Page:United States Statutes at Large Volume 103 Part 3.djvu/202

 103 STAT. 2270 PUBLIC LAW 101-239--DEC. 19, 1989 of a State that has a 2-year legislative session, each year of such session shall be deemed to be a separate regular session of the State legislature. PART 2—TECHNICAL AND MISCELLANEOUS PROVISIONS 42 USC 1396a note. 102 Stat. 3804. Missouri. Disadvantaged persons. 42 USC 1396n note. 42 USC 1320a-7. SEC. 6411. MISCELLANEOUS MEDICAID TECHNICAL AMENDMENTS. (a) TECHNICAL CORRECTION TO MEDICARE BUY-IN FOR THE ELDERLY.— (1) CLARIFICATION WITH RESPECT TO "SECTION 209 (B) " STATES. — The first sentence of section 1902(f) of the Social Security Act (42 U.S.C. 1396a(f)) is amended by inserting "and except with respect to qualified medicare beneficiaries, qualified severely impaired individuals, and individuals described in subsection (m)(D" before ", no State". (2) EFFECTIVE DATE.— The amendment made by paragraph (1) shall apply as if it had been included in the enactment of the Medicare Catastrophic Coverage Act of 1988. (b) EXTENSION OF DELAY IN ISSUANCE OF CERTAIN FINAL REGULA- TIONS.—Section 8431 of the Technical and Miscellaneous Revenue Act of 1988 is amended by striking "May 1, 1989" and inserting "December 31, 1990". (c) DISPROPORTIONATE SHARE HOSPITALS. — (1) SPECIAL RULE FOR NEW JERSEY UNCOMPENSATED CARE TRUST FUND.—Section 1923(e)(l) of the Social Security Act (42 U.S.C. 1396r-4(e)(l)) is amended— (A) by inserting "(A)(i)" after "without regard to the requirement of subsection (a) if, and (B) by striking "and if and inserting "or (ii) the plan as of January 1, 1987, provided for payment adjustments based on a statewide pooling arrangement involving all acute care hospitals and the arrangement provides for reimbursement of the total amount of uncompensated care provided by each participating hospital, and (B)". (2) CONFORMING AMENDMENT.—Section 1915(b)(4) of such Act (42 U.S.C. 1396n(b)(4)) is amended by inserting "shall be consist- ent with the requirements of section 1923 and" after "which standards". (3) TRANSITION RULE.— The State of Missouri shall be treated as having met the requirement of section 1902(a)(13XA) of the Social Security Act (insofar as it requires payments to hospitals to take into account the situation of hospitals that serve a disproportionate number of low-income patients with special needs) for the period beginning with July 1, 1988, and ending with (and including) June 30, 1990, if the total amount of such payments for such period is not less than the total of such payments otherwise required by law for such period. (4) EFFECTIVE DATE. — The amendment made by paragraph (2) shall be effective as if included in the enactment of the Omnibus Budget Reconciliation Act of 1987. (d) FRAUD AND ABUSE TECHNICAL AMENDMENTS. — (1) TREATMENT OF LOSS OF RIGHT TO RENEW UCENSE.— Section 1128(b)(4)(A) of the Social Security Act (42 U.S.C. 1396a- 7(b)(4)(A)) is amended by inserting "or the right to apply for or renew such a license" after "lost such a license".

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