Page:United States Statutes at Large Volume 90 Part 2.djvu/477

 PUBLIC LAW 94-460—OCT. 8, 1976

90 STAT. 1945

Public Law 94-460 94th Congress An Act To amend title XIII of the Public Health Service Act to revise and extend the program for the establishment and expansion of health maintenance organizations. Be it enacted by the Senate and House of Representatives United States of America in Congress assembled,

Oct. 8, 1976 [H.R. 9019]

of the

Health Maintenance Organization SHORT TITLE; REFERENCE TO ACT Amendments SECTION 1. (a) This Act may be cited as the " Health Maintenance of 1976. 42 USC 300e Organization Amendments of 1976". (b) Whenever in title I an amendment or repeal is expressed in note. terms of an amendment to, or repeal of, a section or other provision, the reference shall be considered to be made to a section or other 42 USC 201 provision of the Public Health Service Act. note. TITLE I—AMENDMENTS TO TITLE X III OF THE PUBLIC H E A L T H SERVICE ACT SUPPLEMENTAL H E A L T H SERVICES

SEC. 101. (a) Section 1301(b)(1) is amended by adding at the end 42 USC 300e. the following: "'A health maintenance organization may include a health service, defined as a supplemental health service by section 1302(2), in the basic health services provided its members for a basic health services payment described in the first sentence.". (b) The first sentence of section 1301(b)(2) is amended by striking out "the organization shall provide" and all that follows in that sentence and substituting "the organization may provide to each of its members any of the health services which are included in supplemental health services (as defined in section 1302(2)).". 42 USC 300e-l. (c) Section 1301(b)(4) is amended by striking out "and supplemental health services in the case of the members who have contracted therefor" and substituting " and only such supplemental health services as members have contracted for". STAFFING

SEC. 102. (a)(1) The first sentence of section 1301(b)(3) is amended 42 USC SOOe. (A) by striking out "or through " and by substituting ", through", (B) by striking out " ( o r groups) or" and substituting " ( o r g r o u p s), through an", and (C) by inserting after " ( o r associations)" the following: ", through health professionals who have contracted with the health maintenance organization for the provision of such services, or through any combination of such staff, medical group (or g r o u p s), individual practice association (or associations), or health professionals under contract with the organization". (2) Section 1301(b)(3) is amended by adding after the first sentence the following: " A health maintenance organization may also, during the thirty-six month period beginning with the month follow-

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