Page:United States Statutes at Large Volume 98 Part 1.djvu/1128

 98 STAT. 1080 Effective date. 42 USC 1396a note. 42 USC 1396.

PUBLIC LAW 98-369—JULY 18, 1984

(3)(A) Except as provided in subparagraph (B), the amendments made by subsection (b) shall apply to medical assistance furnished on or after October 1, 1984. (B) In the case of a State plan for medical assistance under title XIX of the Social Security Act which the Secretary of Health and Human Services determines requires State legislation in order for the plan to meet the additional requirement imposed by the amendments made by this section, the State plan shall not be regarded as failing to comply with the requirements of such title solely on the basis of its failure to meet this additional requirement before the first day of the first calendar quarter beginning after the close of the first regular session of the State legislature that begins after the date of the enactment of this Act. TECHNICAL AMENDMENTS RELATING TO THE DRG PAYMENT SYSTEM

97 Stat. 149. 42 USC 1395WW. 97 Stat. 152. 42 USC 1395WW.

97 Stat. 168. 42 USC 1395CC. 97 Stat. 170. 42 USC 1395i-2. 97 Stat. 168. 42 USC 1395WW note.

Federal Register, publication. 42 USC 1395WW note. 42 USC 1395WW.

Effective date. 42 USC 1395WW note. 97 Stat. 65. 42 USC 1395WW note.

42 USC 1395c. Ante, p. 1076.

SEC. 2315. (a) Section 1886(c)(4)(A) of the Social Security Act is amended by striking out "and (D)" and inserting in lieu thereof "(D), and (E)". (b) Section 1886(d)(2)(D) of such Act is amended by striking out "Standard". (c) Section 1886(e)(5) of such Act is amended— (1) by striking out "for public comment" in the matter before subparagraph (A), and (2) by inserting "for public comment" in subparagraph (A) after "that fiscal year". (d) Section 1866(a)(1)(F) of such Act (as added by section 602(f)(1)(C) of the Social Security Amendments of 1983) is amended by striking out "(c) or (d)" and inserting in lieu thereof "(b), (c), or (d)". (e) Section 1818(c) of such Act is amended by striking out "subsection (a) of section 1839" and inserting in lieu thereof "subsection (b) of section 1839". (f)(1) Section 604(c)(3) of the Social Security Amendments of 1983 (Public Law 98-21) is amended by striking out "to implement subsection (d) of section 1886 of the Social Security Act (as so amended)" and inserting in lieu thereof "to implement the amendments made by this title". (2) Notwithstanding section 604(c) of the Social Security Amendments of 1983, the Secretary of Health and Human Services shall cause to be published in the Federal Register proposed regulations to carry out subsection (c) of section 1886 of the Social Security Act not later than July 1, 1984, and allow for a period of 45 days for public comment thereon. After consideration of the comments received, the Secretary shall cause to be published in the Federal Register final regulations to carry out such subsection not later than October 1, 1984. (g) The amendments made by this section shall be effective as though they had been included in the enactment of the Social Security Amendments of 1983 (Public Law 98-21). (h) The Secretary of Health and Human Services shall, prior to December 31, 1984— (1) develop and publish a definition of "hospitals that serve a significantly disproportionate number of patients who have low income or are entitled to benefits under part A" of title XVIII of the Social Security Act for purposes of section 1886(d)(5)(C)(i) of that Act, and

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