Page:United States Statutes at Large Volume 104 Part 2.djvu/575

 PUBLIC LAW 101-508—NOV. 5, 1990 104 STAT. 1388-167 (A) Section 1903(f)(4) of such Act (42 U.S.C. 1396b(f)(4)) is amended— (i) by striking "1902(a)(10)(A)(i)(IV)," and inserting "1902(a)(10)(A)(i)(III), 1902(a)(10)(A)(i)(IV), 1902(a)(10)(A)(i)(V),", and (ii) by inserting "1902(a)(10)(A)(i)(VII)," after "1902(a)(10)(A)(i)(VI),". (B) Subsections (a)(3)(C) and (b)(3)(C)(i) of section 1925 of such Act (42 U.S.C. 1396r-6), as amended by section 6411(i)(3) of the Omnibus Budget Reconciliation Act of 1989, are each amended by inserting "(i)(VII)," after "(i)(VI)". (b) EFFECTIVE DATE. —(1) The amendments made by this subsection 42 USC 1396a apply (except as otherwise provided in this subsection) to payments "o^e- under title XIX of the Social Security Act for calendar quarters beginning on or after July 1, 1991, without regard to whether or not final regulations to carry out such amendments have been promulgated by such date. (2) In the case of a State plan for medical assistance under title XIX of the Social Security Act which the Secretary of Health and Human Services determines requires State legislation (other than legislation authorizing or appropriating funds) in order for the plan to meet the additional requirements imposed by the amendments made by this subsection, 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 begins 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 session shall be deemed to be a separate regular session of the State legislature. SEC. 4602. MANDATORY USE OF OUTREACH LOCATIONS OTHER THAN WELFARE OFFICES. (a) IN GENERAL.— Section 1902(a) of the Social Security Act (42 U.S.C. 1396a(a)), as amended by section 4401(a)(2) of this title, is amended— (1) by striking "and" at the end of paragraph (53), (2) by striking the period at the end of paragraph (54) and inserting "; and", and (3) by inserting after paragraph (54) the following new paragraph: "(55) provide for receipt and initial processing of applications of individuals for medical assistance under subsection (a)(10)(A)(i)(IV), (a)(10)(A)(i)(VI), (a)(10)(A)(i)(VII), or (a)(10)(A)(ii)(IX)- "(A) at locations which are other than those used for the receipt and processing of applications for aid under part A of title IV and which include facilities defined as disproportionate share hospitals under section 1923(a)(1)(A) and Federally-qualified health centers described in section 1905(1)(2)(B), and "(B) using applications which are other than those used for applications for aid under such part.". (b) EFFECTIVE DATE. —The amendments made by subsection (a) 42 USC 1396a apply to payments under title XIX of the Social Security Act for J^o*®. calenar *^ quartern beginning on or after July 1, 1991, without
 * So in original. Probably should be "calendar".

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