Page:United States Statutes at Large Volume 102 Part 1.djvu/844

 102 STAT. 806

42 USC I396r note.

PUBLIC LAW 100-360—JULY 1, 1988

section 1819 of the Social Security Act is deemed a reference to the provisions of section 18610) of such Act.". (10) SECTION 4214.—Section 4214 of OBRA is amended— (A) by striking "(c) TRANSITIONAL RULE.—" and inserting "(2)", (B) by inserting "of section 1919 of the Social Security Act" after "(b), (c), or (d)", and (C) by redesignating subsection (d) as subsection (c). (m) CORRECTIONS TO SUBTITLE E OP TITLE IV (RELATING TO RURAL HEALTH).— (1) SECTION 4401.—Section 711(b)(l) of the Social Security Act,

42 USC 912.

42 USC I395b-l ''°^-

as added by section 4401 of OBRA, is amended by striking "section 4083 of the Omnibus Budget Reconciliation Act of 1987" and inserting "section 4403 of the Omnibus Budget Reconciliation Act of 1987 (as such section pertains to rural health issues)" (2) SECTION 4403.—(A) Section 4403 of OBRA is amended— (i) in the heading, by striking "EXPERIMENTS AND DEMONSTRATION PROJECTS RELATING TO RURAL HEALTH CARE ISSUES" and inserting "RESEARCH AND DEMONSTRATION PROJECTS ON RURAL AND INNER-CITY HEALTH ISSUES"; (ii) in subsection (a)— (I) by striking "SET ASIDE.—" and inserting "SET ASIDES FOR ISSUES OF HEALTH CARE IN RURAL AREAS AND I N INNER-CITY AREAS.—(1)",

Research and development. Urban areas.

(II) by striking "expended in each fiscal year" and all that follows through "1972" and inserting "annually appropriated to, and expended by, the Health Care Financing Administration for the conduct of research and demonstration projects in fiscal years 1988, 1989, and 1990", (III) by striking "experiments" and inserting "research"; (iii) by adding at the end the following new paragraph: "(2) Not less than ten percent of the total amounts annually appropriated to, and expended by, the Health Care Financing Administration for the conduct of research and demonstration projects in fiscal years 1988, 1989, and 1990 shall be expended for research and demonstration projects relating exclusively or substantially to issues of providing health care in inner-city areas, including (but not limited to) the impact of the payment methodology under section 1886(d) of the Social Security Act on the financial viability of inner-city hospitals and the impact of medicare policies on access to (and the quality of) health care in inner-city areas."; and (iv) in subsection 0^)— (I) by striking "of experiments" and inserting "of research", (II) by inserting "or to inner-city health issues" after "rural health issues", and (III) by striking "experiments and". (B) The item in the table of contents of OBRA relating to section 4403 is amended to read as follows: "Sec. 4403. Set aside for research and demonstration projects on rural and innercity health issues.".

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