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PUBLIC LAW 103-66—AUG. 10, 1993 107 STAT. 607 SEC. 13564. REDUCTION IN PAYMENTS FOR HOME HEALTH SERVICES. (a) IN GENERAL.— (1) No CHANGES IN COST LIMITS.—The Secretary of Health and Human Services shall not provide for any change in the per visit cost limits for home health services under section 1861(vXlXL) of such Act for cost reporting periods beginning on or ajfter July 1, 1994, and before July 1, 1996, except as may be necesstiry to take into account the amendment made by subsection (bXl). The effect of the preceding sentence shall not be considered by the Secretary in making adjustments pursuant to section 1861(vXlXLXii) of such Act to the payment limits for such services during such cost reporting periods. (2) DELAY IN UPDATES.—Section 1861(vXlXLXiii) (42 U.S.C. 1395x(vXlXLXiii)) is amended by striking "thereafter," and inserting "tiiereafter (but not for cost reporting periods begin- ning on or after July 1, 1994, and before July 1, 1996),'*. (b) EUMINATION OF ADD-ON FOR OVERHEAD OF HOSPITAL-BASED HOME HEALTH AGENCIES.— (1) GENERAL RULE.—^The first sentence of section 1861(vXlXLXii) (42 U.S.C. 1395x(vXlXLXii)) is amended by striking ", with appropriate adjustment for administrative and general costs of hospital-based agencies". (2) EFFECTIVE DATE.—^The amendment made by paragraph (1) shall apply to cost reporting periods beginning on or after October 1,1993. SEC. 1356S. IMMUNOSUPPRESSIVE DRUG THERAPY. Section 1861(sX2XJ) (42 U.S.C. 1395x(sX2XJ)) is amended by striking "title, within" and all that follows and inserting the follow- ing: "title, but only in the case of drugs furnished— "(i) before 1995, within 12 months aft^er the date of the transplant procedure, "(ii) during 1995, within 18 months after the date of the transpl£uit procedure, "(iii) during 1996, within 24 months aft^er the date of the transplant procedure, "(iv) during 1997, within 30 months after the date of the transplant procedure, and "(v) during £my year after 1997, within 36 months aft;er the date of the transplant procedure;". SEC. 13566. REDUCTION IN PAYMENTS FOR ERYTHROPOIENTIN. (a) IN GENERAL.—Section 1881(b) (42 U.S.C. 1395rr(b)) is amended— (1) m paragraph (IXC), by striking "1861(sX2XQ)'' and inserting "1861(sX2XP)''; and (2) in paragraph (llXBXiiXI)- (A) by striking "1991" and inserting "1994", and (B) by striking "$11" and inserting "$10". (b) SELF-ADMINISTRATION OF ERYTHROPOIENTIN.—Subpara- graph (P) of section 1861(sX2) (42 U.S.C. 1395x(sX2)) is amended— (1) by striking "home", and (2) by moving such subparagraph two ems to the left. (c) EFFECTIVE DATE.—^The amendmente made by this section shall apply to erythropoietin furnished on or aft;er January 1, 1994. 42 u s e 1395x note. 42 u s e 1395x note. 42 u s e 1395x note.