Page:United States Statutes at Large Volume 100 Part 3.djvu/260

 100 STAT. 2068

Research and development. Ante, p. 2006.

PUBLIC LAW 99-509—OCT. 21, 1986

ficiaries of selected treatments and procedures for different geographic areas within States and among States. (3) The study shall also identify underutilized, medically necessary treatments and procedures for which— (A) a failure to furnish could have an adverse effect on •u Ihealth status, and (B) the rate of utilization by medicaid beneficiaries is significantly less than the rate for comparable, age-adjusted populations. (4) The study shall be coordinated, to the extent practicable, with the research program established pursuant to section 1875(c) of the Social Security Act, with particular regard to the relationship of the variations described in paragraph (2) to patient outcomes. (5) The Secretary shall report the results of the study to the Congress not later than January 1, 1990. SEC. 9433. CLARIFICATION OF FLEXIBILITY FOR STATE MEDICAID PAYMENT SYSTEMS FOR INPATIENT SERVICES.

42 USC 1396a. 42 USC 1396a. Health care facilities. Disadvantaged persons. 42 USC 1396a note. 95 Stat. 357.

(a) IN GENERAL.—Section 2173 of the Omnibus Budget Reconciliation Act of 1981 (Public Law 97-35, 95 Stat. 809) is amended by adding at the end the following new subsection: "(d) Section 1902 of such Act is further amended by inserting before subsection (i) the following new subsection: " '(h) Nothing in this title (including subsections (a)(13) and (a)(30) of this section) shall be construed as authorizing the Secretary to limit the amount of payment adjustments that may be made under a plan under this title with respect to hospitals that serve a disproportionate number of low-income patients with special needs.' ". (b) EFFECTIVE DATE.—The amendment made by subsection (a) shall apply as though it was included in the enactment of the Omnibus Budget Reconciliation Act of 1981 (Public Law 97-35). SEC. 9434. FINANCIAL DISCLOSURE REQUIREMENTS FOR HMOS; CIVIL MONEY PENALTIES. (a) DISCLOSURE OF INTERLOCKING RELATIONSHIPS.—

contracts. 42 USC 1320a-3.

Reports. 42 USC 300e-9.

42 USC 300e-17.

(1) Section 1903(m) of the Social Security Act (42 U.S.C. ^.. 1396b(m)) is amended— (A) in paragraph (2)(A)— (i) by striking "and" at the end of clause (vi), (ii) by striking the period at the end of clause (vii) and inserting ", and", and (iii) by adding after clause (vii) the following new i''^ clause: "(viii) such contract provides for disclosure of information in accordance with section 1124 and paragraph (4) of this subsection."; and (B) by adding at the end the following new paragraph: "(4)(A) Each health maintenance organization which is not a qualified health maintenance organization (as defined in section 1310(d) of the Public Health Service Act) must report to the State and, upon request, to the Secretary, the Inspector General of the Department of Health and Human Services, and the Comptroller General a description of transactions between the organization and a party in interest (as defined in section 1318(b) of such Act), including the following transactions: ••.18

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