Page:United States Statutes at Large Volume 111 Part 2.djvu/414

 Ill STAT. 1494 PUBLIC LAW 105-78—NOV. 13, 1997 (i) The choice the patient makes under subparagraph (A) does not affect the responsibiHty of the Secretary for providing to the patient such care at or through the Center. (ii) If the patient chooses the option under subparagraph (A)(ii) and receives inpatient care at or through the Center, the Secretary may reduce the amount of pay- ments under such subparagraph, except to the extent that reimbursement for the expenses of such care is available to the provider of the care through the program under title XVIII of the Social Security Act or the program under title XIX of such Act. Any such reduction shall be made on the basis of the number of days for which the patient received the inpatient care. (6) The Secretary shall provide to each eligible patient such information and time as may be necessary for the patient to make an informed decision regarding the options under paragraph (5)(A). (7) After the date of the enactment of this Act, the Center may not provide long-term care for any individual who as of such date was not receiving such care as a patient of the Center. (8) If upon completion of the projects referred to in subsection (d)(4)(A) there are unobligated balances of amounts appropriated for the projects, such balances are available to the Secretary for expenses relating to the relocation of the Center, except that, if the sum of such balances is in excess of $100,000, such excess is available to the State in accordance with subsection (d)(4)(B). The amounts available to the Secretary pursuant to the preceding sentence are available until expended. (g) For purposes of this section: (1) The term "Center" means the Gillis W. Long Hansen's Disease Center. (2) The term "Secretary" means the Secretary of Health and Human Services. (3) The term "State" means the State of Louisiana. (h) Section 320 of the Public Health Service Act (42 U.S.C. 247e) is amended by striking the section designation and all that follows and inserting the following: Louisiana. "SEC. 320. (a)(1) At or through the Gillis W. Long Hansen's Disease Center (located in the State of Louisiana), the Secretary shall without charge provide short-term care and treatment, including outpatient care, for Hansen's disease and related complications to any person determined by the Secretary to be in need of such care and treatment. The Secretary may not at or through such Center provide long-term care for any such disease or complication. "(2) The Center referred to in paragraph (1) shall conduct training in the diagnosis and management of Hansen's disease and related complications, and shall conduct and promote the coordination of research (including clinical research), investigations, demonstrations, and studies relating to the causes, diagnosis, treatment, control, and prevention of Hansen's disease and other mycobacterial diseases and complications related to such diseases. "(3) Paragraph (1) is subject to section 211 of the Department of Health and Human Services Appropriations Act, 1998. "(b) In addition to the Center referred to in subsection (a), the Secretary may establish sites regarding persons with Hansen's

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