319
ity has contractual or other operating arrange-
ments which are not otherwise recognized in
regulation and which were in effect on July 1
2000, the Secretary (in close consultation with,
and with the concurrence of, the State admin-
istering agency) shall permit any such program
to continue such arrangements so long as such
arrangements are found by the Secretary and
the State to be reasonably consistent with the
objectives of the PACE program.’’.
(c) EFFECTIVE DATE.—The amendments made by
this section shall be effective as included in the enactment
of BBA.
SEC. 903. FLEXIBILITY IN EXERCISING WAIVER AUTHORITY.
In 
applying 
sections 
1894(f )(2)(B) 
and
1934(f )(2)(B) of the Social Security Act (42 U.S.C.
1395eee(f )(2)(B), 1396u–4(f )(2)(B)), the Secretary of
Health and Human Services—
(1) shall approve or deny a request for a modi-
fication or a waiver of provisions of the PACE pro-
tocol not later than 90 days after the date the Sec-
retary receives the request; and
(2) may exercise authority to modify or waive
such provisions in a manner that responds promptly
to the needs of PACE programs relating to areas of
320
employment and the use of community-based pri-
mary care physicians.
Subtitle B—Outreach to Eligible
Low-Income 
Medicare 
Bene-
ficiaries
SEC. 911. OUTREACH ON AVAILABILITY OF MEDICARE
COST-SHARING 
ASSISTANCE 
TO 
ELIGIBLE
LOW-INCOME MEDICARE BENEFICIARIES.
(a) OUTREACH.—
(1) IN GENERAL.—Title XI (42 U.S.C. 1301 et
seq.) is amended by inserting after section 1143 the
following new section:
‘‘OUTREACH EFFORTS TO INCREASE AWARENESS OF THE
AVAILABILITY OF MEDICARE COST-SHARING
‘‘SEC. 1144. (a) OUTREACH.—
‘‘(1) IN GENERAL.—The Commissioner of So-
cial Security (in this section referred to as the ‘Com-
missioner’) shall conduct outreach efforts to—
‘‘(A) identify individuals entitled to bene-
fits under the medicare program under title
XVIII who may be eligible for medical assist-
ance for payment of the cost of medicare cost-
sharing under the medicaid program pursuant
to sections 1902(a)(10)(E) and 1933; and
321
‘‘(B) notify such individuals of the avail-
ability of such medical assistance under such
sections.
‘‘(2) CONTENT
OF
NOTICE.—Any notice fur-
nished under paragraph (1) shall state that eligi-
bility for medicare cost-sharing assistance under
such sections is conditioned upon—
‘‘(A) the individual providing to the State
information about income and resources (in the
case of an individual residing in a State that
imposes an assets test for such eligibility); and
‘‘(B) meeting the applicable eligibility cri-
teria.
‘‘(b) COORDINATION WITH STATES.—
‘‘(1) IN GENERAL.—In conducting the outreach
efforts under this section, the Commissioner shall—
‘‘(A) furnish the agency of each State re-
sponsible for the administration of the medicaid
program and any other appropriate State agen-
cy with information consisting of the name and
address of individuals residing in the State that
the Commissioner determines may be eligible
for medical assistance for payment of the cost
of medicare cost-sharing under the medicaid
322
program pursuant to sections 1902(a)(10)(E)
and 1933; and
‘‘(B) update any such information not less
frequently than once per year.
‘‘(2) INFORMATION
IN
PERIODIC
UPDATES.—
The periodic updates described in paragraph (1)(B)
shall include information on individuals who are or
may be eligible for the medical assistance described
in paragraph (1)(A) because such individuals have
experienced reductions in benefits under title II.’’.
(2) AMENDMENT
TO
TITLE
XIX.—Section
1905(p) (42 U.S.C. 1396d(p)), as amended by sec-
tion 710(a), is amended by adding at the end the
following new paragraph:
‘‘(6) For provisions relating to outreach efforts to in-
crease awareness of the availability of medicare cost-shar-
ing, see section 1144.’’.
(b) GAO REPORT.—The Comptroller General of the
United States shall conduct a study of the impact of sec-
tion 1144 of the Social Security Act (as added by sub-
section (a)(1)) on the enrollment of individuals for medi-
care cost-sharing under the medicaid program. Not later
than 18 months after the date that the Commissioner of
Social Security first conducts outreach under section 1144
of such Act, the Comptroller General shall submit to Con-
323
gress a report on such study. The report shall include such
recommendations for legislative changes as the Comp-
troller General deems appropriate.
(c) EFFECTIVE DATE.—The amendments made by
subsection (a) shall take effect one year after the date of
the enactment of this Act.
Subtitle C—Maternal and Child
Health Block Grant
SEC. 921. INCREASE IN AUTHORIZATION OF APPROPRIA-
TIONS FOR THE MATERNAL AND CHILD
HEALTH SERVICES BLOCK GRANT.
(a) IN
GENERAL.—Section 501(a) (42 U.S.C.
701(a)) is amended in the matter preceding paragraph (1)
by striking ‘‘$705,000,000 for fiscal year 1994’’ and in-
serting ‘‘$850,000,000 for fiscal year 2001’’.
(b) EFFECTIVE DATE.—The amendment made by
subsection (a) takes effect on October 1, 2000.
Subtitle D—Diabetes
SEC. 931. INCREASE IN APPROPRIATIONS FOR SPECIAL DI-
ABETES PROGRAMS FOR TYPE I DIABETES
AND INDIANS.
(a) SPECIAL DIABETES PROGRAMS FOR TYPE I DIA-
BETES.—Section 330B(b) of the Public Health Service
Act (42 U.S.C. 254c–2(b)) is amended—
324
(1) by striking ‘‘Notwithstanding’’ and insert-
ing the following:
‘‘(1) 
TRANSFERRED
FUNDS.—
Notwithstanding’’; and
(2) by adding at the end the following:
‘‘(2) APPROPRIATIONS.—For the purpose of
making grants under this section, there is appro-
priated, out of any funds in the Treasury not other-
wise appropriated—
‘‘(A) $70,000,000 for each of fiscal years
2001 and 2002 (which shall be combined with
amounts transferred under paragraph (1) for
each such fiscal years); and
‘‘(B) $100,000,000 for fiscal year 2003.’’.
(b) SPECIAL DIABETES PROGRAMS FOR INDIANS.—
Section 330C(c) of such Act (42 U.S.C. 254c–3(c)) is
amended—
(1) by striking ‘‘Notwithstanding’’ and insert-
ing the following:
‘‘(1) 
TRANSFERRED
FUNDS.—
Notwithstanding’’; and
(2) by adding at the end the following:
‘‘(2) APPROPRIATIONS.—For the purpose of
making grants under this section, there is appro-
325
priated, out of any money in the Treasury not other-
wise appropriated—
‘‘(A) $70,000,000 for each of fiscal years
2001 and 2002 (which shall be combined with
amounts transferred under paragraph (1) for
each such fiscal years); and
‘‘(B) $100,000,000 for fiscal year 2003.’’.
(c) EXTENSION OF FINAL REPORT ON GRANT PRO-
GRAMS.—Section 4923(b)(2) of BBA is amended by strik-
ing ‘‘2002’’ and inserting ‘‘2003’’.
SEC. 932. APPROPRIATIONS FOR RICKY RAY HEMOPHILIA
RELIEF FUND.
Section 101(e) of the Ricky Ray Hemophilia Relief
Fund Act of 1998 (42 U.S.C. 300c–22 note) is amended
by adding at the end the following: ‘‘There is appropriated
to the Fund $475,000,000 for fiscal year 2001, to remain
available until expended.’’.
Subtitle E—Information on Nurse
Staffing
SEC. 941. POSTING OF INFORMATION ON NURSING FACIL-
ITY STAFFING.
(a) MEDICARE.—Section 1819(b) (42 U.S.C. 1395i–
3(b)) is amended by adding at the end the following new
paragraph:
‘‘(8) INFORMATION ON NURSE STAFFING.—
326
‘‘(A) IN GENERAL.—A skilled nursing fa-
cility shall post daily for each shift the current
number of licensed and unlicensed nursing staff
directly responsible for resident care in the fa-
cility. The information shall be displayed in a
uniform manner (as specified by the Secretary)
and in a clearly visible place.
‘‘(B) PUBLICATION
OF
DATA.—A skilled
nursing facility shall, upon request, make avail-
able to the public the nursing staff data de-
scribed in subparagraph (A).’’.
(b) 
MEDICAID.—Section 
1919(b) 
(42 
U.S.C.
1395r(b)) is amended by adding at the end the following
new paragraph:
‘‘(8) INFORMATION ON NURSE STAFFING.—
‘‘(A) IN
GENERAL.—A nursing facility
shall post daily for each shift the current num-
ber of licensed and unlicensed nursing staff di-
rectly responsible for resident care in the facil-
ity. The information shall be displayed in a uni-
form manner (as specified by the Secretary)
and in a clearly visible place.
‘‘(B) PUBLICATION OF DATA.—A nursing
facility shall, upon request, make available to
327
the public the nursing staff data described in
subparagraph (A).’’.
(c) EFFECTIVE DATE.—The amendments made by
this section shall take effect on January 1, 2003.
Subtitle F—Adjustment of Multiem-
ployer Plan Benefits Guaran-
teed
SEC. 951. MULTIEMPLOYER PLAN BENEFITS GUARANTEED.
(a) IN GENERAL.—Section 4022A(c) of the Employee
Retirement Income Security Act of 1974 (29 U.S.C.
1322a(c)) is amended—
(1) by striking ‘‘$5’’ each place it appears in
paragraph (1) and inserting ‘‘$11’’;
(2) by striking ‘‘$15’’ in paragraph (1)(A)(i)
and inserting ‘‘$33’’; and
(3) by striking paragraphs (2), (5), and (6) and
by redesignating paragraphs (3) and (4) as para-
graphs (2) and (3), respectively.
(b) EFFECTIVE DATE.—The amendments made by
this section shall apply to any multiemployer plan that has
not received financial assistance (within the meaning of
section 4261 of the Employee Retirement Income Security
Act of 1974) within the 1-year period ending on the date
of the enactment of this Act.
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