Page:United States Statutes at Large Volume 111 Part 1.djvu/450

 Ill STAT. 426 PUBLIC LAW 105-33 —AUG. 5, 1997 but determined without regard to paragraph (3) of such section) paid to such person were treated as wages paid to such person and credited for purposes of determining quarters of coverage under section 213; "(ii)(I) the person was married (and had been married for the previous 1-year period) to an individual who is described in clause (i), or (II) the person met the requirement of clause (i)(II) and was married (and had been married for the previous 1-year period) to an individual described in clause (i)(I); "(iii) the person had been married to an individual for a period of at least 1 year (at the time of such individual's death) if (I) the individual was described in clause (i) at the time of the individual's death, or (II) the person met the requirement of clause (i)(II) and the individual was described in clause (i)(I) at the time of the individual's death; or "(iv) the person is divorced from an individual and had been married to the individual for a period of at least 10 years (at the time of the divorce) if (I) the individual was described in clause (i) at the time of the divorce, or (II) the person met the requirement of clause (i)(II) and the individual was described in clause (i)(I) at the time of the divorce. "(C) For purposes of subparagraph (B)(i)(I), the term 'qualified State or local government retirement system' means a retirement system that— "(i) is established or maintained by a State or political subdivision thereof, or an agency or instrumentality of one or more States or political subdivisions thereof; "(ii) covers positions of some or all employees of such a State, subdivision, agency, or instrumentality; and "(iii) does not adjust cash retirement benefits based on eligibility for a reduction in premium under this paragraph.". 42 USC l395i-2 (b) EFFECTIVE DATE.— The amendments made by subsection note. (a) shall apply to premiums for months beginning with January 1998, and months before such month may be taken into account for purposes of meeting the requirement of section 1818(d)(5)(B)(iii) of the Social Security Act, as added by subsection (a). SEC. 4454. COVERAGE OF SERVICES IN RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS UNDER THE MEDICARE AND MEDICAID PROGRAMS. (a) MEDICARE COVERAGE.— (1) IN GENERAL.— Section 1861 (42 U.S.C. 1395x) (as amended by sections 4103 and 4106) is amended— (A) in the sixth sentence of subsection (e)— (i) by striking "includes" and all that follows up to "but only" and inserting "includes a religious nonmedical health care institution (as defined in subsection (ss)(l)),", and (ii) by inserting "consistent with section 1821" before the period; (B) in subsection (y)— (i) by amending the heading to read as follows: "Extended Care in Religious Nonmedical Health Care Institutions", (ii) in paragraph (1), by striking "includes" and all that follows up to "but only" and inserting "includes

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