Title I, SEC. 1135. TABLE OF COPAYMENTS AND COINSURANCE. (a) In General. The following table specifies, for different items and services, the copayments and coinsurance referred to in sections 1132 and 1133: Copayments and Coinsurance for Items and Services Benefit Section Lower Cost Sharing Schedule Higher Cost Sharing Schedule Inpatient hospital services No copayment 20 percent of applicable payment rate Outpatient hospital services $10 per visit 20 percent of applicable payment rate Hospital emergency room services $25 per visit (unless patient has an emergency medical condition as defined in section 1867(e)(1) of the Social Security Act) 20 percent of applicable payment rate Services of health professionals $10 per visit 20 percent of applicable payment rate Emergency services other than hospital emergency room services $25 per visit (unless patient has an emergency medical condition as defined in section 1867(e)(1) of the Social Security Act) 20 percent of applicable payment rate Ambulatory medical and surgical services $10 per visit 20 percent of applicable payment rate Clinical preventive services No copayment No coinsurance Inpatient and residential mental health and substance abuse treatment No copayment 20 percent of applicable payment rate Intensive nonresidential mental health and substance abuse treatment No copayment 20 percent of applicable payment rate Outpatient mental health and substance abuse treatment (except psychotherapy, collateral services, and case management) $10 per visit 20 percent of applicable payment rate Outpatient psychotherapy and collateral services $25 per visit until January 1, 2001, and $10 per visit thereafter 50 percent of applicable payment rate until January 1, 2001, and 20 percent thereafter Case management No copayment No coinsurance Family planning and services for pregnant women (except clinician visits and associated services related to prenatal care and 1 post-partum visit) $10 per visit 20 percent of applicable payment rate Clinician visits and associated services related to prenatal care and 1 post-partum visit No copayment No coinsurance Hospice care No copayment 20 percent of applicable payment rate Home health care No copayment 20 percent of applicable payment rate Extended care services No copayment 20 percent of applicable payment rate Ambulance services No copayment 20 percent of applicable payment rate Outpatient laboratory, radiology, and diagnostic services No copayment 20 percent of applicable payment rate Outpatient prescription drugs and biologicals $5 per prescription 20 percent of applicable payment rate Outpatient rehabilitation services $10 per visit 20 percent of applicable payment rate Durable medical equipment and prosthetic and orthotic devices No copayment 20 percent of applicable payment rate Vision care $10 per visit (No additional charge for 1 set of necessary eyeglasses for an individual less than 18 years of age) 20 percent of applicable payment rate Dental care (except space maintenance procedures and interceptive orthodontic treatment) $10 per visit 20 percent of applicable payment rate Space maintenance procedures and interceptive orthodontic treatment $20 per visit 40 percent of applicable payment rate Health education classes All cost sharing rules determined by plans cost sharing rules determined by plans Investigational treatment for life-threatening condition All cost sharing rules determined by plans cost sharing rules determined by plans (b) Applicable Payment Rate. For purposes of this section, the term ``applicable payment rate'', when used with respect to an item or service, means the applicable payment rate for the item or service established under section 1322(c).