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107 STAT. 590 PUBLIC LAW 103-66—AUG. 10, 1993 increased by the covered item updates described in such subsection for 1993 and 1994). "(2) EXCEPTIONS.—^Paragraph (1) shall not apply to surgical dressings that are— "(A) furnished as an incident to a physician's profes- sional service; or "(B) furnished by a home health agency.". (2) CONFORMING AMENDMENT.—Section 1833(aXl) (42 42 use 1395/. U.S.C. 13951(aXl)) is amended— (A) by striking "and" before "(N)"; (B) with respect to the matter inserted by section 4155(bX2XB) of OBRA-1990— (i) by striking "(M)" and inserting ", (O)", and (ii) by transferring it and inserting it (as amended) immediately before the semicolon at the end; and (C) by inserting before the semicolon at the end the following: **, and (P) with respect to surgical dressings, the amounts paid shall be the amounts determined under section 1834(1)". 42 use 1395/ (3) EFFECTIVE DATE.—The amendments made by this sub- "°^^- section shall apply to items furnished on or after January 1,1994. SEC. 13545. PAYMENTS FOR TENS DEVICES. (a) IN GENERAL.—Section 1834(aXlXD) (42 U.S.C. 1395m(aXlXD)) is amended by striking "15 percent" the second place it appears and inserting "45 percent". 42 use 1395m (b) EFFECTIVE DATE.—^The amendment made by subsection (a) ^°^^- shall apply to items furnished on or after January 1,1994. SEC. 13546. PAYMENTS FOR ORTHOTICS, PROSTHETICS, AND PROS- THETIC DEVICES. Section 1834(hX4XA) (42 U.S.C. 1395m(hX4XA)) is amended— (1) in clause (i), by striking "and"; (2) in clause (ii), by striking "a subsequent year" and insert- ing "1992 and 1993"; and (3) by adding at the end the following new clauses: "(iii) for 1994 and 1995, 0 percent, and "(iv) for a subsequent year, the percentage increase in the consumer price index for all urban consumers (United States dty average) for the 12-month period ending with June of the previous year;". Subpart E—Other Provisions SEC. 13551. PAYMENTS FOR CLINICAL DIAGNOSTIC LABORATORY TESTS. 42 use 1395/. (a) UPDATE FREEZE.—Section 1833(hX2XAXii) (42 U.S.C. 13951(hX2XAXii)) is amended— (1) by striking "and" at the end of subclause (II), (2) by striking the period at the end of subclause (III) and inserting ", and", and (3) by adding at the end the following new subclause: "(IV) the annual adjustment in the fee sdiedules deter- mined under clause (i) for each of the years 1994 and 1995 shall be 0 percent.". 42 use 1395/. (b) LOWER CAP.—Section 1833(hX4XB) (42 U.S.C. 13951(hX4XB)) is amended—