Page:United States Statutes at Large Volume 100 Part 3.djvu/1125

 PUBLIC LAW 99-514—OCT. 22, 1986

100 STAT. 2933

(4) EMERGENCY CARE REQUIREMENT.—Section 1867(e)(3) of the Social Security Act (42 U.S.C. 1395dd(e)(3)), as inserted by section 9121(b) of COBRA, is amended by striking out "and has, under the agreement, obligated itself to comply with the requirements of this section". (5) REDESIGNATING OVERLAPPING PROVISIONS.—Paragraph (1)

of section 1866(a) of the Social Security Act (42 U.S.C. 1395cc(a)) is amended— (A) by striking out "and" inserted at the end of subparagraph (I) by section 9122(a)(2) of COBRA, (B) by striking out the period at the end of subparagraph (J) and inserting in lieu thereof ", and", and (C) by redesignating the subparagraph (I) inserted by section 9403(b) of COBRA as subparagraph (K) and transferring and inserting such subparagraph after subparagraph (J). (6) CHAMPUS.—Section 91220?) of COBRA is amended by striking out "to agreements entered into or renewed on or after the date of the enactment of this Act, but shall apply only". (7)

SKILLED

NURSING

FACILITY

PAYMENTS.—(A)

Section

1888(d)(1) of the Social Security Act (42 U.S.C. 1395yy(d)(l)), as added by section 9126(a) of COBRA, is amended by striking out "fiscal year" each place it appears and inserting in lieu thereof "cost reporting period". (B) Section 1888(d)(4) of the Social Security Act is amended— (i) in the first sentence, by striking out "each fiscal year" and inserting in lieu thereof "cost reporting periods beginning in a fiscal year", and (ii) in the second sentence, by striking out "fiscal year" and all that follows up to the period and inserting in lieu thereof "cost reporting period no later than 30 days before the beginning of that period". (C) Section 9126(d)(1) of COBRA is amended by striking out "fiscal years" and inserting in lieu thereof "cost reporting periods. (D) The amendments made by subparagraphs (A) and (B) apply to cost reporting periods beginning on or after October 1, 1986. (8) PROP AC—Section 91270)) of COBRA is amended by inserting ", except that the Director may provide initially for such terms as will insure that (on a continuing basis) the terms of no more than eight members will expire in any one year" after "years". (9) DIRECT MEDICAL EDUCATION.—Section 1886(h) of the Social Security Act (42 U.S.C. 1395ww(h)), added by 9202(a) of COBRA, is amended— (A) in paragraph (2)(C), by striking out "paragraph (B)" and inserting in lieu thereof "subparagraph (B)", (B) in the matter preceding subclause (I) of paragraph (4)(E)(ii), by inserting "but before July 1, 1987," after "1986,", (C) by redesignating subparagraph (E) of paragraph (4) as subparagraph (D), and (D) in paragraph (5)(B), by striking out "As used in this paragraph, the" and inserting in lieu thereof "The". (10) CITATION CORRECTION.—Section 9202(j) of COBRA is amended by inserting "or section 402 of the Social Security

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