Page:United States Statutes at Large Volume 91.djvu/1524

 91 STAT. 1490

42 USC 1395. Expenditures. 42 USC 1395i. 42 USC 1395t.

Report to Congress.

Definitions. Ante, p. 1485.

PUBLIC LAW 95-210—DEC. 13, 1977 (4) the appropriate criteria to use for the purposes of designating urban medically underserved areas; and (5) such other possible changes in the provisions of title X VIII of the Social Security Act as might be appropriate for the efficient and cost-effective reimbursement of services provided in such clinics. (c) Grants, payments under contracts, and other expenditures made for demonstration projects under this section shall be made in appropriate part from the Federal Hospital Insurance Trust Fund (established by section 1817 of the Social Security Act) and the Federal Supplementary Medical Insurance Trust Fund (established by section 1841 of the Social Security Act). Grants and payments under contracts may be made either in advance or by way of reimbursement, as may be determined by the Secretary, and shall be made in such installments and on such conditions as the Secretary finds necessary to carry out the purpose of this section. With respect to any such grant, payment, or other expenditure, the amount to be paid from each trust fund shall be determined by the Secretary giving due regard to the purposes of the demonstration projects. (d) The Secretary shall submit to the Congress, no later than January 1, 1981, a complete, detailed report on the demonstration projects conducted under subsection (b). Such report shall include any recommendations for legislative changes which the Secretary finds necessary or desirable as a result of carrying out such demonstration projects. (e) As used in this section, the terms "physician assistant" and "nurse practitioner" have the meanings given such terms in section 1861 (aa)(3) of the Social Security Act. REPORT BY THE SECRETARY OF H E A L T H, EDUCATION, AND WELFARE ON MENTAL H E A L T H AND OTHER CENTERS

42 USC 1395ZZ note.

SEC. 4. (a) The Secretary shall submit to the Congress, no later than six months after the date of enactment of this Act, a report on the advantages and disadvantages of extending coverage under title X VIII of the Social Security Act to urban or rural comprehensive mental health centers and to centers for treatment of alcoholism and drug abuse. (b) The report submitted under subsection (a) shall include evaluations of— (1) the need for coverage under such title of services provided by such centers; (2) the extent of present utilization of such centers by individuals eligible for benefits under such title; (3) alternatives to services provided by such centers presently available to individuals eligible for benefits under such title; (4) the appropriate definition for such centers; (5) the types of treatment provided by such centers; (6) present Federal and State funding for such centers; (7) the extent of coverage by private insurance plans for services provided by such centers; (8) present and projected costs of services provided by such centers; (9) availa;ble methods for assuring proper utilization of such centers; (10) the effect of allowing coverage for services provided by such centers on other providers and practitioners; and

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