L. 100-360, § 202(e)(2), added subpar. (J) relating to requirements for determinations or payments with respect to covered outpatient drugs, to receive information and respond to requests by participating pharmacies.
Subsec. (b)(3)(K). Pub. L. 100-485, § 608(d)(5)(C), inserted ", including claims processing functions," after "and for related functions".
Pub. L. 100-360, § 202(e)(2), added subpar. (K) requiring contracts with organizations described in subsection (f)(3) of this section to implement and operate the electronic system established under subsection (o)(4) of this section for covered outpatient drugs.
Subsec. (b)(4)(A)(iv). Pub. L. 100-360, § 411(f)(2)(F)(i), as amended by Pub. L. 100-485, § 608(d)(21)(B), redesignated and amended Pub. L. 100-203, § 4042(c)(1), see 1987 Amendment note below.
Subsec. (b)(4)(A)(iv)(II). Pub. L. 100-360, § 411(f)(2)(E), substituted "before January 1, 1989" for "before January 1, 1988".
Subsec. (b)(4)(A)(vi). Pub. L. 100-360, § 411(f)(3)(A), made technical amendment to directory language of Pub. L. 100-203, § 4044(a), see 1987 Amendment note below.
Pub. L. 100-360, § 411(f)(3)(B), substituted "subsection (i)(4)" for "subparagraph (E)(iii)" and "the estimated average prevailing charge levels based on the best available data" for "the average of the prevailing charge levels" and struck out "for participating physicians" before "under the third".
Subsec. (b)(4)(A)(vii). Pub. L. 100-360, § 411(f)(2)(D), added Pub. L. 100-203, § 4042(b)(2)(A), see 1987 Amendment note below.
Pub. L. 100-360, § 411(f)(3)(A), made technical amendment to directory language of Pub. L. 100-203, § 4044(a), see 1987 Amendment note below.
Subsec. (b)(4)(E). Pub. L. 100-360, § 411(f)(2)(C), added Pub. L. 100-203, § 4042(b)(1)(C), (D), see 1987 Amendment notes below.
Subsec. (b)(4)(F). Pub. L. 100-360, § 411(f)(2)(C), added Pub. L. 100-203, § 4042(b)(1)(D), see 1987 Amendment note below.
Subsec. (b)(4)(F)(ii)(I). Pub. L. 100-360, § 411(f)(2)(B), substituted "subsection (i)(4)" for "subparagraph (E)(iii)".
Subsec. (b)(4)(F)(iii). Pub. L. 100-360, § 411(f)(2)(A), substituted "services," for "services;" in subcl. (I) and "physicians' " for "physician's" in subcl. (II).
Subsec. (b)(4)(G). Pub. L. 100-360, § 411(f)(2)(C), added Pub. L. 100-203, § 4042(b)(1)(D), see 1987 Amendment note below.
Pub. L. 100-360, § 411(f)(6)(B), substituted "other than primary care services" for "other primary care services" and struck out "(as determined under the third and fourth sentences of paragraph (3) and under paragraph (4))" after "the prevailing charge".
Subsec. (b)(7)(B)(iii). Pub. L. 100-360, § 411(i)(4)(C)(vi), added Pub. L. 100-203, § 4085(i)(22)(C), see 1987 Amendment note below.
Subsec. (b)(10)(A)(i). Pub. L. 100-360, § 411(f)(4)(A)(i), struck out "under paragraph (3)" after "reasonable charge", substituted "subparagraph (B)" for "subparagraph (C)", and struck out "for participating and nonparticipating physicians" after "charge for such procedure".
Subsec. (b)(10)(A)(iii). Pub. L. 100-360, § 411(f)(4)(A)(ii), substituted "clause (i)(I)" for "clause (i)(II)".
Subsec. (b)(10)(B). Pub. L. 100-360, § 411(f)(4)(A)(iii), inserted "(including subsequent insertion of an intraocular lens)" after "cataract surgery".
Subsec. (b)(10)(D). Pub. L. 100-360, § 411(f)(4)(A)(iv), substituted "under section 1395ff" for "section 1395ff".
Subsec. (b)(11)(B)(i). Pub. L. 100-360, § 411(f)(4)(B)(i), amended Pub. L. 100-203, § 4045(c)(2)(B), see 1987 Amendment note below.
Subsec. (b)(11)(C)(i). Pub. L. 100-360, § 411(f)(5)(A), substituted "insertion" for "implantation".
Subsec. (b)(11)(C)(ii). Pub. L. 100-360, § 411(g)(2)(A), substituted "inserted during or subsequent to" for "implanted during".
Subsec. (b)(12)(C). Pub. L. 100-360, § 411(i)(4)(C)(vi), added Pub. L. 100-203, § 4085(i)(25), see 1987 Amendment note below.
Subsec. (b)(13), (14). Pub. L. 100-360, § 411(f)(7)(A), redesignated par. (14) as (13).
Subsec. (c)(1)(A). Pub. L. 100-360, § 202(e)(3)(A), designated existing provisions as cl. (i), inserted ", except as provided in clause (ii)," after "under this part, and" and added cl. (ii) relating to payment for implementation and operation of the electronic