Page:United States Statutes at Large Volume 100 Part 1.djvu/240

 100 STAT. 204

State and local governments. 42 USC 1396n note.

PUBLIC LAW 99-272—APR. 7, 1986

may be disregarded for any month for the maintenance needs of the individual may be an amount greater than the maximum allowed for that purpose under regulations in effect on July 1, 1985.". (f) WAIVER EXTENSIONS.—The Secretary of Health and Human Services shall extend, upon request of the State, any waiver under section 1915(c) of the Social Security Act which expires on or after September 30, 1985, and before September 30, 1986. Such extension shall be for a period of not less than one year nor more than five years, subject to section 1915(e)(1) of such Act. (g) WAIVER RENEWALS.—Section 1915(c)(3) of the Social Security Act (42 U.S.C. 1396n(c)(3)) is amended— (1) by striking out "additional three-year periods" and inserting in lieu thereof "additional five-year periods"; and (2) by striking out "previous three-year period" and inserting in lieu thereof "previous waiver period". (h) COORDINATED SERVICES BETWEEN M C H PROGRAM AND HOME AND COMMUNITY-BASED SERVICE PROGRAMS.—Section 1915(c) of the

State and local governments. 42 USC 701.

Social Security Act (42 U.S.C. 1396n(c)), as amended by subsection (d) of this section, is further amended by adding at the end thereof the following new paragraph: "(8) The State agency administering the plan under this title may, whenever appropriate, enter into cooperative arrangements with the State agency responsible for administering the program for children with special health care needs under title V in order to assure improved access to coordinated services to meet the needs of such children.". (i) SUBSTITUTION OF PARTICIPANTS.—(1) Section 1915(c) of the Social

State and local governments.

42 USC 1396n note.

Security Act (42 U.S.C. 1396n(c)), as amended by subsection (h) of this section, is further amended by adding at the end thereof the following new paragraph: "(9) In the case of any waiver under this subsection which contains a limit on the number of individuals who shall receive home or community-based services, the State may substitute additional individuals to receive such services to replace any individuals who die or become ineligible for services under the State plan.". (j) EFFECTIVE DATES.— (1) HABILITATION SERVICES.— The amendment made by subsec-

tion (a) shall be effective for services furnished on or after the date of the enactment of this Act. (2) HOSPITALIZED PATIENTS.—The amendments made by subsection (b) shall be effective for services furnished on or after October 1, 1985. (3) PROHIBITION OF REGULATORY LIMITS AND TREATMENT OF CERTAIN PHYSICALLY DISABLED INDIVIDUALS.—The amendments

made by subsections (c) and (d) shall apply to applications for waivers (or renewals thereof) filed before, on, or after, the date of the enactment of this Act and for services furnished on or after August 13, 1981. (4) INCOME STANDARDS.—The amendment made by subsection (e) shall apply to waivers (or renewals thereof) approved on or after the date of the enactment of this Act. (5) WAIVER EXTENSIONS.—Subsection (f) shall apply to waivers expiring on or after September 30, 1985, and before September 30, 1986. (6) WAIVER RENEWALS.—The amendments made by subsection (g) shall become effective on September 30, 1986.

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