; or (B) a physician who is legally authorized to perform acupuncture as part of the practice of medicine and surgery by the State in which the physician performs such function or action. In specifying requirements under subparagraph (A), the Secretary may use the same requirements as those established by a certification authority described in such subparagraph. . (b) Payment rules (1) Payment under physician fee schedule Section 1848(j)(3) of the Social Security Act ( 42 U.S.C. 1395w–4(j)(3) ) is amended by inserting (2)(KK), before (3), . (2) Separate payment for services of institutional providers Section 1833(a)(2)(B) of the Social Security Act ( 42 U.S.C. 1395l(a)(2)(B) ) is amended— (A) in clause (i), by inserting and in the case of qualified acupuncturist services, after 1999, ; (B) in clause (ii), by inserting or in the case of qualified acupuncturist services, after 1999, ; and (C) in clause (iii), by inserting (other than qualified acupuncturist services) after such services . (3) Qualified acupuncturist treatment as a practitioner Section 1842(b)(18)(C) of the Social Security Act ( 42 U.S.C. 1395u(b)(18)(C) ) is amended by adding at the end the following new clause: (ix) A qualified acupuncturist (as defined in section 1861(nnn)(2)). . (4) Separate billing for acupuncturist services furnished in an inpatient hospital setting Section 1861(b)(4) of the Social Security Act ( 42 U.S.C. 1395x(b)(4) ) is amended by inserting qualified acupuncturist services, after qualified psychologist services, . (c) Effective date The amendments made by this section apply with respect to services furnished on or after the date that is 270 days after the date of enactment of this Act.