Directs the Secretary of Health and Human Services to provide that payment will not be made under part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act for a podiatrist's debridement of mycotic toenails: (1) if debridement is performed more than once every 60 days, unless the need for more frequent treatment is documented; and (2) unless a culture is taken and, in the case of patient in a nursing facility, the physician refers the patient in writing to a podiatrist.