Page:United States Statutes at Large Volume 104 Part 2.djvu/527

 PUBLIC LAW 101-508—NOV. 5, 1990 104 STAT. 1388-119 (i) in subsection (a), by adding at the end the following: "Not later than 12 months after the date of the enactment of the Omnibus Budget Reconciliation Act of 1990, the Secretary shall approve such applications or protocols for not more than 4 additional projects described in subsection (b)."; (ii) by amending paragraph (1) of subsection (b) to read as follows: "(1) to demonstrate— "(A) the concept of a social health maintenance organization with the organizations as described in Project No. 18- P-9 7604/1-04 of the University Health Policy Consortium of Brandeis University, or "(B) in the case of a project conducted as a result of the amendments made by section 12907(c)(4)(A) of the Omnibus Budget Reconciliation Act of 1990, the effectiveness and feasibilitly ^^ of innovative approaches to refining targeting and financing methodologies and benefit design, including the effectiveness of feasibility of— "(i) the benefits of expanded post-acute and community care case management through links between chronic care case management services and acute care providers; "(ii) refining targeting or reimbursement methodologies; "(iii) the establishment and operation of a rural services delivery system; or "(iv) the effectiveness of second-generation sites in reducing the costs of the commencement and management of health care service delivery;"; (iii) in subsection (b)— (I) by inserting "and" at the end of paragraph (3), (II) by striking the semicolon at the end of paragraph (4) and inserting a period, and (III) by striking paragraphs (5), (6), and (7).25 (iv) in subsection (c)— (I) by striking "and" at the end of paragraph (1), (II) by striking the period at the end of paragraph (2) and inserting "; and", and (III) by adding at the end the following new paragraph: "(3) in the case of a project conducted as a result of the amendments made by section 12907(c)(4)(A) of the Omnibus Budget Reconciliation Act of 1990, any requirements of titles XVIII or XIX of the Social Security Act that, if imposed, would prohibit such project from being conducted."; and (v) by adding at the end the following new subsection: "(e) There are authorized to be appropriated $3,500,000 for the costs of technical assistance and evaluation related to projects conducted as a result of the amendments made by section 12907(c)(4)(A) of the Omnibus Budget Reconciliation Act of 1990.". (c) DEVELOPMENT OF PROSPECTIVE PAYMENT SYSTEM FOR HOME 42 USC I395x HEALTH SERVICES.— "°*®- (1) DEVELOPMENT OF PROPOSAL. — The Secretary of Health and Human Services shall develop a proposal to modify the current system under which payment is made for home health services under title XVIII of the Social Security Act or a proposal to
 * So in original. Probably should be "feasibility".
 * " So in original. Probably should be "(7);".

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