Page:United States Statutes at Large Volume 106 Part 1.djvu/473

 PUBLIC LAW 102-321—JULY 10, 1992 106 STAT. 441 (4) An identification of issues attendant to and analysis of barriers to health insurance coverage for substance abuse (including alcohol abuse) and mental illness services. Such analysis shall include a discussion of how substance abuse (including alcohol abuse) and mental health services would be affected by the various hesJth care reform under consideration in Congress. (5) An examination of the issues attendant to limitations placed on the use of Medicaid program funds for adults receiving substance abuse (including alcoholism services) and mental health services in intermediate care residential settings. (b) FINAL REPORT. —Not later than October 1, 1993, such Administrator shall compile and transmit directly to the Committee on Energy and Commerce of the House of Representatives and the Committee on Labor and Human Resources of the Senate a report that identifies the relevant policy issues and research questions that need to be answered to address current barriers to the provision of substance abuse and mental health services. The Administrator shall design a research and demonstration strategy that examines such barriers and tests alternative solutions to the problems of providing health insurance and treatment services for substance abuse and mental health services. As soon as practicable but not later than January 1, 1994, the Secretary shall initiate research and demonstration projects that, consistent with the information contsiined in the reports required under this section, will study the issues identified with, and possible edtemative mechanisms of, providing health insurance and treatment services for substance abuse (including alcohol abuse) and mental illness. TITLE VIII—GENERAL PROVISIONS SEC. 801. EFFECTIVE DATES. 42 USC 236 note. (a) IN GENERAL.— This Act takes effect on the date of the enactment of this Act, subject to subsections (b) through (d). (b) AMENDMENTS.— The amendments described in this Act are made on the date of the enactment of this Act and take effect on such date, except as provided in subsections (c) and (d). (c) REORGANIZATION UNDER TITLE I.— Title I takes effect on October 1, 1992. The amendments described in such title are made on such date and take effect on such date. (d) PROGRAMS PROVIDING FINANCIAL ASSISTANCE.— (1) FISCAL YEAR 1993 AND SUBSEQUENT YEARS. —In the case of any program making awards of grants, cooperative agreements, or contracts, the amendments made by this Act are effective for awards made on or after October 1, 1992. (2) PRIOR FISCAL YEARS.— (A) Except as provided in subparagraph (B), in the case of any program making awards of grants, cooperative agreements, or contracts, if the program began operation prior to the date of the enactment of this Act and the program is amended by this Act, awards made prior to October 1, 1992, shall continue to be subject to the terms and conditions upon which such awards were made, notwithstanding the amendments made by this Act.

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