Page:United States Statutes at Large Volume 111 Part 1.djvu/354

 Ill STAT. 330 PUBLIC LAW 105-33 —AUG. 5, 1997 42 USC 1395W-21 note. 42 USC 1395W-27 note. 42 USC 1395nun note. 42 USC 1395W-23 note. 42 USC 1395/ note. Effective date. (2) SECRETARIAL SUBMISSION OF LEGISLATIVE PROPOSAL.— Not later than 6 months after the date of the enactment of this Act, the Secretary of Health and Human Services shall submit to the appropriate committees of Congress a legislative proposal providing for such technical and conforming amendments in the law as are required by the provisions of this chapter. (g) IMMEDIATE EFFECTIVE DATE FOR CERTAIN REQUIREMENTS FOR DEMONSTRATIONS.— Section 1857(e)(2) of the Social Security Act (requiring contribution to certain costs related to the enrollment process comparative materials) applies to demonstrations with respect to which enrollment is effected or coordinated under section 1851 of such Act. (h) TRANSITION RULE FOR PSO ENROLLMENT.—In applying subsection (g)(1) of section 1876 of the Social Security Act (42 U.S.C. 1395mm) to a risk-sharing contract entered into with an eligible organization that is a provider-sponsored organization (as defined in section 1855(d)(1) of such Act, as inserted by section 5001) for a contract year beginning on or after January 1, 1998, there shall be substituted for the minimum number of enrollees provided under such section the minimum number of enrollees permitted under section 1857(b)(1) of such Act (as so inserted). (i) PUBLICATION OF NEW CAPITATION RATES.— Not later than 4 weeks after the date of the enactment of this Act, the Secretary of Health and Human Services shall announce the annual Medicare+Choice capitation rates for 1998 under section 1853(b) of the Social Security Act. (j) ELIMINATION OF HEALTH CARE PREPAYMENT PLAN OPTION FOR ENTITIES ELIGIBLE TO PARTICIPATE AS MANAGED CARE ORGANIZATION. — (1) ELIMINATION OF OPTION. — (A) IN GENERAL.—Section 1833(a)(1)(A) (42 U.S.C. 13951(a)(1)(A)) is amended by inserting "(and either is sponsored by a union or employer, or does not provide, or arrange for the provision of, any inpatient hospital services)" after "prepayment basis". (B) EFFECTIVE DATE.— The amendment made by subparagraph (A) applies to new contracts entered into after the date of enactment of this Act and, with respect to contracts in effect as of such date, shall apply to payment for services furnished after December 31, 1998. (2) MEDIGAP CONFORMING AMENDMENT. — Effective January 1, 1999, section 1882(g)(1) (42 U.S.C. 1395ss(g)(l)) is amended by striking ", during the period beginning on the date specified in subsection (p)(l)(C) and ending on December 31, 1995,". SEC. 4003. CONFORMING CHANGES IN MEDIGAP PROGRAM. (a) CONFORMING AMENDMENTS TO MEDICARE+CHOICE CHANGES. — (1) IN GENERAL.— Section 1882(d)(3)(A)(i) (42 U.S.C. 1395ss(d)(3)(A)(i)) is amended— (A) in the matter before subclause (I), by inserting "(including an individual electing a Medicare+Choice plan under section 1851)" after "of this title"; and (B) in subclause (II)— (i) by inserting "in the case of an individual not electing a Medicare+Choice plan" after "(II)", and

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