Page:United States Statutes at Large Volume 103 Part 3.djvu/197

 PUBLIC LAW 101-239—DEC. 19, 1989 103 STAT. 2265 additional requirements imposed by the amendments made by this section, the State plan shall not be regarded as failing to comply with the requirements of such title solely on the basis of its failure to meet these additional requirements before the first day of the first calendar quarter beginning after the close of the first regular session of the State legislature that b^ins after the date of the enactment of this Act. For purposes of the previous sentence, in the case of a State that has a 2-year legislative session, each year of such .M session shall be deemed to be a separate regular session of the State legislature. SEC 6405. REQUIRED COVERAGE OF NURSE PRACTITIONER SERVICES. (a) IN GENERAL. —Section 1905(a) of the Social Security Act (42 U.S.C. 1396d(a)) is amended— (1) in paragraph (20), by striking "and"; (2) by redesignating paragraph (21) as paragraph (22); and (3) by inserting after paragraph (20) the following new para- graph: "(21) services fiimished by a certified pediatric nurse practi- tioner or certified family nurse practitioner (as defined by the Secretary) which the certified pediatric nurse practitioner or certified family nurse practitioner is legally authorized to per- form under State law (or the State regulatory mechanism pro- vided by State law), whether or not the certified pediatric nurse practitioner or certified family nurse practitioner is under the supervision of, or associated with, a ph3rsician or other health care provider; and". (b) CoNPORMiNG AMENDMENT.— Section 1902(a)(10XA) of such Act (42 U.S.C. 1396a(a)(10XA)) is amended by striking "(1) through (5) and (17)" and by inserting "(1) through (5), (17) and (21)". (c) EFFECTIVE DATE.— The amendments made by this section shall 42 USC 1396a become effective with respect to services furnished by a certified ^°*^- pediatric nurse practitioner or certified family nurse practitioner on or after July 1, 1990. SEC 6406. REQUIRED MEDICAID NOTICE AND COORDINATION WITH SPE- CIAL SUPPLEMENTAL FOOD PROGRAM FOR WOMEN, IN- 0 FANTS. AND CHILDREN (WIC). (a) STATE PLAN REQUIREMENTS OF NOTICE AND (COORDINATION. — Section 1902(a) of the Social Security Act (42 U.S.C. 1396a(a)) is amended— (1) in paragraph (11), by striking "and" before "(B)" and by inserting before the semicolon at the end the following: ", and (Q provide for coordination of the operations under this title with the State's operations under the special supplemental food program for women, infants, and children under section 17 of the Child Nutrition Act of 1966"; (2) by striking "and" at the end of paragraph (51); (3) by striking the period at the end of paragraph (52) and inserting "; and; and (4) by inserting after paragraph (52) the following new para- graph: "(53)jprovide— (A) for notifying in a timely manner all individuals in the State who are determinea to be eligible for medical assistance and who are pregnant women, breastfeeding or

�