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107 STAT. 586 PUBLIC LAW 103-66—AUG. 10, 1993 42 use 1395W-4 note. 42 use 1395W-4 note. 42 use 1395W-4 (c) EFFECTIVE DATE.—^The amendments made by subsection "ote (a) shall apply to services furnished on or after January 1, 1994. SEC. 13518. ANTIGENS UNDER PHYSICIAN FEE SCHEDULE. (a) IN GENERAL.—Section 1848(jX3) (42 U.S.C. 1395w-4(jX3)) is amended by inserting "(2XG)," after "(2X0),". (b) BUDGET NEUTRALITY ADJUSTMENT IN 1995.—Notwithstand- ing any other provision of law, the Secretary of Health and Human Services shall implement the amendment made by subsection (a) in a manner to assure that such amendment will result in expendi- tures under part B of title XVIII of the Social Security Act in 1995 for services described in such amendment that shall be equal to the amount of expenditures for such services that would have been made if such amendment had not been made. (c) EFFECTIVE DATE.—^The amendment made by subsection (a) shall apply to services furnished on or after January 1, 1995. Subpart B—Outpatient Hospital Services SEC. 13521. EXTENSION OF 10 PERCENT REDUCTION IN PAYMENTS FOR CAPITAL-RELATED COSTS OF OUTPATIENT HOS- PITAL SERVICES. Section 1861(vXlXSXiiXI) (42 U.S.C. 1395x(vXlXSXiiXI)) is amended by striking "fiscal year 1992, 1993, 1994, or 1995" and inserting "fiscal years 1992 through 1998". SEC. 13522. EXTENSION OF REDUCTION IN PAYMENTS FOR OTHER COSTS OF OUTPATIENT HOSPITAL SERVICES. Section 1861(vXlXSXiiXII) (42 U.S.C. 1395x(vXlXSXiiXII)) is amended by striking ", 1992, 1993, 1994, or 1995" and inserting "through 1998". Subpart C—Ambulatory Surgical Center Services SEC. 13531. AMBULATORY SURGICAL CENTER SERVICES. The Secretary of Health and Human Services shall not provide for any inflation update in the pajrment amounts under subpara- graphs (A) and (B) of section 1833(iX2) of the Social Security Act for fiscal year 1994 or for fiscal year 1995. SEC. 13532. DESIGNATION OF CERTAIN HOSPITALS AS EYE OR EYE AND EAR HOSPITALS. 42 use 1395/. (a) IN GENERAL.—Section 1833(i) (42 U.S.C. 13951(i)) is amended— (1) in paragraph (3XBXii)— (A) in the matter preceding subclause (I), by striking "the last sentence of this clause^ and inserting "paragraph (4)", and (B) by striking the last sentence; and (2) by inserting after paragraph (3) the following new para- graph: "(4XA) In the case of a hospital that— "(i) makes application to the Secretary and demonstrates that it specializes in eye services or eye and ear services (as determined by the Secretary), "(ii) receives more than 30 percent of its total revenues fi:x)m outpatient services, and "(iii) on October 1,1987— 42 use 1395/ note.