Page:United States Statutes at Large Volume 100 Part 3.djvu/223

 PUBLIC LAW 99-509—OCT. 21, 1986

100 STAT. 2031

successor to the agreement on the basis of competitive bidding and in a manner that provides an orderly transition. '. (2) DEADLINE FOR ESTABLISHING NEW AREAS.—The Secretary of

Health and Human Services shall established stage renal disease network areas, pursuant to the amendment made by paragraph (1), not later than May 1, 1987. The Secretary shall establish network administrative organizations for such areas by not later than July 1, 1987. (3) TRANSITION.—If, under the amendment made by paragraph (1), the Secretary designates a network administrative organization for an area which was not previously designated for that area, the Secretary shall offer to continue to fund the previously designated organization for that area for a period of 30 days after the first date the newly designated organization assumes the duties of a network administrative organization for that area.

42 USC 1395rr note.

42 USC 1395rr note.

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(e) PATIENT REPRESENTATION ON COUNCILS AND MEDICAL REVIEW

BOARDS.—Subparagraph (B) of subsection (c)(1) of section 1881 of the 42 USC 1395rr. Social Security Act is amended to read as follows: "(B) At least one patient representative shall serve as a member of each network council and each medical review board.". (f)

RESPONSIBILITIES OF NETWORK

ORGANIZATIONS.—Subsection

(c)(2) of section 1881 of such Act is amended— (1) in subparagraph (A), by inserting before the semicolon the following: "and the participation of patients, providers of services, and renal disease facilities in vocational rehabilitation programs"; (2) in subparagraph (B), by inserting before the first semicolon the following: "and with respect to working with patients, facilities, and providers in encouraging participation in vocational rehabilitation programs"; (3) in subparagraph (D), by inserting before the semicolon the ^ following: "and reporting to the Secretary on facilities and providers that are not providing appropriate medical care"; ' (4) in subparagraph (E), by inserting "and encourag^ ing participation in vocational rehabilitation programs" after "self-care settings and transplantation"; and -Pf., ^ (5) by redesignating subparagraphs (D) and (E) as subpara• graphs (G) and (H), respectively, and inserting after subparagraph (C) the following new subparagraphs: "(D) implementing a procedure for evaluating and resolving f patient grievances; "(E) conducting on-site reviews of facilities and providers as necessary (as determined by a medical review board or the I Secretary), utilizing standards of care established by the network organization to assure proper medical t are; I "(F) collecting, validating, and analyzing • such data as are Reports. necessary to prepare the reports required \y subparagraph (H) ! and subsection (g) and to assure the mainter ance of the registry <• established under paragraph (7);". (g) FACILITY COOPERATION WITH NETWORKS.—1 he first sentence of subsection (c)(3) of section 1881 of such Act is ariended by inserting "or to follow the recommendations of the mec ical review board" after "consistently failed to cooperate with network plans and goals". (h) INTENT OF CONGRESS RESPECTING MAXIA;UM USE OF VOCATIONAL REHABILITATION SERVICES.—The first sentence of subsection

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