Page:United States Statutes at Large Volume 94 Part 2.djvu/1373

 PUBLIC LAW 96-499—DEC. 5, 1980

94 STAT. 2651

assurances satisfactory to the Secretary, are reasonable and adequate to meet the costs which must be incurred by efficiently and economically operated facilities in order to provide care and services in conformity with applicable State and Federal laws, regulations, and quality and safety standards; and such State makes further assurances, satisfactory to the Secretary, for the filing of uniform cost reports by each skilled nursing or intermediate care facility and periodic audits by the State of such reports; and", (b) The amendment made by subsection (a) shall become effective on October 1, 1980.

42 USC 1396a note.

EXTENSION OP INCREASED FUNDING FOR STATE MEDICAID FRAUD CONTROL UNITS

SEC. 963. Section 1903(a)(6) of the Social Security Act is amended by 42 USC I396b. striking out "an amount equal to" and all that follows through "with respect to costs incurred" and inserting in lieu thereof the following: "an amount equal to— "(A) 90 per centum of the sums expended during such a quarter within the twelve-quarter period beginning with the first quarter in which a payment is made to the State pursuant to this paragraph, and "(B) 75 per centum of the sums expended during each succeeding calendar quarter, with respect to costs incurred". CHANGE IN CALENDAR QUARTER FOR WHICH SATISFACTORY UTILIZATION REVIEW MUST BE SHOWN TO RECEIVE WAIVER OF MEDICAID REDUCTION

SEC. 964. Section 1903(g)(3)(B) of the Social Security Act is 42 USC i396b. amended— (1) by striking out "October 1, 1977" and inserting in lieu thereof "January 1, 1978"; and (2) by striking out "the calendar quarter ending on December 31, 1977" and inserting in lieu thereof "any calendar quarter ending on or before December 31, 1978". REIMBURSEMENT UNDER MEDICAID FOR SERVICES FURNISHED BY NURSE-MIDWIVES

S E C 965. (a)(1) Subsection (a) of section 1905 of the Social Security Act is amended— (A) by striking out "and" at the end of paragraph (16); (B) by redesignating paragraph (17) as paragraph (18); and (C) by inserting after paragraph (16) the following new paragraph: "(17) services furnished by a nurse-midwife (as defined in subsection (m)) which he is legally authorized to perform under State law (or the State regulatory mechanism provided by State law), whether or not he is under the supervision of, or associated with, a physician or other health care provider; and". (2) Such section is further amended by adding at the end thereof the following new subsection: "(m) The term 'nurse-midwife' means a registered nurse who has successfully completed a program of study and clinical experience meeting guidelines prescribed by the Secretary, or has been certified

42 USC 1396d.

"Nursemidwife."

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