Page:United States Statutes at Large Volume 107 Part 1.djvu/619

 PUBLIC LAW 103-66 —AUG. 10, 1993 107 STAT. 593 (2) in the second sentence, by inserting after ''beneficiary costs," the following: "costs to the medicaid program and other payevB, access to care, outcomes, beneficiary satisfaction, utilization differences among the different populations served by the projects,". PART ra—PROVISIONS RELATING TO PARTS A ANDB SEC. 13661. MEDICAKE AS SECONDARY PAYER. (a) EXTENSION OF AND MODIFICATIONS TO DATA MATCH PRO- GRAM.— (1) Section 1862(b)(5)(C)(iii) (42 U.S.C. 1395y(b)(5)(CXm)) • is amended by striking "1995" and inserting "1998. (2) Section 6103(1)(12) of the Internal Revenue Code of 26 USC 6103. 1986 is amended— (A) in subparagraph (B)(i), by inserting ", above an amount (if any) specified by the Secretary of Health and Human Services," afl«r "section 3401(a))"; (B) in subparagraph (B)(ii), in the matter preceding subclause (I) by inserting ", above an amount (if aiv^ specified by the Secretary of Health and Human Services," after "wages"; and (C) in subparagraph (F)— (i) in clause (i), by striking "1995" and inserting " 1998", (ii) in clause (iiXD, by striking "1994" and inserting "1997", and (iii) in clause (iiXII), by striking "1995" and inserting "1998". (b) EXTENSION OF MEDICARE SECONDARY PAYER TO DISABLED BENEFICIARIES. — Section 1862(b)(l)(B)(iii) (42 U.S.C. 1395y(b)(l)(B)(iii)) is amended by striking "1995" and inserting " 1998". (c) EXTENSION OF 18-MONTH RULE FOR ESRD BENEFICIARIES. — Section 1862(b)(l) (42 U.S.C. 1395y(b)(l)) is amended— (1) in the second sentence of subparagraph (C), by striking "on or before January 1, 1996" and inserting '^fore October 1, 1998"; (2) in each of subparagraphs (A)(iv) and (B)(ii)— (A) by striking "Clause (i) shall not apply" and inserting "Subparagraph (C) shall apply instead of clause (i)", and (B) by inserting "(without regard to entitlement under section 226)" after 'individual is, or^; and (3) in subparagraph (C), by striking "benefits under this title solely by reason or and inserting 'lor eligible for benefits under this title under" each place it appears. (d) APPLICATION OF AGGREGATION RULES.— (1) IN GENERAL.-Section 1862(b)(l) (42 U.S.C. 1395y(b)(l)) is amended by adding at the end the following new subparagraph: "(E) GENERAL PROVISIONS.—For purposes of this subsection: "(i) AGGREGATION RULES. — "(I) All employers treated as a single employer under subsection (a) or (b) of section 52 of the

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