Page:United States Statutes at Large Volume 104 Part 2.djvu/578

 104 STAT. 1388-170 PUBLIC LAW 101-508 —NOV. 5, 1990 whether or not final regulations to carry out such amendments have been promulgated by such date. (2) The amendment made by subsection (b) shall be effective as if included in the enactment of section 9407(b) of the Omnibus Budget Reconciliation Act of 1986. SEC. 4606. ROLE IN PATERNITY DETERMINATIONS. (a) IN GENERAL.— Section 1912(a)(l)(B) (42 U.S.C. 1396k(a)(l)(B)) is amended by inserting "the individual is described in section 1902(1)(1)(A) or" after "unless (in either case)". 42 USC 1396k (b) EFFECTIVE DATE.— The amendment made by subsection (a) note. shall take effect on the date of the enactment of this Act. 42 USC 1396b SEC. 4607. REPORT AND TRANSITION ON ERRORS IN ELIGIBILITY DETER- note. MINATIONS. (a) REPORT.— The Secretary of Health and Human Services shall report to Congress, by not later than July 1, 1991, on error rates by States in determining eligibility of individuals described in subparagraph (A) or (B) of section 1902(1)(1) of the Social Security Act for medical assistance under plans approved under title XIX of such Act. Such report may include data for medical assistance provided before July 1, 1989. (b) ERROR RATE TRANSITION.—T here shall not be taken into account, for purposes of section 1903(u) of the Social Security Act, payments and expenditures for medical assistance which— (1) are attributable to medical assistance for individuals described in subparagraph (A) or (B) of section 1902(1)(1) of such Act, and (2) are made on or after July 1, 1989, and before the first calendar quarter that begins more than 12 months after the date of submission of the report under subsection (a). PART 4—MISCELLANEOUS Subpart A—Payments SEC. 4701. STATE MEDICAID MATCHING PAYMENTS THROUGH VOL- UNTARY CONTRIBUTIONS AND STATE TAXES. (a) EXTENSION OF PROVISION ON VOLUNTARY CONTRIBUTIONS AND PROVIDER-SPECIFIC TAXES.— Section 8431 of the Technical and Miscellaneous Revenue Act of 1988 is amended by striking "December 31, 1990" and inserting "December 31, 1991". (b) STATE TAX CONTRIBUTIONS.—(1) Section 1902 (42 U.S.C. 1396a) as amended by section 4604, is further amended by adding at the end the following new subsection: "(t) Except as provided in section 1903(i), nothing in this title (including sections 1903(a) and 1905(a)) shall be construed as authorizing the Secretary to deny or limit pa5mients to a State for expenditures, for medical assistance for items or services, attributable to taxes (whether or not of general applicability) imposed with respect to the provision of such items or services.". (2) Section 1903(i) (42 U.S.C. 1396b(i)) is amended— (A) by striking the period at the end of paragraph (9) and inserting "; or"; and (B) by adding at the end the following new paragraph: "(10) with respect to any amount expended for medical assistance for care or services furnished by a hospital, nursing facil-

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