Page:United States Statutes at Large Volume 103 Part 3.djvu/199

 PUBLIC LAW 101-239—DEC. 19, 1989 103 STAT. 2267 (d) DURATION.—Each demonstration project under this section shall be conducted for a period not to exceed 3 years. > (e) WAIVER.—The Secretary where he deems appropriate may waive the statewideness requirement described in section 1902(a)(l) of the Social Security Act. (f) LIMIT ON ExPENorruRES.—The Secretary in conducting the demonstration projects described in this section shall limit the amount of the Federal share of benefits paid and expenses incurred under title XDC of the Social Security Act to $10,000,000 in each of fiscal years 1990, 1991, and 1992. (g) EVALUATION AND REPORT.— (1) For each demonstration project conducted under this section, the Secretary shall assure that an evaluation is conducted on the effect of the project with respect to— (A) access to health care; (B) private health care insurance coverage; (C) costs with respect to health care; and (D) developing feasible premium and cost-sharing policies. (2) The Secretary shall submit to Congress an interim report containing a summary of the evaluations conducted under para- graph (1) not later than January 1, 1992, and a final report contain- ing such summary together with such further recommendations as the Secretary may determine appropriate not later than January 1, 1994. SEC 6408. OTHER MEDICAID PROVISIONS. (a) INSTITUTIONS FOR MENTAL DISEASES. — (1) STUDY.—The Secretary of Health and Human Services shall conduct a study of— (A) the implementation, under current provisions, regula- tions, guidelines, and regulatoiy practices under title XIX of the Social Security Act, of the exclusion of coverage of services to certain individuals residing in institutions for mental diseases, and (B) the costs and benefits of providing services under title XIX of the Social Security Act in public subacute psy- . chiatric facilities which provide services to psychiatric pa- tients who would otherwise require acute hospitalization. (2) REPORT.—By not later than October 1, 1990, the Secretary shall submit a report to Congress on the study and shall include in the report recommendations respecting— (A) modifications in such provisions, regulations, guide- lines, and practices, if any, that may be appropriate to accommodate changes that may have occurred since 1972 in the delivery of psychiatric and other mental health services on an inpatient basis to such individuals, and a- (B) the continued coverage of services provided in subacute psychiatric facilities under title XIX of the Social Security Act. (3) MORATORIUM ON TREATMENT OP CERTAIN FACILITIES. — Any Michigan. determination by the Secretary that Kent Community Hospital Complex in Michigan or Saginaw Community Hospital in Michi- gan is an institution for mental diseases, for purposes of title XIX of the Social Security Act shall not take effect until 180 days after the date the Congress receives the report required under paragraph (2). (b) EXTENSION OF TEXAS PERSONAL CARE SERVICES WAIVER. —Sec- tion 9523(a) of the Consolidated Omnibus Budget Reconciliation Act of 1985, as amended by section 4115(d) of the Omnibus Budget

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