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PUBLIC LAW 103-66—AUG. 10, 1993 107 STAT. 409 an annuity increase or the amount of the first increase in an annuity under section 8340 (b) or (c) or section 8462 (b) or (c) of title 5, United States Code, or comparable provisions of law. SEC. 11002. PERMANENT EUMINATION OF THE ALTERNATIVE-FORM- OF-ANNUTTY OPTION EXCEPT FOR INDIVIDUALS WITH A CRITICAL MEDICAL CONDITION. (a) CIVIL SERVICE RETIREMENT SYSTEM; FEDERAL EMPLOYEES' RETIREMENT SYSTEM.—Sections 8343a and 8420a of title 5, United States Code, are each amended— (1) in subsection (a) by striking "an employee or Member may," and inserting "any employee or Member who has a life-threatening afQiction or other critical medical condition may,"; and (2) by striking subsection (f). (b) FOREIGN SERVICE RETIREMENT AND DISABILITY SYSTEM.— Section 807(eXl) of the Foreign Service Act of 1980 (22 U.S.C. 4047(eXl)) is amended by striking "a participant may," and insert- ing "any participant who has a life-threatening affliction or other critical medical condition may,". (c) CENTRAL INTELLIGENCE AGENCY RETIREMENT AND DISABIL- ITY SYSTEM.^-Section 294(a) of the Central Intelligence Agency Retirement Act (50 U.S.C. 2143(a)), as set forth in section 802 of the CIARDS Technical Corrections Act of 1992 (Public Law 102-496; 106 Stat. 3196), is amended by striking "a participant may," and inserting "any participant wno has a life-threatening affliction or other critical medical condition may,". (d) EFFECTIVE DATE.—^The amendments made by this section 5 use 8343a shall become effective on October 1, 1994, and shall apply with respect to any annuity commencing on or after that date. SEC. 11003. A P P U C A T I O N OF MEDICARE PART B UMTTS TO PHYSI- CIANS' SERVICES FURNISHED TO FEDERAL EMPLOYEE HEALTH BENEFITS ENROLLEES AGE 65 OR OLDER. (a) IN GENERAL.—Section 8904(b) of title 5, United States Code, is amended— (1) in paragraph (1) by inserting "(A)" after "(b)(1)" and by adding at the end the following: "(BXi) A plan, other than a prepayment plan described in section 8903(4), may not provide benefits, in the case of any retired enrolled individual who is age 65 or older and is not entitled to Medicare supplementanr medical insurance benefits under part B of title XVIII of the Social Security Act (42 U.S.C. 1395j et seq.), to pay a charge imposed for physicians' services (as defined in section 1848(j) of such Act, 42 U.S.C. 1395w-4(j)) which are covered for purposes of benefit pajrments imder this chapter and under such part, to the extent that such charge exceeds the fee schedule amount under section 1848(a) of such Act (42 U.S.C. 1395w-4(a)). "(ii) Physicians and suppliers who have in force participation agreements with the Secretary of Health and Human Services consistent with section 1842(hXl) of such Act (42 U.S.C. 1395u(hXl)), wherebv the participating provider accepts Medicare benefits (including allowable deductible and coinsurance amounts) as full payment for covered items and services shall accept equiva- lent benefit and enroUee cost-sharing under this chapter as full payment for services described in clause (i). Physicians and suppli- ers who are nonparticipating physicians and suppliers for purposes note.