Page:United States Statutes at Large Volume 103 Part 3.djvu/176

 103 STAT. 2244 PUBLIC LAW 101-239—DEC. 19, 1989 Federal Register, publication. 42 USC 1395mm note. Contracts. (iii) any final rule shall not be effective prior to October 1, 1990, or 30 days after publication of the final rule in the Federal Register, whichever is later. (C) Such regulations shall specify— ^j^ (i) the relationship required between an approved nursing (^ or allied health education program and a hospital for the program's costs to be attributed to the hospital; (ii) the types of costs related to nursing or allied health education programs that are allowable by medicare; (iii) the distinction between costs of approved educational activities as recognized under section 1886(a)(3) of the Social ., Security Act and educational costs treated as operating costs of inpatient hospital services; and (iv) the treatment of other funding sources for the pro- gram. SEC. 6206. DISCLOSURE OF ASSUMPTIONS IN ESTABLISHING AAPCC; ELIMINATION OP COORDINATED OPEN ENROLLMENT REQUIREMENT. (a) DISCLOSURE OF ASSUMPTIONS IN ESTABLISHING AAPCC.— (1) IN GENERAL. —Section 1876(a)(l) of the Social Security Act '' (42 U.S.C. 1395mm(a)(l)) is amended by adding at the end the following new subparagraph: "(F)(i) At least 45 days before making the announcement under subparagraph (A) for a year (beginning with the announcement for 1991), the Secretary shall provide for notice to eligible organizations of proposed changes to be made in the methodology or benefit coverage assumptions from the methodology and assumptions used in the previous announcement and shall provide such organizations an opportunity to comment on such proposed changes. "(ii) In each announcement made under subparagraph (A) for a year (beginning with the announcement for 1991), the Secretary shall include an explanation of the assumptions (including any benefit coverage assumptions) and changes in methodology used in the announcement in sufficient detail so that eligible organizations can compute per capita rates of payment for classes of individuals located in eacn county (or equivsJent area) which is in whole or in part within the service area of such an organization.". (2) NOTICE.— Before July 1, 1990, the Secretary of Health and Human Services shall provide for notice to eligible organiza- tions of the methodology used in making the announcement under section 1876(a)(l)(A) of the Social Security Act for 1990. (b) EUMINATION OF COORDINATED OPEN ENROLLMENT REQUIRE- MENT. — (1) IN GENERAL. —Section 1876(c)(3)(A) of such Act (42 U.S.C. 1395mm(c)(3)(A)) is amended— (A) in clause (i), by striking "30-day period" and inserting "period or periods", and (B) by striking clause (ii) and inserting the following: "(iiXD If a risk-sharing contract under this section is not renewed or is otherwise terminated, eligible organizations with risk-sharing contracts under this section and serving a part of the same service area as under the terminated contract are required to have an open enrollment period for individuals who were enrolled under the terminated contract as of the date of notice of such termination. If a risk-sharing contract under this section is renewed in a manner that discontinues coverage for individuals residing in part of the service

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