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Code · BILL · 114th Congress · H.R. 1530 (Introduced in House) — To amend title XVIII of the Social Security Act to refine how Medicare pays for orthotics and prosthetics, to improve... · Sec. 2

Sec. 2. Eligibility for Medicare payment for health professionals based on qualifications

252 words·~1 min read·/bill/114/hr/1530/ih/section-2

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Title XVIII of the Social Security Act is amended by inserting after section 1863 ( 42 U.S.C. 1395z ) the following new section: No payment may be made under this part for an item or service that is furnished
(i)in a State that requires a provider or supplier to be licensed in order to furnish such item or service, unless the provider or supplier furnishing such item or service possesses all applicable licensure from the State, or
(ii)in a State that does not require a provider or supplier to be licensed in order to furnish such item or service, unless the provider or supplier meets all applicable qualifications, as established by the Secretary. Applicable qualifications means all applicable accreditations, certifications, and credentials required under this part for providers and suppliers, including the requirements established under section 427 of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protections Act of 2000, as enacted into law by section 1(a)(6) of Public Law 106–554 , with these requirements to be applicable immediately in accordance with that statutory language even in advance of the Secretary issuing applicable regulations under this provision, as well as any and all applicable regulations as established by the Secretary, this being noted inasmuch as issuance of these regulations are approximately fourteen years beyond the statutory requirement for their being issued in final form by the Secretary, which it is anticipated the Secretary will remedy expeditiously. . This section shall take effect on the date of enactment of this Act.
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  • Pub. L. 106-554
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Sec. 2
Eligibility for Medicare payment for health professionals based on qualifications
Pub. L.Pub. L. 106-554
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