Fed Regist. 1991 May 20;56(97):23021-2.
Federal Register document No. 91-4415, beginning on page 8832 of the issue of Friday March 1, 1991, conformed numerous sections of the HCFA regulations with self-executing provisions of the Omnibus Budget Reconciliation Act of 1987. A one-page revision, dealing with the application of the Medicare blood deductible, was unintentionally omitted from column 2 of page 8852, where only the heading "P. Part 489" appears. Also omitted was a conforming change needed in section 482.12(c)(1)(iv) to reflect the amendment made by section 9336(a) of the Omnibus Budget Reconciliation Act of 1986 (Pub. L. 99-509). Section 9336(a) removed the provision that limited Medicare coverage of optometrist services to aphakia. This means that any optometrist services permitted by State medical practice laws are now covered. This notice corrects the omissions by publishing the amendment to part 489, which was discussed in section "D" of the preamble in the first column of page 8834, and including the revision of section 482.12(e)(1)(iv). The notice also makes numerous other minor corrections.
联邦法规汇编文件第91 - 4415号，始于1991年3月1日星期五那期第8832页，使医疗保健财务管理局（HCFA）法规的众多条款与1987年《综合预算协调法案》的自动执行条款保持一致。其中有一处遗漏，即关于医疗保险血液免赔额适用的一页修订内容，意外地未出现在第8852页第2栏，该栏仅出现了标题“P. 第489部分”。此外，第482.12(c)(1)(iv)节中一项为反映1986年《综合预算协调法案》（公法99 - 509）第9336(a)节所做修订而需要的一致性更改也被遗漏。第9336(a)节删除了将医疗保险对视光师服务的覆盖范围限制为无晶状体眼的规定。这意味着现在州医疗执业法律允许的任何验光师服务都在保险范围内。本通知通过公布第A部分第8834页第一栏前言“D”节中讨论的第489部分的修订内容，并纳入第482.12(e)(1)(iv)节的修订，纠正了这些遗漏。本通知还进行了许多其他小的更正。
