Page:United States Statutes at Large Volume 102 Part 4.djvu/830

 102 STAT. 3800

PUBLIC LAW 100-647—NOV. 10, 1988

SEC. 8404. DEMONSTRATION PROJECTS WITII RESPECT TO CHRONIC VENTILATOR-DEPENDENT UNITS IN HOSPITALS. (a) IN GENERAL.—Section 429(a) of the Medicare Catastrophic 42 USC I395b-l Coverage Act of 1988 is amended by striking "up to" each place it ^ appears and inserting "at least". 42 USC I395b-l (b) EFFECTIVE DATE.—The amendment made by subsection (a) " shall take effect as if included in the Medicare Catastrophic Coverage Act of 1988. 42 USC 1395ww SEC 8405. ELECTION OF PERSONNEL POLICY FOR PROPAC EMPLOYEES. With respect to employees of the Prospective Payment Assessment Commission hired before December 22, 1987, such employees shall have the option to elect within 60 days of the date of enactment of this Act to be covered under either the personnel policy in effect with respcict to such employees before December 22, 1987, or under the employees coverage provided under the last sentence of section 1886(e)(6)(D) of the Social Security Act

PART II—RELATING TO PARTS A AND B OF MEDICARE PROGRAM 42 USC 1395b-l

SEC. 8411. TREATMENT OF CERTAIN NURSING EDUCATION PROGRAMS. (a) DEMONSTRATION OF JOINT NUBSING GRADUATE EDUCATION PROGRAMS.—

Reports.

(1) The Secretary of Health and Human Services shall provide for demonstration programs under this subsection in each of 5 hospitals for cost reporting periods beginning on or after July 1, 1989, and before July 1, 1994. (2) Under each demonstration project, subject to paragraph (4), the reasonable costs incurred by a hospital pursuant to a written agreement with an educational institution for the activities described in paragraph (3) conducted as part of an approved educational program tiiat— (A) involves a substantial clinical component (as determined by the Secretary), and (B) leads to a master's or doctoral degree in nursing, shall be allowable as reasonable costs under title XVIQ of the Social Security Act and reimbursed under such title on the same basis as if they were allowable direct costs of a hospitaloperated approved educational program (other than an approved graduate medical education program). (3) The activities described in this paragraph are the activities for which the reasonable costs of conducting such activities are allowable under title X V m of the Social Security Act if conducted under a hospital-operated approved educational program (other than an approved graduate medical education program), but only to the extent such activities are directly related to the operation of the educational program conducted pursuant to the written agreement between the hospital and the educati<mai institution. (4) The amount paid under a demonstration program under this subsection to a hospital for a cost reporting period may not exceed $200,000. (5) The Secretary shall report to Congress, by not later than January 1, 1995, on the demonstration programs conducted

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