Page:United States Statutes at Large Volume 90 Part 2.djvu/480

 90 STAT. 1948 42 USC 300e. 42 USC 300e-9. ' '"

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42 USC 300e-5. '

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' 42USe300e-l.

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PUBLIC LAW 94-460—OCT. 8, 1976 (2) The last sentence of section 1301(b)(2) is amended by inserting before the period the following: "except that, in the case of an entity which before it became a qualified health maintenance organization (within the meaning of section 1310(d)) provided comprehensive health services on a prepaid basis, the requirement of this sentence shall not apply to such entity during the forty-eight month period beginning with the month following the month in which the entity became such a qualified health maintenance organization". (3) Section 1306(b) is amended (A) by striking out "and" at the end of paragraph (6), (B) by redesignating paragraph (7) as paragraph (8), and (C) by inserting after paragraph (6) the following new paragraph: "(7) the application contains such assurances as the Secretary may require respecting the intent and the ability of the applicant to meet the requirements of paragraphs (1) and (2) of section 1301(b) respecting the fixing of basic health services payments and supplemental health services payments under a community rating system; and" (b) Section 1302(8)(A) is amended by inserting "differences in marketing costs and" after "reflect". (c) Subparagraph (B) of section 1302(8) is redesignated as subparagraph (C) and the following new subparagraph is inserted after subparagraph (A): "(B) Nominal differentials in such rates may be established to reflect the compositing of the rates of payment in a systematic manner to accommodate group purchasing practices of the various employers.". MEDICAL GROUP REQUIREMENTS

42 USC 300e-l.

SEC. 106._ (a) Section 1302(4)(C) is amended by striking out "(i) as their principal professional activity and as a group responsibility engage in the coordinated practice of their profession for a health maintenance organization" and substituting "(i) as their principal professional activity engage in the coordinated practice of their profession and as a group responsibility have substantial responsibility for the delivery of health services to members of a health maintenance organization". (b) Section 1302(4)(C) (ii) is amended by striking out "plan" and substituting "similar plan unrelated to the provision of specific health services". (c) 1302 (4)(C) (as amended by section 102(b)(1)) is amended by— (1) striking "and" before "(iv)", and (2) striking the period at the end of subparagraph (C) and substituting "; and (v) establish an arrangement whereby a member's enrollment status is not known to the health professional who provides health services to the member.". INCREASE I N L I M I T S ON ASSISTANCE FOR FEASIBILITY SURVEYS, P L A N N I N G, I N I T I A L DEVELOPMENT, AND I N I T I A L OPERATION

42 USC 300e-2.

SEC. 107. (a) Section 1303(e) is amended by striking "$50,000" and substituting "$75,000". 42 USC 300e-3. (b)(1) Section 1304(f)(1)(A) is amended by striking "$125,000" and substituting "$200,000". (2) Section 1304(f)(2)(A) is amended by inserting after "$1,000,000" the following: "or, in the case of a project for a health maintenance organization which will provide services to an additional

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