Page:United States Statutes at Large Volume 103 Part 3.djvu/185

 PUBLIC LAW 101-239—DEC. 19, 1989 103 STAT. 2253 SEC 6216. EXPANSION OF RURAL HEALTH MEDICAL EDUCATION DEM- ONSTRATION PROJECT. (a) NUMBER OF PROJECTS. —Section 4038(a) of the Omnibus Budget Reconciliation Act of 1987 is amended by striking "four sponsoring hospitals" and inserting "10 sponsoring hospitals". (b) SELECTION OP NEW PROJECTS. —Section 4038(c) of such Act is amended— (1) by striking "In selecting" and inserting "(1) In selecting"; (2) by redesignating paragraphs (1) and (2) as subparagraphs (A) and (B); and (3) by adding at the end the following new paragraph: "(2) The provisions of paragraph (1) shall not apply with respect to applications submitted as a result of amendments made by section 6216 of the Omnibus Budget Reconciliation Act of 1989.". (c) COMMENCEMENT OF NEW PROJECTS. —Section 4038(e) of such Act is amended by inserting "(or the date of the enactment of the Omnibus Budget Reconciliation Act of 1989, in the case of a project conducted as a result of the amendments made by section 6216 of such Act)" after "this Act". SEC. 6217. INNER-CITY HOSPITAL TRUGE DEMONSTRATION PROJECT. (a) ESTABLISHMENT.—The Secretary of Health and Human Serv- ices shall establish a demonstration project in a public hospital that is located in a large urban area and that has established a triage system, under which the Secretary shall make payments for 3 years to reimburse the hospital for the reasonable costs of operating the system, including costs— (1) to train hospital personnel to operate and participate in , the system; and (2) to provide services to patients who might otherwise be denied appropriate and prompt care. (b) LIMITATIONS ON PAYMENT.- - (1) The Secretary may not make payment under the demonstration project established under subsec- tion (a) for costs that the Secretary determines are not reasonable. (2) The amount of payment made under the demonstration project during a single year may not exceed $500,000. SEC. 6218. GAO STUDY OF ADMINISTRATIVE COSTS OF MEDICARE PRO- GRAM. (a) STUDY.—The Comptroller General shall conduct a study of the administrative burden of medicare regulations and program requirements on providers of services, fiscal intermediaries, and carriers, and shall include in such study— (1) an assessment of current administrative costs to such entities and of trends in such administrative costs since 1982; and (2) a comparison of the administrative burden to such entities in providing services to individuals who are not medicare bene- ficiaries. For purposes of such assessment, administrative costs shall include personnel costs, training costs, the costs of data and communications systems as affected by changes in requirements of the medicare program, and costs to such entities of non-compliance with such requirements resulting from the failure of the Secretary of Health and Human Services to provide entities with adequate notice of changes in program requirements. 42 USC 1395WW note. 42 USC 1395WW note.

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