Page:United States Statutes at Large Volume 100 Part 1.djvu/207

 PUBLIC LAW 99-272—APR. 7, 1986

100 STAT. 171

(2) in clause (iii), by striking out "and ending with the month before the month in which such individual attains the age of 70". (b) EXTENSION OF AGE DISCRIMINATION PROVISIONS.—

(1) Section 4(g)(1) of the Age Discrimination in Employment Act of 1967 (29 U.S.C. 623(g)(l)) is amended by striking out "through 69" and inserting in lieu thereof "or older" each place it appears. (2) Section 12(a) of such Act (29 U.S.C. 631(a)) is amended by inserting "(except the provisions of section 4(g))" after "Act'. (3) Section 4 of such Act (29 U.S.C. 623) is amended by redesignating the second subsection (g), added by section 802 of the Older Americans Act Amendments of 1984, as subsection 98 Stat. 1792. (h). (c) CONFORMING AMENDMENTS.—

(1) SPECIAL ENROLLMENT PERIOD.—Paragraph (3) of section

1837(i) of the Social Security Act (42 U.S.C. 1395p(i)(3)) is amended to read as follows: "(3) The special enrollment period referred to in paragraphs (1) and (2) is the period beginning with the first day of the first month in which the individual is no longer enrolled in a group health plan described in section 1862(b)(3)(A)(iv) by reason of current employment and ending seven months later.". (2) EFFECTIVE DATE OF ENROLLMENT.—Subsection (e) of section 1838 of the Social Security Act (42 U.S.C. 1395q) is amended to read as follows: "(e) Notwithstanding subsection (a), in the case of an individual who enrolls during a special enrollment period pursuant to section 1837(i)(3)— "(1) in the first month of the special enrollment period, the coverage period shall begin on the first day of that month, or "(2) in a month after the first month of the special enrollment period, the coverage period shall begin on the first day of the month following the month in which the individual so enrolls." (d) EFFECTIVE DATES.—(1) The amendments made by subsection (a) shall apply with respect to items and services furnished on or after May 1, 1986. (2) The amendments made by subsections (b) and (c) shall become effective on May 1, 1986.

42 USC 1395y.

42 USC 1395p.

42 USC I395y note. 42 USC I395p note.

SEC. 9202. PAYMENTS TO HOSPITALS FOR DIRECT COSTS OF MEDICAL EDUCATION.

(a) MEDICARE PAYMENT METHODOLOGY.—Section 1886 of the Social Security Act (42 U.S.C. 1395ww) is amended by adding at the end the following new subsection: "(h) PAYMENTS FOR DIRECT GRADUATE MEDICAL EDUCATION COSTS.— "(1) SUBSTITUTION OF SPECIAL PAYMENT RULES.—Notwithstand-

ing section 1861(v), instead of any amounts that are otherwise 42 USC I395x. payable under this title with respect to the reasonable costs of hospitals for direct graduate medical education costs, the Secretary shall provide for payments for such costs in accordance with paragraph (3) of this subsection. In providing for such payments, the Secretary shall provide for an allocation of such payments between part A and part B (and the trust funds established under the respective parts) as reasonably reflects the proportion of direct graduate medical education costs of

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