Page:United States Statutes at Large Volume 113 Part 2.djvu/896

 113 STAT. 1501A-378 PUBLIC LAW 106-113—APPENDIX F (3) in subsection (c)(2), by striking "and the source and amount of non-Federal funds used in the project"; (4) in subsection (d)(2)(A), by striking "at a rate of 50 percent of the costs that are reasonable and" and inserting "for the costs that are"; (5) in subsection (d)(2)(B)(i), by striking "(but only in the case of patients located in medically underserved areas)" and inserting "or at sites providing health care to patients located in medically underserved areas"; (6) in subsection (d)(2)(C)(i), by striking "to deliver medical informatics services under" and inserting "for activities related to"; and (7) by amending paragraph (4) of subsection (d) to read as follows: "(4) COST-SHARING. —The project may not impose costsharing on a medicare beneficiary for the receipt of services under the project. Project costs will cover all costs to medicare beneficiaries and providers related to participation in the project.". TITLE V—PROVISIONS RELATING TO PART C (MEDICARE+CHOICE PRO- GRAM) AND OTHER MEDICARE MAN- AGED CARE PROVISIONS Subtitle A—Provisions To Accommodate and Protect Medicare Beneficiaries SEC. 501. CHANGES IN MEDICARE+CHOICE ENROLLMENT RULES. (a) PERMITTING ENROLLMENT IN ALTERNATIVE MEDICARE+CHOICE PLANS AND MEDIGAP COVERAGE IN CASE OF INVOLUNTARY TERMINATION OF MEDICARE+CHOICE ENROLLMENT.— (1) IN GENERAL.—Section 1851(e)(4) (42 U.S.C. 1395w- 21(e)(4)) is amended by striking subparagraph (A) and inserting the following: "(A)(i) the certification of the organization or plan under this part has been terminated, or the organization or plan has notified the individual of an impending termination of such certification; or "(ii) the organization has terminated or otherwise discontinued providing the plan in the area in which the individual resides, or has notified the individual of an impending termination or discontinuation of such plan;". (2) CONFORMING MEDIGAP AMENDMENT. —Section 1882(s)(3) (42 U.S.C. 1395ss(s)(3)) is amended— (A) in subparagraph (A) in the matter following clause (iii), by inserting ", subject to subparagraph (E)," after "in the case of an individual described in subparagraph (B) who"; and (B) by adding at the end the following new subparagraph: " (E)(i) An individual described in subparagraph (B)(ii) may elect to apply subparagraph (A) by substituting, for the date of

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