
From the U.S. Code Online via GPO Access
[wais.access.gpo.gov]
[Laws in effect as of January 23, 2000]
[Document not affected by Public Laws enacted between
  January 23, 2000 and December 4, 2001]
[CITE: 42USC1320c-1]

 
                 TITLE 42--THE PUBLIC HEALTH AND WELFARE
 
                       CHAPTER 7--SOCIAL SECURITY
 
   SUBCHAPTER XI--GENERAL PROVISIONS, PEER REVIEW, AND ADMINISTRATIVE 
                             SIMPLIFICATION
 
 Part B--Peer Review of Utilization and Quality of Health Care Services
 
Sec. 1320c-1. ``Utilization and quality control peer review 
        organization'' defined
        
    The term ``utilization and quality control peer review 
organization'' means an entity which--
        (1)(A) is composed of a substantial number of the licensed 
    doctors of medicine and osteopathy engaged in the practice of 
    medicine or surgery in the area and who are representative of the 
    practicing physicians in the area, designated by the Secretary under 
    section 1320c-2 of this title, with respect to which the entity 
    shall perform services under this part, or (B) has available to it, 
    by arrangement or otherwise, the services of a sufficient number of 
    licensed doctors of medicine or osteopathy engaged in the practice 
    of medicine or surgery in such area to assure that adequate peer 
    review of the services provided by the various medical specialties 
    and subspecialties can be assured;
        (2) is able, in the judgment of the Secretary, to perform review 
    functions required under section 1320c-3 of this title in a manner 
    consistent with the efficient and effective administration of this 
    part and to perform reviews of the pattern of quality of care in an 
    area of medical practice where actual performance is measured 
    against objective criteria which define acceptable and adequate 
    practice; and
        (3) has at least one individual who is a representative of 
    consumers on its governing body.

(Aug. 14, 1935, ch. 531, title XI, Sec. 1152, as added Pub. L. 97-248, 
title I, Sec. 143, Sept. 3, 1982, 96 Stat. 382; amended Pub. L. 99-509, 
title IX, Sec. 9353(b)(1), Oct. 21, 1986, 100 Stat. 2046.)


                            Prior Provisions

    A prior section 1320c-1, act Aug. 14, 1935, ch. 531, title XI, 
Sec. 1152, as added Oct. 30, 1972, Pub. L. 92-603, title II, 
Sec. 249F(b), 86 Stat. 1430; amended Dec. 31, 1975, Pub. L. 94-182, 
title I, Secs. 105, 108(a), 89 Stat. 1052, 1053; Oct. 25, 1977, Pub. L. 
95-142, Sec. 5(a), (d)(2)(A), (B), (o)(1), 91 Stat. 1183, 1185, 1191; 
Dec. 5, 1980, Pub. L. 96-499, title IX, Sec. 921, 94 Stat. 2627; Aug. 
13, 1981, Pub. L. 97-35, title XXI, Secs. 2112(a)(2)(A), (B), 2113(b), 
(c), 95 Stat. 793, 794, related to the designation of Professional 
Standards Review Organizations, prior to the general revision of this 
part by Pub. L. 97-248.


                               Amendments

    1986--Par. (3). Pub. L. 99-509 added par. (3).


                    Effective Date of 1986 Amendment

    Section 9353(b)(2) of Pub. L. 99-509 provided that: ``The amendment 
made by paragraph (1) [amending this section] shall apply to contracts 
entered into or renewed on or after January 1, 1987.''

                  Section Referred to in Other Sections

    This section is referred to in sections 1320c-2, 1320c-3, 1396a, 
1396b of this title.
