Page:United States Statutes at Large Volume 100 Part 1.djvu/216

 100 STAT. 180 42 USC 1395 mm.

PUBLIC LAW 99-272—APR. 7, 1986 the risk-sharing contracts which have been entered into under section 1876 of the Social Security Act as may be necessary to conform to the requirements imposed by the amendments made by this section on a timely basis.

SEC. 9213. REMOVAL OF PROHIBITION ON COMMENTS BY MEDICARE AND SOCIAL SECURITY ACTUARIES RELATING TO ECONOMIC ASSUMPTIONS. (a) FEDERAL OLD-AGE AND DISABILITY INSURANCE TRUST FUND.—

Section 201(c) of the Social Security Act (42 U.S.C. 401(c)) is amended by striking out ": Provided, That the certification shall not refer to economic assumptions underlying the Trustee's report, and shall" and inserting in lieu thereof ". Such report shall". (b) MEDICARE TRUST FUNDS.—Sections 1817(b) and 1841(b) of such Act (42 U.S.C. 1395i(b), 1395t(b)) are each amended by striking out ": Provided, That the certification shall not refer to economic assumptions underlying the Trustee's report". 42 USC 401 note. (c) EFFECTIVE DATE.—The amendments made by this section shall become effective on the date of the enactment of this Act. SEC. 9214. LIMITATION ON MERGER OF END STAGE RENAL DISEASE NETWORKS. 42 USC 1395rr note. 42 USC 1395rr.

The Secretary of Health and Human Services shall maintain renal disease network organizations as authorized under section 1881(c) of the Social Security Act, and may not merge the network organizations into other organizations or entities. The Secretary may consolidate such network organizations, but only if such consolidation does not result in fewer than 14 such organizations being permitted to exist. SEC. 9215. EXTENSION OF CERTAIN MEDICARE MUNICIPAL HEALTH SERVICES DEMONSTRATION PROJECTS.

Maryland. Ohio. Wisconsin. California. 42 USC 1395b-l note. 42 USC 1395b-l.

The Secretary of Health and Human Services shall extend, for a period of three additional years, approval of four municipal health services demonstration projects (located in Baltimore, Cincinnati, Milwaukee, and San Jose) authorized under section 402(a) of the Social Security Amendments of 1967. SEC. 9216. AUDIT AND MEDICAL CLAIMS REVIEW

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(a) INCREASE IN ACTIVITIES FOR FISCAL YEARS 1986, 42 USC 1395h note.

42 USC 1395h note.

1987,

AND

1988.—Section 118 of the Tax Equity and Fiscal Responsibility Act of 1982 (96 Stat. 355) is amended— (1) by striking out "for fiscal years 1983, 1984, and 1985", (2) by striking out "such fiscal years" and inserting in lieu thereof "fiscal years 1983, 1984, and 1985, and $105,000,000 for each of fiscal years 1986, 1987, and 1988", and (3) by striking out "the purpose of carrying out provider cost audits and reviews of medical necessity" and inserting in lieu thereof "purposes of carrying out provider cost audits, of reviewing medical necessity, and of recovering third-party liability payments". (b) EFFECTIVE DATE.—The amendments made by subsection (a) shall apply to fiscal years beginning with fiscal year 1986. SEC. 9217. LIVER TRANSPLANTS.

(a) The Senate finds that:

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