original. Should be (o)rather than (O).[85]*Punctuation as in original.[86]P.L. 113-93, 216(b)(1)(C), struck on the basisand inserted for tests furnished before January 1, 2017, onthe basis. Effective April 1, 2014.[87]P.L. 112-96,3005(b)(1), struck out but not described in section 1833(a)(8)(B)and inserted but (except as provided in paragraph (6)) notdescribed in section 1833(a)(8)(B), effective February 22,2012.P.L. 115123, 50202(1) struckSubject to paragraphs (4) and (5); inserted (A)Subject to paragraphs (4) and (5) in paragraph (1); added thefollowing new sentence at the end of subparagraph (A), Thepreceding sentence shall not apply to expenses incurred with respectto services furnished after December 31, 2017.; and added newsubparagraph (B). Effective February 9, 2018.[88]P.L.112-96, 3005(b)(1), struck out but not described in section1833(a)(8)(B) and inserted but (except as provided inparagraph (6)) not described in section 1833(a)(8)(B),effective February 22, 2012.P.L. 115123,50202(2) struck Subject to paragraphs (4) and (5);inserted (A) Subject to paragraphs (4) and (5) in paragraph(3); added the following new sentence at the end of subparagraph (A),The preceding sentence shall not apply to expenses incurredwith respect to services furnished after December 31, 2017.;and added new subparagraph (B). Effective February 9, 2018.[89]P.L.112-96, 3005(a)(1), inserted (A).P.L. 11278, 304, struck December 31,2011 and inserted February 29, 2012. EffectiveDecember 23, 2011.P.L. 112-96, 3005(a)(3), inserted and if therequirement of subparagraph (B) is met, effective February22, 2012.P.L. 112-96, 3005(a)(4), inserted made inaccordance with such requirement, effective February 22, 2012.P.L. 113-67 1103, struck out December 31,2013 and inserted March 31, 2014*, effectiveDecember 26, 2013.P.L. 113-93 103(1), struck out March 31, 2014and inserted March 31, 2015*, effective April 1, 2014.P.L. 114-10 202(a)(1), struck out March 31,2015 and inserted December 31, 2017, effectiveApril 16, 2015.[90]P.L.112-96, 3005(a)(5), added subparagraph (B), effective February22, 2012, applicable to services furnished on or after March 1, 2012.[91]P.L.112-96, 3005(a)(5), added subparagraph (C), effective February22, 2012.[92]P.L. 114-10 202(b)(1), Inserted , subjectto subparagraph (E),'' after manual medical review processthat, effective April 16, 2015.[93]P.L.112-240, 603(c), added subparagraph (D), effective January 2,2012.P.L. 115123, 50202(3)(A), redesignatedand moved this subparagraph 1833(g)(5)(D) to paragraph (g)(8). Theamendment did not redesignate subparagraph (E) below. Effective February9, 2018.[94]P.L.114-10, 202(b)(1)(B) added subparagraph 1833(g)(5)(E). EffectiveApril 16, 2015.P.L. 115123, 50202(3)(B)inserted text following implemented. Effective February9, 2018.[95]P.L.112-96, 3005(b)(2), added paragraph (6), effective February22, 2012.P.L. 112-240, 603(b)(1), struckout In applying and inserted (A) In applying,effective January 2, 2013.P.L. 113-67, 1103, struck out December 31,2013 and inserted March 31, 2014, effective December26, 2013.P.L. 113-67 1103, struck or 2013, andinserted , 2013 or the first three months of 2014. EffectiveDecember 26, 2013.P.L. 113-93 103(2), struck out March 31, 2014and inserted March 31, 2015*, effective April 1, 2014.P.L. 113-93 103(2)(B), struck , or the firstthree months of 2014, and inserted , 2014 or the firstthree months of 2015. Effective April 1, 2014.P.L. 114-10 202(a)(2)(A), struck out March31, 2015 and inserted December 31, 2017, effectiveApril 16, 2015.P.L. 114-10 202(a)(2)(B), struck 2012, 2013,2014, or the first three months of 2015 and inserted 2012through 2017, effective April 16, 2015.[96]P.L. 112-240, 603(b)(2),added subparagraph (B), effective January 2, 2013.[97]P.L. 115123,50202(4) added paragraph (7). Effective February 9, 2018.[98]Thisparagraph was originally designated by P.L. 112-240, 603(c)as subparagraph (g)(5)(D), effective January 2, 2012.P.L. 115123, 50202(3)(A) moved subparagraph1833(g)(5)(D) to paragraph (8). Effective February 9, 2018.[99]P.L. 11296, 3202(1), struck out paragraph (4)and inserted clause (v), subparagraph (B), and paragraph (4),effective February 22, 2012.[100]P.L. 113-93, 216(b)(1)(D), struck andsubject to and inserted and, for tests furnished beforethe date of enactment of section 1834A, subject to. EffectiveApril 1, 2014.[101]P.L. 112-96,3202(3), added clause (v), effective February 22, 2012.[102]P.L. 113-93, 216(b)(1)(E), struckout fee schedules and inserted fee schedules(for tests furnished before January 1, 2017) or under section 1834A(for tests furnished on or after January 1, 2017), subject to subsection(b)(5) of such section, effective April 1, 2014.[103]P.L. 113-93,216(b)(1)(F), struck out in the case and insertedFor tests furnished before January 1, 2017, in the case,effective April 1, 2014.[104]P.L.113-93, 216(b)(1)(G)(i) and P.L. 113-93, 216(b)(1)(G)(ii), struck out and (4) and inserted and (4) andsection 1834A; and struck out under this subsectionand inserted under this part, effective April 1, 2014.[105]P.L. 115271, 6082(b),added this paragraph. Effective October 24, 2018.[106]See Vol. II, P.L. 99-509, 9320(k).[107]P.L. 101-239, 6132; 103 Stat. 2222.[108]P.L. 99-509, 9320; 100 Stat. 2013.[109]Probably should be subparagraph.[110]See Vol. II, P.L. 78-410, 332(a).[111]P.L. 103-432, 123(b)(2)(A)(ii); 108 Stat. 4411.