Page:United States Statutes at Large Volume 100 Part 3.djvu/263

 PUBLIC LAW 99-509—OCT. 21, 1986

100 STAT. 2071

"(D) Nothing in section 1903(m)(l)(A) of the Social Security Act shall be construed as requiring a health-insuring organization to be organized under the health maintenance organization laws of a State.". (f) EFFECTIVE DATE.—The amendments made by this section shall be effective as if included in the enactment of the Consolidated Omnibus Budget Reconciliation Act of 1985.

State and local governments. 42 USC 1396b. 42 USC 1396a note. Ante, p. 82.

SEC. 9436. PAYMENT FOR CERTAIN LONG-TERM CARE PATIENTS IN HOSPITALS.

(a) IN GENERAL.—In the case of a State which received a waiver under the authority of section 402(b) of the Social Security Amendments of 1967 with respect to payment methodology for inpatient hospital services under title XVIII and XIX of the Social Security Act during the 3-year period beginning January 1, 1983, notwithstanding section 1902(a)(13) of such Act, the State may pay under title XIX of such Act for hospital patients receiving services at an inappropriate level of care at the rate for hospital patients receiving an appropriate level of care if the Secretary of Health and Human Services determines that a sufficient number of hospital beds have been decertified in the State to reduce the payments to hospitals under such title in the State by amount equal to or greater than the amount by which payments to hospitals under such title in such State will increase as a result of the payment of such higher rates for patients receiving inappropriate levels of care. (b) EFFECTIVE PERIOD.—Subsection (a) shall apply to payments for services furnished during the 3-year period beginning January 1, 1986, after the date the Secretary makes the determination described in that subsection.

State and local governments. 42 USC 1395b-l. 42 USC 1395, 1396. 42 USC 1396a.

PART 5—MATERNAL AND CHILD HEALTH SEC. 9441. AUTHORIZATION AND ALLOTMENT OF ADDITIONAL FUNDS.

(a) ADDITIONAL FUNDS.—Section 501(a) of the Social Security Act (42 U.S.C. 701(a)) is amended by striking "$478,000,000 for fiscal year 1984" and inserting "$553,000,000 for fiscal year 1987, $557,000,000 for fiscal year 1988, and $561,000,000 for fiscal year 1989". (b) ALLOTMENT OF ADDITIONAL APPROPRIATIONS.—Section 502

of

such Act (42 U.S.C. 702) is amended— (1) in subsection (a)(1) by striking "amount appropriated under section 501(a)" and inserting in lieu thereof "amounts appropriated under section 501(a) for a fiscal year that are not in excess of $478,000,000"; (2) in subsection (b)— (A) by inserting "that are not in excess of $478,000,000" after "fiscal year" the first place it appears, and (B) by striking paragraph (3); and (3) by adding at the end the following new subsections: "(c)(1) Of the amounts appropriated for a fiscal year in excess of Grants. 3,000,000, an amount equal to 7 percent for fiscal year 1987, 8 Contracts. percent for fiscal year 1988, and 9 percent for fiscal year 1989 shall Ai be retained by the Secretary for the purpose of carrying out (through grants, contracts, or otherwise) projects for the screening of newborns for sickle-cell anemia and other genetic disorders. The provisions of paragraph (3) of subsection (a) shall apply to projects authorized by this paragraph to the same extent as such provisions apply to projects authorized under such subsection.

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