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107 STAT. 410 PUBLIC LAW 103-66—AUG. 10, 1993 Contracts. 5 u s e 8904 note. Regulations. of part B of title XVIII of such Act shall not impose charges that exceed the limiting charge under section 1848(g) of such Act (42 U.S.C. 1395w-4(g)) with respect to services described in clause (i) provided to enrollees described in such clause. The Office of Personnel Management shall notify a phvsician or supplier who is found to have violated this clause and iniorm them of tne require- ments of this clause and sanctions for such a violation. The Office of Personnel Management shall notify the Secretary of Health and Human Services if a physician or supplier is foimd to knowingly and willfully violate tnis clause on a repeated basis and the Sec- retary of Health and Human Services may invoke appropriate sanc- tions in accordance with sections 1128A(a) and 1848(gXl) of such Act (42 U.S.C. 1320a-7a(a), 1395w-4(gXl)) and applicable regula- tions. "(C) If the Secretary of Health and Himian Services determines that a violation of this subsection warrants excluding a provider from participation for a specified period under title XVIII of the Social Security Act, the Oulce shall enforce a corresponding exclu- sion of such provider for purposes of this chapter."; (2) in paragraph (3XB)— (A) by inserting "(i)** after "includes"; and (B) by inserting before the period at the end the follow- ing: ", and (ii) the fee schedule amounts and limiting charges for physicians' services established under section 1848 of such Act (42 U.S.C. 1395w-4) and the identity of participating physicians and suppliers who have in force agreements with such Secretary imder section 1842(h) of such Act (42 U.S.C. 1395u(h))''; and (3) by adding at the end the following: "(4) The Director of the Office of Personnel Management shall enter into an arrangement with the Secretarv of Health and Human Services, to be efiTective before the first day of the fifth month that begins before each contract year, under which— "(A) physicians and suppliers (whether or not participating) under the Medicare program will be notified of the requirements of paragraph (1)(B); "(B) enforcement procedures will be in place to carry out such paragraph (including enforcement of protections against overcharging of beneficiaries); and "(C) Medicare program information described in paragraph (3XB)(ii) will be supplied to carriers under paragrapn (3XA).'*. (b) EFFECTIVE DATE.—^The amendments made by subsection (a) shall apply with respect to contract years beginning on or after January 1,1995. SEC. 11004. FEDERAL EMPLOYEES' SURVIVOR ANNUITY IMPROVE- MENTS. (a) CIVIL SERVICE RETIREMENT SYSTEM.— (1) REDUCTION FOR SPOUSAL ANNUITY.—Section 8339(j) of title 5, United States Code, is amended— (A) in paragraph (Sh- (i) in the second sentence by striking ", within such 2-year period,**; and (ii) by striking the fourth sentence and inserting the following: "The Office shall, by regulation, provide for pajnoient of the deposit required under this para- graph by a reduction m the annuity of the employee