Page:United States Statutes at Large Volume 101 Part 2.djvu/950

 101 STAT. 1330-156

Effective date. 42 USC 1396J note.

PUBLIC LAW 100-203—DEC. 22, 1987

(1) Section 1911 of the Social Security Act (42 U.S.C. 1396j), as amended by section 4111(g)(8) of this title, is amended— (A) by striking "or nursing facility" each place it appears and inserting ", nursing facility, or any other type of . facility which provides services of a type otherwise covered under the State plan"; and (B) by adding at the end the following new subsection: "(c) The Secretary is authorized to enter into agreements with the State agency for the purpose of reimbursing such agency for health care and services provided in Indian Health Service facilities to Indians who are eligible for medical assistance under the State plan.".55 (2) The amendments made by paragraph (1) shall apply to health care services performed on or after the date of the enactment of this Act. (g) FRAIL ELDERLY DEMONSTRATION PROJECT WAIVERS.—

100 Stat. 2063.

Effective date.

(1) Section 9412(b)(2) of the Omnibus Budget Reconciliation Act of 1986 is amended— (A) in subparagraph (A), by inserting before the period at "*"^ the end the following: ", including permitting the organization to assume progressively (over the initial 3-year period of the waiver) the full financial risk", and r).8.i (B) in subparagraph (B), by striking "be awarded a grant from the Robert Wood Johnson Foundation" and insert k "participate in an organized initiative to replicate the findings of the On Lok long-term care demonstration project (described in section 603(c)(1) of the Social Security Amendments of 1983)". (2) The amendments made by paragraph (1) shall take effect as though it were included in the Omnibus Budget Reconciliation Act of 1986. (h) MEDICALLY NEEDY INCURRED EXPENSES.

Effective date. 42 USC 1396a note.

Effective date. 42 USC 1396n note. 42 USC 1396n note.

(1) Section 1902(a)(17) of the Social Security Act (42 U.S.C. 1396a(a)(17)) is amended by striking "(whether in the form of insurance premiums or otherwise)" and inserting "(whether in the form of insurance premiums or otherwise and regardless of whether such costs are reimbursed under another public program of the State or political subdivision thereof)". (2) The amendment made by paragraph (1) shall apply to costs incurred after the date of the enactment of this Act. (i) QUALIFICATIONS FOR CASE MANAGERS FOR INDIVIDUALS WITH DEVELOPMENT DISABIUTIES AND CHRONIC MENTAL ILLNESS.—

(1) Section 1915(g)(1) of such Act (42 U.S.C. 1396n(g)(l)) is amended by adding at the end the following new sentence: "The State may limit the case managers available with respect to case management services for eligible individuals with devel'•'•' opmental disabilities or with chronic mental illness in order to ^ of ensuring that such individuals receive needed services.". (2) The amendment made by paragraph (1) shall take effect as though it were included in the enactment of the Consolidated Omnibus Budget Reconciliation Act of 1985. (j) HABIUTATION SERVICES EFFECTIVE DATE.—Effective as if in-
 * ensure that the case managers for such individuals are capable

cluded in the enactment of section 9502 of the Consolidated Omni** Subparagraph " "(c)"' indented incorrectly.

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