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107 STAT. 580 PUBLIC LAW 103-66—AUG. 10, 1993 ''(4XA) In the case of an individual described in subparagraph (B), the monthly premium for a month shall be reduced by the applicable reduction percent specified in the following table: The applicable reduction Tor a month in: percient is: 1994 25 percent 1995 30 percent 1996 35 percent 1997 40 percent 1998 or subsequent year 45 percent. ''(B) An individual described in this subparagraph with respect to a month is an individual who establishes to the satisfaction of the Secretary that, as of the last day of the previous month, the individual— "(i) had at least 30 quarters of coverage under title II; "(ii) was married (and had been married for the previous 1-year period) to an individual who had at least 30 quarters of coverage under such title; "(iii) had been married to an individual for a period of at least 1 year (at the time of such individusd's death) if at such time the individual had at least 30 quarters of coverage under such title; or "(iv) is divorced from an individual and had been married to the individual for a period of at least 10 years (at the time of the divorce) if at such time the individual had at least 30 quarters of coverage imder such title.". 42 use i395i-2 (b) EFFECTIVE DATE.—^The amendments made by this section "° shall apply to monthly premiums under section 1818 of the Social Security Act for months beginning with January 1,1994. PART II—PROVISIONS RELATING TO PART B Subpart A—^Physicians' Services SEC. 13511. REDUCTION IN DEFAULT UPDATE FOR CONVERSION FAC- TOR FOR 1994 AND 1995. (a) IN GENERAL.—Section 1848 (42 U.S.C. 1395w-4) is £unended— (1) in subsection (dX3XA)— (A) in clause (i), by striking "clause (iii)" and inserting "clauses (iii) through (v)", and (B) by adding at the end the following new clauses: **(iv) ADJUSTMENT IN PERCENTAGE INCREASE FOR 1994.—^In applying clause (i) for services furnished in 1994, the percentage increase in the appropriate update index shall be reduced by— "(I) 3.6 percentage points for services included in the category of surgical services (as defined for purposes of subsection (jXD), and "(II) 2.6 percentage points for other services. "(v) ADJUSTMENT IN PERCENTAGE INCREASE FOR 1995.—^In applying clause (i) for services furnished in 1995, the percentage increase in the appropriate update index shall be reduced by 2.7 percentage points. "(vi) EXCEPTION FOR CATEGORY OF PRIMARY CARE SERVICES.—Clauses (iv) and (v) shall not apply to serv-