Page:United States Statutes at Large Volume 100 Part 1.djvu/253

 PUBLIC LAW 99-272—APR. 7, 1986

100 STAT. 217

(1) describes the methodology used by States under section 1902(a)(13)(A) of the Social Security Act, in their making pay- 42 USC 1396a. ments to hospitals, in taking into account the situation of hospitals that serve a disproportionate number of low income patients with special needs; (2) identifies each of those hospitals that have had the amount of their payments under that title adjusted under that section; and (3) for each of those hospitals, describes the proportion of total inpatient-days attributable to low income patients and the proportion of total inpatient-days attributable to patients entitled to medical assistance under that title. SEC. 9520. TASK FORCE ON TECHNOLOGY-DEPENDENT CHILDREN.

(a) APPOINTMENT OF TASK FORCE.—The Secretary of Health and

Human Services, within six months after the date of the enactment of this Act, shall establish a task force concerning alternatives to institutional care for technology-dependent children (as defined in subsection (e)). (b) MEMBERSHIP.—The task force shall include representatives of Federal and State agencies with responsibilities relating to child health, health insurers, large employers (including those that selfinsure for health care costs), providers of health care to technologydependent children, and parents of technology-dependent children. (c) FUNCTIONS OF TASK FORCE.—The task force shall— (1) identify barriers that prevent the provision of appropriate care in a home or community setting to meet the special needs of technology-dependent children; and (2) recommend changes in the provision and financing of health care in private and public health care programs (including appropriate joint public-private initiatives) so as to provide home and community-based alternatives to the institutionalization of technology-dependent children. (d) REPORT.—The task force shall make a final report to the Secretary and to the Congress on its activities not later than two years after the date of the enactment of this Act. (e) DEFINITION.—In this section, the term "technology-dependent child" means a child who has a chronic illness which makes the child dependent upon the continuing use of medical care technology (such as a ventilator).

42 USC 1396a note.

SEC. 9522. EXPANSION OF SERVICES UNDER DEMONSTRATION WAIVERS.

In the case of waivers granted to (or submitted during 1986 by) the Oregon. State of Oregon under section 1915(b) of the Social Security Act, the 42 USC 1396n. Secretary of Health and Human Services may waive the requirements of section 1903(m)(2)(A) of such Act with respect to any entity 42 USC 1396b. providing services under any such waiver if such entity does not provide more than 5 of the services listed in section 1903(m)(2)(A) of such Act, and does not provide inpatient hospital services. SEC. 9523. EXTENSION OF TEXAS WAIVER PROJECT.

(a) RENEWED APPROVAL.—Notwithstanding any limitations contained in section 1115 of the Social Security Act but subject to 42 USC 1315. subsection (b) of this section, the Secretary of Health and Human Services, upon application, shall renew approval of demonstration project number ll-P-97473/6-06 ("Modifications under the Texas System of Care for the Elderly: Alternatives to the Institutionalized

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