Page:United States Statutes at Large Volume 102 Part 4.djvu/831

 PUBLIC LAW 100-647—NOV. 10, 1988

102 STAT. 3801

under this subsection and on the supply and characteristics of nurses trained under such pn^rams. (b) JOINT UNDERGRADUATE EDUCATION PROGRAM.—In the case of a Health care hospital which (1) was paid under a waiver under section 402 of the facilities. Sodal Security Amendments of 1967 and section 222 of the Social Security Amendments of 1972, which waiver expired on September 30, 1985, and (2) during its cost reporting period beginning in fiscal year 1985 and for each subsequent cost reporting period, has been and is associated with, and has incurred and incurs substantial costs with respect to, a nursing c o l l i e with which it has shared and shares common directors, educational activities of the nursing coll i e shall be considered to be educational activities operated directly by such hospital for purposes of title XVIII of the Social Security Act, and shall be allowable as reasonable costs under such title and reimbursed under such title on the same basis as if they were allowable direct costs of a hospital-operated approved educational program (other than an approved graduate medical education program), for hospital cost reporting periods beginning in fiscal years 1989, 1990, and 1991. S E C 8412. ELIMINATION OF WAIVERS OF 50:50 RULE FOR HMO ENROLLMENT. (a) IN GENERAL.—

(1) Section 1876(f) of the Social Security Act (42 U.S.C. 1395nun(f)), as amended by section 4018(a) of the Omnibus Budget Rm)nciliation Act of 1987, is amended by striking paragraph (3) and by redesignating paragraph (4) as paragraph (3). (2) Subsection (c) of section 4018 of the Omnibus Budget Reconciliation Act of 1987 is repealed. (b) EFFECTIVE DATE.—The amendments made by subsection (a) shall not apply to contracts in effect on the date of the enactment of this Act or extensions (not exceeding 90 days) thereof.

101 Stat. 1330-66. 42 USC 1395mm note.

S E C 8413. INCREASE IN AUTHORIZATION FOR THE PATIENT OUTCOME ASSESSMENT RESEARCH PROGRAM.

Section 1875(c)(3) of the Social Security Act (42 U.S.C. 139511(c)(3)) is amended to read as follows: "(3)(A) For purposes of carrying out the research program, there are authorized to be appropriated— "(i) from the Federal Hospital Insurance Trust Fund twothirds of the amount specified in subparagraph (B), and "(ii) from the Federal Supplementary Medical Insurance Trust Fund one-third of the amount specified in subparagraph (B). "(B) The amount specified in this subparagraph is— "(i) $7,500,000 for fiscal year 1988, "(ii) $10,000,000 for fiscal year 1989, "(iii) $20,000,000 for fiscal year 1990, and "(iv) $30,000,000 for fiscal year 1991.". S E C 8414. DELAY IN REPORTING DEADLINE FOR THE UNITED STATES BIPARTISAN COMMISSION ON COMPREHENSIVE HEALTH CARE.

Section 406 of the Medicare (Catastrophic Goverage Act of 1988 is 42 USC 1395b amended by striking "date of the enactment of this Act" each place note. it appears and inserting "effective date of the first Act providing appropriations for the Commission".

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