Page:United States Statutes at Large Volume 101 Part 2.djvu/875

 PUBLIC LAW 100-203—DEC. 22, 1987

101 STAT. 1330-81

(c) SELECTION.—In selecting from among applications submitted under subsection (a), the Secretary shall ensure that four small rural hospitals located in different counties participate in the demonstration project and that— (1) two of such hospitals are located in rural counties of more than 2,700 square miles (one of which is east of the Mississippi River and one of which is west of such river); and (2) two of such hospitals are located in rural counties with (as o determined by the Secretary) a severe shortage of physicians - (one of which is east of the Mississippi River and one of which is west of such river). (d) CLARIFICATION OF PAYMENT.—For purposes of section 1886 of

the Social Security Act— (1) with respect to subsection (d)(5)(B) of such section, any resident physician participating in the project under subsection A (a) for any part of a year shall be treated as if he or she were it working at the appropriate sponsoring hospital with an agreement under subsection (a) on September 1 of such year (and shall not be treated as if working at the small rural hospital); and (2) with respect to subsection (h) of such section, the payment amount permitted under such subsection for a sponsoring hospital with an agreement under subsection (a) shall be increased (for the duration of the project only) by an amount equal to the amount of any direct graduate medical education costs (as defined in paragraph (5) of such subsection (h)) incurred by such hospital in supervising the education and training activities '"••- under a project under subsection (a). (e) DURATION OF PROJECT.—Each demonstration project under subsection (a) shall be commenced not later than six months after the date of enactment of this Act and shall be conducted for a period of three years. (1) DEFINITION.—In this section, the term "sponsoring hospital" means a hospital that receives payments under sections 1886(d)(5)(B) and 1886(h) of the Social Security Act.

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SEC. 4039. MISCELLANEOUS AND TECHNICAL PROVISIONS. (a) CLARIFICATION OF CRIMINAL PENALTIES FOR WILLFUL MISREPRE-

SENTATIONS.—Subsection (c) of section 1128B of the Social Security Act (42 U.S.C. 1320a-7(b)), ^s as redesignated by section 4(d) of the Medicare and Medicaid Patient and Program Protection Act of 1987 (Public Law 100-93), is amended— (1) by striking "institution or facility" each place it appears and inserting "institution, facility, or entity", and (2) by inserting "(including an eligible organization under section 1876(b))" after "other entity". -, (b) PODIATRISTS.—

(1) Section 1861(r)(3) of the Social Security Act (42 U.S.C. 1395x(r)(3)) is amended— (A) by striking "subsection (s) of this section" and inserting "subsections (k), (m), (p)(D, and (s) of this section and t sections 1814(a), 1832(a)(2)(F)(ii), and 1835", and (B) by striking "; and for the purposes" and all that follows through "which he is legally authorized to perform". " Copy read "1320a-7b)),".
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42 USC 1320a-7b. ,

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