Page:United States Statutes at Large Volume 98 Part 1.djvu/1158

 98 STAT. 1110

Effective date. 42 USC 1396a note.

PUBLIC LAW 98-369—JULY 18, 1984

teams (composed of physicians and other appropriate health and social service personnel) of the care being provided to each person receiving medical assistance, including (i) the adequacy of the services available to meet his current health needs and promote his maximum physical wellbeing, (ii) the necessity and desirability of his continued placement in the institution, and (iii) the feasibility of meeting his health care needs through alternative institutional or noninstitutional services; and "(C) for full reports to the State agency by each medical review team of the findings of each inspection under subparagraph (B), together with any recommendations;", (c) The amendments made by this section shall become effective on the date of the enactment of this Act. FLEXIBILITY IN SETTING PAYMENT RATES FOR HOSPITALS FURNISHING LONG-TERM CARE SERVICES UNDER MEDICAID

42 USC 1396/.

42 USC 1396a. Effective date. 42 USC 1396/ note.

SEC. 2369. (a)(1) Section 1913(b)(l) of the Social Security Act is amended by striking out "Payment" and inserting in lieu thereof "Except as provided in paragraph (3), payment". (2) Section 1913(b) of such Act is amended by adding at the end thereof the following new paragraph: "(3) Pajnment to all such hospitals, for any skilled nursing or intermediate care facility services furnished pursuant to subsection (a), may be made at a payment rate established by the State in accordance with the requirements of section 1902(a)(13)(A).". (b) The amendments made by this section shall apply to payments for services furnished after the date of the enactment of this Act. AUTHORITY OF THE SECRETARY TO ISSUE AND ENFORCE SUBPOENAS UNDER MEDICAID

SEC. 2370. (a) Title XIX of the Social Security Act is amended by adding at the end thereof the following new section: " APPLICATION O F PROVISIONS OF TITLE II RELATING TO SUBPOENAS 42 USC 1396q. 42 USC 405. Effective date. 42 USC 1396q note.

"SEC. 1918. The provisions of subsections (d) and (e) of section 205 of this Act shall apply with respect to this title to the same extent as they are applicable with respect to title II.". (b) The amendment made by this section shall become effective on the date of the enactment of this Act. M E D I C A I D C U N I C ADMINISTRATION

42 USC 1396d.

Effective date. 42 USC 1396d note.

SEC. 2371. (a) Section 1905(a)(9) of the Social Security Act is amended to read as follows: "(9) clinic services furnished by or under the direction of a physician, without regard to whether the clinic itself is administered by a physician;'. (b) The amendment made by subsection (a) shall apply to services furnished on or after the date of the enactment of this Act. I N C R E A S E IN AUTHORIZATION FOR MATERNAL AND CHILD HEALTH BLOCK GRANT

42 USC 701.

SEC. 2372. (a) Section 501(a) of the Social Security Act is amended by striking out "$373,000,000 for fiscal year 1982 and for each fiscal

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