‘‘(D) in a service which originated in a fa-
cility which participates in a Federal telemedi-
cine demonstration project.
‘‘(2) PHYSICIAN.—The term ‘physician’ has the
meaning given that term in section 1861(r) of the
Social Security Act (42 U.S.C. 1395x(r))
‘‘(3) PRACTITIONER.—The term ‘practitioner’
means 
a 
practitioner 
described 
in 
section
1842(b)(18)(C) of the Social Security Act (42
U.S.C. 1395u(b)(18)(C)).
‘‘(4) DISTANT SITE.—The term ‘distant site’
means the site at which the physician or practitioner
is located at the time the service is provided via a
telecommunications system.
‘‘(5) ORIGINATING SITE.—
‘‘(A) IN GENERAL.—The term ‘originating
site’ means any site described in subparagraph
(B) at which the eligible telehealth beneficiary
is located at the time the service is furnished
via a telecommunications system.
‘‘(B) SITES
DESCRIBED.—The sites de-
scribed in this subparagraph are as follows:
‘‘(i) On or after April 1, 2001—
‘‘(I) the office of a physician or a
practitioner,
‘‘(II) a critical access hospital (as
defined in section 1861(mm)(1) of the
Social 
Security 
Act 
(42 
U.S.C.
1395x(mm)(1))),
‘‘(III) a rural health clinic (as
defined in section 1861(aa)(2) of such
Act (42 U.S.C. 1395x(aa)(2))), and
‘‘(IV) a Federally qualified health
center 
(as 
defined 
in 
section
1861(aa)(4) of such Act (42 U.S.C.
1395x(aa)(4))).
‘‘(ii) On or after January 1, 2002—
‘‘(I) a hospital (as defined in sec-
tion 1861(e) of such Act (42 U.S.C.
1395x(e))),
‘‘(II) a skilled nursing facility (as
defined in section 1861(j) of such Act
(42 U.S.C. 1395x(j))),
‘‘(III) a comprehensive outpatient
rehabilitation facility (as defined in
section 1861(cc)(2) of such Act (42
U.S.C. 1395x(cc)(2))),
‘‘(IV) a renal dialysis facility (de-
scribed in section 1881(b)(1) of such
Act (42 U.S.C. 1395rr(b)(1))),
‘‘(V) an ambulatory surgical cen-
ter (described in section 1833(i)(1)(A)
of 
such 
Act 
(42 
U.S.C.
1395l(i)(1)(A))),
‘‘(VI) a hospital or skilled nurs-
ing facility of the Indian Health Serv-
ice (under section 1880 of such Act
(42 U.S.C. 1395qq)), and
‘‘(VII) 
a 
community 
mental
health center (as defined in section
1861(ff)(3)(B) of such Act (42 U.S.C.
1395x(ff)(3)(B))).
‘‘(6) FEDERAL SUPPLEMENTARY MEDICAL IN-
SURANCE TRUST FUND.—The term ‘Federal Supple-
mentary Medical Insurance Trust Fund’ means the
trust fund established under section 1841 of the So-
cial Security Act (42 U.S.C. 1395t).’’.
SEC. 225. PAYMENT FOR AMBULANCE SERVICES.
(a) 
ELIMINATING
BBA 
REDUCTION.—Section
1834(l)(3) (42 U.S.C. 1395m(l)(3)) is amended, in sub-
paragraphs (A) and (B), by striking ‘‘ reduced in the case
of 2001 and 2002 by 1.0 percentage points’’ both places
it appears.
(b) MILEAGE
PAYMENTS.—Section 1834(l)(2)(E)
(42 U.S.C. 1395m(l)(2)(E)) is amended by inserting be-
fore the period at the end the following: ‘‘, except that
such phase-in shall provide for full payment of any na-
tional mileage rate beginning with the effective date of the
fee schedule for ambulance services provided by suppliers
in any State where payment for such services did not in-
clude a separate amount for all mileage prior to the imple-
mentation of the fee schedule’’.
(c) GAO STUDY ON COSTS OF AMBULANCE SERV-
ICES.—
(1) STUDY.—The Comptroller General of the
United States shall conduct a study of the costs of
providing ambulance services covered under the
medicare program under title XVIII of the Social
Security Act across the range of service levels for
which such services are provided.
(2) REPORT.—Not later than 18 months after
the date of the enactment of this Act, the Comp-
troller General shall submit a report to the Secretary
of Health and Human Services and Congress on the
study conducted under paragraph (1). Such report
shall include recommendations for any changes in
methodology or payment levels necessary to fairly
compensate suppliers of ambulance services and to
ensure the access of medicare beneficiaries to such
services under the medicare program.
SEC. 226. CONTRAST ENHANCED DIAGNOSTIC PROCE-
DURES UNDER HOSPITAL PROSPECTIVE PAY-
MENT SYSTEM.
(a) SEPARATE CLASSIFICATION.—Section 1833(t)(2)
(42 U.S.C. 1395l(t)(2)) is amended—
(1) by striking ‘‘and’’ at the end of subpara-
graph (E);
(2) by striking the period at the end of sub-
paragraph (F) and inserting ‘‘; and’’; and
(3) by inserting after subparagraph (F) the fol-
lowing new subparagraph:
‘‘(G) the Secretary shall create additional
groups of covered OPD services that classify
separately those procedures that utilize contrast
media from those that do not.’’.
(b) CONFORMING AMENDMENT.—Section 1861(t)(1)
(42 U.S.C. 1395x(t)(1)) is amended by inserting ‘‘(includ-
ing contrast agents)’’ after ‘‘only such drugs’’.
(c) EFFECTIVE DATE.—The amendments made by
this section shall be effective as if included in the enact-
ment of BBA.
SEC. 227. 10-YEAR PHASED IN INCREASE FROM 55 PERCENT
TO 80 PERCENT IN THE PROPORTION OF HOS-
PITAL BAD DEBT RECOGNIZED.
Section 1861(v)(1)(T) (42 U.S.C. 1395x(v)(1)(T)) is
amended—
(1) by striking ‘‘and’’ at the end of clause (ii);
(2) in clause (iii) by striking ‘‘a subsequent fis-
cal year’’ and inserting ‘‘fiscal year 2000’’ and by
striking the period at the end and inserting a semi-
colon; and
(3) by adding at the end the following new
clauses:
‘‘(iv) for cost reporting periods beginning dur-
ing fiscal year 2001 and each subsequent fiscal year
(before fiscal year 2011), by the percent specified in
clause (iii) or this clause for the preceding fiscal
year reduced by 2.5 percentage points, of such
amount otherwise allowable; and
‘‘(v) for cost reporting periods beginning during
fiscal year 2011 or a subsequent fiscal year, by 20
percent of such amount otherwise allowable.’’.
SEC. 228. STATE ACCREDITATION OF DIABETES SELF-MAN-
AGEMENT TRAINING PROGRAMS.
Section 1861(qq)(2) (42 U.S.C. 1395x(qq)(2)) is
amended—
(1) in the matter preceding subparagraph (A)
by striking ‘‘paragraph (1)—’’ and inserting ‘‘para-
graph (1):’’;
(2) in subparagraph (A)—
(A) by striking ‘‘a ‘certified provider’ ’’ and
inserting ‘‘A ‘certified provider’ ’’; and
(B) by striking ‘‘; and’’ and inserting a pe-
riod; and
(3) in subparagraph (B)—
(A) by striking ‘‘a physician, or such other
individual’’ and inserting ‘‘(i) A physician, or
such other individual’’;
(B) by inserting ‘‘(I)’’ before ‘‘meets appli-
cable standards’’;
(C) by inserting ‘‘(II)’’ before ‘‘is recog-
nized’’;
(D) by inserting ‘‘, or by a program de-
scribed in clause (ii),’’ after ‘‘recognized by an
organization that represents individuals (includ-
ing individuals under this title) with diabetes’’;
and
(E) by adding at the end the following:
‘‘(ii) Notwithstanding any reference to ‘a na-
tional accreditation body’ in section 1865(b), for
purposes of clause (i), a program described in this
clause is a program operated by a State for the pur-
poses of accrediting diabetes self-management train-
ing programs, if the Secretary determines that such
State program has established quality standards
that meet or exceed the standards established by the
Secretary under clause (i) or the standards origi-
nally established by the National Diabetes Advisory
Board and subsequently revised as described in
clause (i).’’.
SEC. 229. UPDATE IN RENAL DIALYSIS COMPOSITE RATE.
(a) IN GENERAL.—The last sentence of section
1881(b)(7) (42 U.S.C. 1395rr(b)(7)) is amended by strik-
ing ‘‘2001, by 1.2 percent’’ and inserting ‘‘2001, by 2.4
percent’’.
(b) REPORT ON LITERATURE REVIEW.—The Sec-
retary of Health and Human Services shall conduct a lit-
erature review of studies on the impact of oral self-admin-
istered prescription non-calcium phosphate binding drugs
in reducing the incidence of hospitalization under the
medicare program for medicare beneficiaries with end
stage renal disease. Not later than 6 months after the date
of the enactment of this Act, the Secretary shall transmit
to the Committees on Commerce and Ways and Means
of the House of Representatives and the Committee on
Finance of the Senate a summary of the literature review
conducted under this subsection.
TITLE III—MEDICARE PART A
AND B PROVISIONS
SEC. 301. HOME HEALTH SERVICES.
(a) 1-YEAR DELAY IN 15 PERCENT REDUCTION IN
PAYMENT RATES UNDER THE MEDICARE PROSPECTIVE
PAYMENT SYSTEM FOR HOME HEALTH SERVICES.—Sec-
tion 1895(b)(3)(A)(i) (42 U.S.C. 1395fff(b)(3)(A)(i)) is
amended—
(1) by redesignating subparagraph (II) as sub-
paragraph (III);
(2) in subparagraph (III), as redesignated, by
striking ‘‘described in subclause (I)’’ and inserting
‘‘described in subclause (II)’’; and
(3) by inserting after subclause (I) the fol-
lowing new subclause:
‘‘(II) For the 12-month period
beginning after the period described
in subclause (I), such amount (or
amounts) shall be equal to the amount
(or amounts) determined under sub-
clause (I), updated under subpara-
graph (B).’’.
(b) TREATMENT OF BRANCH OFFICES.—
(1) IN GENERAL.—Notwithstanding any other
provision of law, in determining for purposes of title
XVIII of the Social Security Act whether an office
of a home health agency constitutes a branch office
or a separate home health agency, neither the time
nor distance between a parent office of the home
health agency and a branch office shall be the sole
determinant of a home health agency’s branch office
status.
(2) CONSIDERATION
OF
FORMS
OF
TECH-
NOLOGY IN DEFINITION OF SUPERVISION.—The Sec-
retary of Health and Human Services shall include
forms of technology in determining what constitutes
‘‘supervision’’ for purposes of determining a home
heath agency’s branch office status under paragraph
(1).
(c) CLARIFICATION OF THE DEFINITION OF HOME-
BOUND.—
(1) IN GENERAL.—The last sentence of sections
1814(a) 
and 
1835(a) 
(42 
U.S.C. 
1395f(a);
1395n(a)) are each amended by striking the period
and inserting ‘‘including participating in an adult
day care program licensed by a State to furnish
adult day care services in the State for the purposes
of therapeutic treatment for Alzheimer’s disease or
a related dementia, or for medical treatment fur-
nished in an adult day care program.’’.
(2) EFFECTIVE DATE.—The amendments made
by paragraph (1) apply to items and services pro-
vided on or after October 1, 2001.
(d) 1-YEAR DELAY IN REPORT.—Section 302(c) of
the the Medicare, Medicaid, and SCHIP Balanced Budget
Refinement Act of 1999 (113 Stat. 1501A–360), as en-
acted into law by section 1000(a)(6) of Public Law 106–
113, is amended by striking ‘‘six months’’ and inserting
‘‘18 months’’.
SEC. 302. ADVISORY OPINIONS.
(a) MAKING PERMANENT EXISTING ADVISORY OPIN-
ION
AUTHORITY.—Section 1128D(b)(6) (42 U.S.C.
1320a–7d(b)(6)) is amended by striking ‘‘and before the
date which is 4 years after such date of enactment’’.
(b) NONDISCLOSURE
OF
REQUESTS
AND
SUP-
PORTING MATERIALS.—
(1) IN
GENERAL.—Section 1128D(b) (42
U.S.C. 1320a–7d(b)) is amended by adding at the
end the following new paragraph:
‘‘(7) NONDISCLOSURE OF REQUESTS AND SUP-
PORTING
MATERIALS.—A request for an advisory
opinion under this subsection and any supporting
written materials submitted by the party requesting
the opinion shall not be subject to disclosure under
section 552 of title 5, United States Code.’’.
(2) EFFECTIVE DATE.—The amendment made
by paragraph (1) applies to requests made before,
on, or after the date of the enactment of this Act.
SEC. 303. HOSPITAL GEOGRAPHIC RECLASSIFICATION FOR
LABOR COSTS FOR OTHER PPS SYSTEMS.
(a) HOSPITAL GEOGRAPHIC RECLASSIFICATION FOR
LABOR COSTS APPLICABLE TO OTHER PPS SYSTEMS.—
(1) IN
GENERAL.—Notwithstanding the geo-
graphic adjustment factor otherwise established
under title XVIII of the Social Security Act for
items and services paid under a prospective payment
system described in paragraph (2), in the case of a
hospital with an application that has been approved
by the Medicare Geographic Classification Review
Board under section 1886(d)(10)(C) of such Act (42
U.S.C. 1395ww(d)(10)(C)) to change the hospital’s
geographic classification for a fiscal year for pur-
poses of the factor used to adjust the prospective
payment rate for area differences in hospital wage
levels that applies to such hospital under section
1886(d)(3)(E) of such Act, the Secretary shall sub-
stitute such change in the hospital’s geographic ad-
justment that would otherwise be applied to an enti-
ty or department of the hospital that is provider
based to account for variations in costs which are at-
tributable to wages and wage-related costs for items
and services paid under the prospective payment sys-
tems described in paragraph (2).
(2) PROSPECTIVE
PAYMENT
SYSTEMS
COV-
ERED.—For purposes of this section, items and serv-
ices furnished under the following prospective pay-
ment systems are covered:
(A) SNF PROSPECTIVE
PAYMENT
SYS-
TEM.—The prospective payment system for cov-
ered skilled nursing facility services under sec-
tion 1888(e) of the Social Security Act (42
U.S.C. 1395yy(e)).
(B) HOME
HEALTH
SERVICES
PROSPEC-
TIVE PAYMENT SYSTEM.—The prospective pay-
ment system for home health services under
section 1895(b) of such Act (42 U.S.C.
1395fff(b)).
(C) INPATIENT REHABILITATION HOSPITAL
SERVICES.—The prospective payment system
for inpatient rehabilitation services under sec-
tion 
1888(j) 
of 
such 
Act 
(42 
U.S.C.
1395ww(j)).
(D) INPATIENT
LONG-TERM
CARE
HOS-
PITAL
SERVICES.—The prospective payment
system for inpatient hospital services of long-
term care hospitals under section 123 of the
BBRA.
(E) INPATIENT
PSYCHIATRIC
HOSPITAL
SERVICES.—The prospective payment system
for inpatient hospital services of psychiatric
hospitals and units under section 124 of the
BBRA.
(b) EFFECTIVE DATE.—Subsection (a) applies to fis-
cal years beginning with fiscal year 2002.
SEC. 304. RECLASSIFICATION OF A METROPOLITAN STATIS-
TICAL AREA FOR PURPOSES OF REIMBURSE-
MENT UNDER THE MEDICARE PROGRAM.
Notwithstanding any other provision of law, effective
for discharges occurring and services furnished during fis-
cal year 2001 and subsequent fiscal years, for purposes
of making payments under title XVIII of the Social Secu-
rity Act (42 U.S.C. 1395 et seq.) to hospitals in the Mans-
field, Ohio Metropolitan Statistical Area, such Metropoli-
tan Statistical Area is deemed to be located in the Cleve-
land-Loraine-Elyria, Ohio Metropolitan Statistical Area.
The reclassification made under the previous sentence
shall be treated as a decision of the Medicare Geographic
Classification Review Board under section 1886(d)(10) of
such Act (42 U.S.C. 1395ww(d)(10)).
SEC. 305. MAKING THE MEDICARE DEPENDENT, SMALL
RURAL HOSPITAL PROGRAM PERMANENT.
(a) 
PAYMENT
METHODOLOGY.—Section
1886(d)(5)(G) of the Social Security Act (42 U.S.C.
1395ww(d)(5)(G)) is amended—
(1) in clause (i), by striking ‘‘and before Octo-
ber 1, 2006,’’; and
(2) in clause (ii)(II), by striking ‘‘and before
October 1, 2006,’’.
(b) CONFORMING AMENDMENTS.—
(1) TARGET AMOUNT.—Section 1886(b)(3)(D)
(42 U.S.C. 1395ww(b)(3)(D)) is amended—
(A) in the matter preceding clause (i), by
striking ‘‘and before October 1, 2006,’’; and
(B) in clause (iv), by striking ‘‘through fis-
cal year 2005,’’ and inserting ‘‘or any subse-
quent fiscal year,’’.
(2) PERMITTING HOSPITALS TO DECLINE RE-
CLASSIFICATION.—Section 13501(e)(2) of the Omni-
bus Budget Reconciliation Act of 1993 (42 U.S.C.
1395ww note) is amended by striking ‘‘or fiscal year
2000 through fiscal year 2005’’ and inserting ‘‘fiscal
year 2000, or any subsequent fiscal year,’’.
SEC. 306. OPTION TO BASE ELIGIBILITY ON DISCHARGES
DURING ANY OF THE 3 MOST RECENT AU-
DITED COST REPORTING PERIODS.
(a) OPTION TO BASE ELIGIBILITY ON DISCHARGES
DURING ANY OF THE 3 MOST RECENT AUDITED COST
REPORTING
PERIODS.—Section 1886(d)(5)(G)(iv)(IV)
(42 U.S.C. 1395ww(d)(5)(G)(iv)(IV)) is amended by in-
serting ‘‘, or any of the 3 most recent audited cost report-
ing periods,’’ after ‘‘1987’’.
(b) EFFECTIVE DATE.—The amendments made by
this section shall apply with respect to cost reporting peri-
ods beginning on or after the date of enactment of this
Act.
SEC. 307. IDENTIFICATION AND REDUCTION OF MEDICAL
ERRORS BY PEER REVIEW ORGANIZATIONS.
(a) IN
GENERAL.—Section 1154(a) (42 U.S.C.
1320c–3(a)) is amended by inserting after paragraph (11)
the following new paragraph:
‘‘(12) The organization shall assist providers,
practitioners, and Medicare+Choice organizations in
identifying and developing strategies to reduce the
incidence of actual and potential medical errors and
problems related to patient safety affecting individ-
uals entitled to benefits under title XVIII. For the
purposes of this part and title XVIII, the functions
described in this paragraph shall be treated as a re-
view function.’’.
(b) EFFECTIVE DATE.—The amendments made by
this section take effect on January 1, 2001.
SEC. 308. GAO REPORT ON IMPACT OF THE EMERGENCY
MEDICAL TREATMENT AND ACTIVE LABOR
ACT (EMTALA) ON HOSPITAL EMERGENCY DE-
PARTMENTS.
(a) 
CONGRESSIONAL
FINDINGS.—The 
Congress
makes the following findings:
(1) The Emergency Medical Treatment and Ac-
tive Labor Act (EMTALA) requires that hospitals
and the emergency physicians as well as doctors on
call at hospital emergency departments screen and
stabilize patients who go to emergency departments
for treatment.
(2) Physicians who refuse to treat emergency
department patients or fail to respond to hospital
emergency department requests when on call face
significant fines and are exposed to liability under
EMTALA.
(3) The Balanced Budget Act of 1997 made
many changes in hospital and physician reimburse-
ment that appear to have had unintended con-
sequences that have hampered the ability of hos-
pitals, emergency physicians, and physicians cov-
ering emergency department call to comply with the
requirements of EMTALA.
(4) Estimates indicate that EMTALA costs
emergency department physicians $426,000,000 per
year and leads to at least $10,000,000,000 more in
uncompensated inpatient services.
(5) Emergency departments, emergency physi-
cians, and physicians covering emergency depart-
ment call have become the de facto providers of indi-
gent health care in America.
(6) 27 percent of the over 4,300,000 people liv-
ing in Arizona are uninsured.
(7) Many physicians covering emergency de-
partment call in Phoenix, Arizona, are resigning
from the medical staff at hospitals due to burden-
some on-call requirements and uncompensated care.
(8) Significant concern exists as to whether
downtown Phoenix hospitals can keep their emer-
gency departments open.
(9) The cumulative effect of potential hospital
closings and staff resignations threatens the quality
of health care in Phoenix, Arizona.
(b) REPORT.—The Comptroller General of the
United States shall submit a report to the Subcommittee
on Health and Environment of the Committee on Com-
merce of the House of Representatives by May 1, 2001,
on the effect of the Emergency Medical Treatment and
Active Labor Act on hospitals, emergency physicians, and
physicians covering emergency department call, focusing
on those in Arizona (including Phoenix) and California
(including Los Angeles).
(c) REPORT REQUIREMENTS.—The report should
evaluate—
(1) the extent to which hospitals, emergency
physicians, and physicians covering emergency de-
partment call provide uncompensated services in re-
lation to the requirements of EMTALA;
(2) the extent to which the requirements of
EMTALA are having a deleterious effect on the leg-
islation’s original intent;
(3) any possible estimates for the total dollar
amount EMTALA-related care costs emergency phy-
sicians, physicians covering emergency department
call, and hospital emergency departments;
(4) the extent to which different portions of the
country may be experiencing similar uncompensated
EMTALA-related care;
(5) the extent to which EMTALA would be
classified as an unfunded mandate;
(6) the extent to which States have programs to
provide financial support for uncompensated care;
(7) the extent to which funds under medicare
hospital bad debt accounts are available to under-
write the cost of uncompensated EMTALA-related
care; and
(8) the financial strain that illegal immigration
populations place on hospital emergency depart-
ments.
(d) DEFINITION.—In this section, the terms ‘‘Emer-
gency Medical Treatment and Active Labor Act’’ and
‘‘EMTALA’’ mean section 1867 of the Social Security Act
(42 U.S.C. 1395dd).
TITLE 
IV—MEDICARE+CHOICE
PROGRAM 
STABILIZATION
AND IMPROVEMENTS
Subtitle A—Payment Reforms
SEC. 401. INCREASING MINIMUM PAYMENT AMOUNT.
Section 
1853(c)(1)(B)(ii) 
(42 
U.S.C. 
1395w–
23(c)(1)(B)(ii)) is amended—
(1) by striking ‘‘(ii) For a succeeding year’’ and
inserting ‘‘(ii)(I) Subject to subclause (II), for a suc-
ceeding year’’; and
(2) by adding at the end the following new sub-
clause:
‘‘(II) For 2001 for any area in a Met-
ropolitan Statistical Area with a population
of more than 250,000, $525 (and for any
other area, $475).’’.
SEC. 402. 3 PERCENT MINIMUM PERCENTAGE UPDATE FOR
2001.
Section 
1853(c)(1)(C)(ii) 
(42 
U.S.C. 
1395w–
23(c)(1)(C)(ii)) is amended by inserting ‘‘(or 103 percent
in the case of 2001)’’ after ‘‘102 percent’’.
SEC. 403. 10-YEAR PHASE IN OF RISK ADJUSTMENT BASED
ON DATA FROM ALL SETTINGS.
Section 
1853(a)(3)(C)(ii) 
(42 
U.S.C. 
1395w–
23(c)(1)(C)(ii)) is amended—
(1) by striking the period at the end of sub-
clause (II) and inserting a semicolon; and
(2) by adding after and below subclause (II) the
following:
‘‘and, beginning in 2004, insofar as such
risk adjustment is based on data from sub-
stantially all settings, the methodology
shall be phased in equal increments over a
10-year period, beginning with 2004 or (if
later) the first year in which such data are
used.’’.
SEC. 404. TRANSITION TO REVISED MEDICARE+CHOICE
PAYMENT RATES.
(a) 
ANNOUNCEMENT
OF
REVISED
MEDICARE+CHOICE PAYMENT RATES.—Within 2 weeks
after the date of the enactment of this Act, the Secretary
of Health and Human Services shall determine, and shall
announce (in a manner intended to provide notice to inter-
ested parties) Medicare+Choice capitation rates under
section 1853 of the Social Security Act (42 U.S.C.
1395w–23) for 2001, revised in accordance with the provi-
sions of this Act.
(b) REENTRY
INTO
PROGRAM
PERMITTED
FOR
MEDICARE+CHOICE
PROGRAMS
IN
2000.—A
Medicare+Choice organization that provided notice to the
Secretary of Health and Human Services as of July 3,
2000, that it was terminating its contract under part C
of title XVIII of the Social Security Act or was reducing
the service area of a Medicare+Choice plan offered under
such part shall be permitted to continue participation
under such part, or to maintain the service area of such
plan, for 2001 if it provides the Secretary with the infor-
mation described in section 1854(a)(1) of the Social Secu-
rity Act (42 U.S.C. 1395w–24(a)(1)) within four weeks
after the date of the enactment of this Act.
(c) REVISED SUBMISSION OF PROPOSED PREMIUMS
AND RELATED INFORMATION.—If—
(1) a Medicare+Choice organization provided
notice to the Secretary of Health and Human Serv-
ices as of July 3, 2000, that it was renewing its con-
tract under part C of title XVIII of the Social Secu-
rity Act for all or part of the service area or areas
served under its current contract, and
(2) any part of the service area or areas ad-
dressed in such notice includes a county for which
the Medicare+Choice capitation rate under section
1853(c) of such Act (42 U.S.C. 1395w–23(c)) for
2001, as determined under subsection (a), is higher
than the rate previously determined for such year,
such organization shall revise its submission of the infor-
mation described in section 1854(a)(1) of the Social Secu-
rity Act (42 U.S.C. 1395w–24(a)(1)), and shall submit
such revised information to the Secretary, within four
weeks after the date of the enactment of this Act.
Subtitle B—Administrative
Reforms
SEC. 411. EFFECTIVENESS OF ELECTIONS AND CHANGES
OF ELECTIONS.
(a) IN GENERAL.—Section 1851(f)(2) (42 U.S.C.
1395w–21(f)(2)) is amended by striking ‘‘made,’’ and all
that follows and inserting ‘‘made.’’.
(b) EFFECTIVE DATE.—The amendment made by
subsection (a) applies with respect to years beginning on
or after January 1, 2001.
SEC. 412. MEDICARE+CHOICE PROGRAM COMPATIBILITY
WITH EMPLOYER OR UNION GROUP HEALTH
PLANS.
(a) IN GENERAL.—Section 1857 (42 U.S.C. 1395w–
27) is amended by adding at the end the following new
subsection:
‘‘(i) M+C PROGRAM COMPATIBILITY WITH EM-
PLOYER OR UNION GROUP HEALTH PLANS.—To facilitate
the offering of Medicare+Choice plans under contracts be-
tween Medicare+Choice organizations and employers,
labor organizations, or the trustees of a fund established
by 1 or more employers or labor organizations (or com-
bination thereof) to furnish benefits to the entity’s employ-
ees, former employees (or combination thereof) or mem-
bers or former members (or combination thereof) of the
labor organizations, the Secretary may waive or modify
requirements that hinder the design of, the offering of,
or the enrollment in such Medicare+Choice plans.’’.
(b) EFFECTIVE DATE.—The amendment made by
subsection (a) applies with respect to years beginning with
2001.
SEC. 413. UNIFORM PREMIUM AND BENEFITS.
(a) IN GENERAL.—Subsections (c) and (f)(1)(D) of
section 1854 (42 U.S.C. 1395w–24) are each amended by
inserting before the period at the end the following: ‘‘, ex-
cept across counties as approved by the Secretary’’.
(b) EFFECTIVE DATE.—The amendments made by
subsection (a) apply with respect to years beginning on
or after January 1, 2001.
TITLE V—MEDICAID
SEC. 501. DSH PAYMENTS.
(a) CONTINUATION OF MEDICAID DSH ALLOTMENTS
AT FISCAL YEAR 2000 LEVELS FOR FISCAL YEARS 2001
AND 2002.—Section 1923(f) (42 U.S.C. 1396r–4(f)), as
amended by section 601 of the Medicare, Medicaid, and
SCHIP Balanced Budget Refinement Act of 1999 (as en-
acted into law by section 1000(a)(6) of Public Law 106–
113), is amended—
(1) in paragraph (2)—
(A) in the matter preceding the table, by
striking ‘‘2002’’ and inserting ‘‘2000’’;
(B) in the table in such paragraph, by
striking the columns labeled ‘‘FY 01’’ and ‘‘FY
02’’ relating to fiscal years 2001 and 2002; and
(2) in paragraph (3)—
(A) by striking ‘‘2003’’ in the heading and
inserting ‘‘2001’’; and
(B) by striking ‘‘2003’’ and inserting
‘‘2001’’.
(b) HIGHER RATE OF INCREASE IN MEDICAID DSH
ALLOTMENT FOR EXTREMELY LOW DSH STATES.—Sec-
tion 1923(f)(3) (42 U.S.C. 1396r–4(f)(3)) is amended—
(1) in subparagraph (A), by striking ‘‘subpara-
graph (B)’’ and inserting ‘‘subparagraphs (B) and
(C)’’; and
(2) by adding at the end the following new sub-
paragraph:
‘‘(C) HIGHER
UPDATE
RATE
FOR
EX-
TREMELY LOW DSH STATES.—In the case of a
State in which the total expenditures under the
State plan (including Federal and State shares)
for disproportionate share hospital adjustments
under this section for fiscal year 1999, as re-
ported to the Administrator of the Health Care
Financing Administration as of August 31,
2000, is less than 1 percent of the State’s total
amount of expenditures under the State plan
for medical assistance during the fiscal year,
the DSH allotment for fiscal year 2001 shall be
increased to 1 percent of the State’s total
amount of expenditures under such plan for
such assistance during such fiscal year.’’.
(c) DISTRICT
OF COLUMBIA.—Effective beginning
with fiscal year 2001, the item in the table in section
1923(f) (42 U.S.C. 1396r–4(f)) relating to District of Co-
lumbia for FY 2000, is amended by striking ‘‘32’’ and
inserting ‘‘49’’.
(d) CONTINGENT ALLOTMENT FOR TENNESSEE.—
Section 1923(f) (42 U.S.C. 1396r–4(f)) is amended—
(1) in paragraph (3)(A), by striking ‘‘or this
paragraph’’ and inserting ‘‘, this paragraph, or para-
graph (4)’’; and
(2) by adding at the end the following new
paragraph:
‘‘(4) CONTINGENT
ALLOTMENT
ADJUSTMENT
FOR
TENNESSEE.—If the State-wide waiver ap-
proved under section 1115 for the State of Ten-
nessee with respect to requirements under this title
as in effect on the date of the enactment of this sub-
section is revoked or terminated, the DSH allotment
for Tennessee for fiscal year 2001 is deemed to be
equal to $286,442,437.’’.
(e) ASSURING IDENTIFICATION OF MEDICAID MAN-
AGED CARE PATIENTS.—
(1) IN
GENERAL.—Section 1932 (42 U.S.C.
1396u–2) is amended by adding at the end the fol-
lowing:
‘‘(g) IDENTIFICATION OF PATIENTS FOR PURPOSES
OF MAKING DSH PAYMENTS.—Each contract with a
managed care entity under section 1903(m) or under sec-
tion 1905(t)(3) shall require the entity either—
‘‘(1) to report to the State information nec-
essary to determine the hospital services provided
under the contract (and the identity of hospitals pro-
viding such services) for purposes of applying sec-
tions 1886(d)(5)(F) and 1923; or
‘‘(2) to include a sponsorship code in the identi-
fication card issued to individuals covered under this
title in order that a hospital may identify a patient
as being entitled to benefits under this title.’’.
(2) CLARIFICATION
OF
COUNTING
MANAGED
CARE MEDICAID PATIENTS.—Section 1923(a)(2)(D)
(42 U.S.C. 1396r–4(a)(2)(D)) is amended—
(A) in subsection (a)(2)(D), by inserting
after ‘‘the proportion of low-income and med-
icaid patients’’ the following: ‘‘(including such
patients who receive benefits through a man-
aged care entity)’’;
(B) in subsection (b)(2), by inserting after
‘‘a State plan approved under this title in a pe-
riod’’ the following: ‘‘(regardless of whether
‘‘(15) for payment for services described in
clause (B) or (C) of section 1905(a)(2) under the
plan in accordance with subsection (aa);’’.
(b) NEW PROSPECTIVE PAYMENT SYSTEM.—Section
1902 (42 U.S.C. 1396a) is amended by adding at the end
the following:
‘‘(aa) PAYMENT FOR SERVICES PROVIDED BY FED-
ERALLY-QUALIFIED
HEALTH
CENTERS
AND
RURAL
HEALTH CLINICS.—
‘‘(1) IN GENERAL.—Beginning with fiscal year
2001 and each succeeding fiscal year, the State plan
shall provide for payment for services described in
section 1905(a)(2)(C) furnished by a Federally-
qualified health center and services described in sec-
tion 1905(a)(2)(B) furnished by a rural health clinic
in accordance with the provisions of this subsection.
The payment rate under this subsection shall not
vary based upon the site services provided in the
case of the same center or clinic entity.
‘‘(2) FISCAL YEAR 2001.—Subject to paragraph
(4), for services furnished during fiscal year 2001,
the State plan shall provide for payment for such
services in an amount (calculated on a per visit
basis) that is equal to 100 percent of the average of
the costs of the center or clinic of furnishing such
services during fiscal years 1999 and 2000 which
are reasonable and related to the cost of furnishing
such services, or based on such other tests of reason-
ableness as the Secretary prescribes in regulations
under section 1833(a)(3), or, in the case of services
to which such regulations do not apply, the same
methodology used under section 1833(a)(3), ad-
justed to take into account any increase in the scope
of such services furnished by the center or clinic
during fiscal year 2001.
‘‘(3) FISCAL YEAR 2002 AND SUCCEEDING FIS-
CAL YEARS.—Subject to paragraph (4), for services
furnished during fiscal year 2002 or a succeeding
fiscal year, the State plan shall provide for payment
for such services in an amount (calculated on a per
visit basis) that is equal to the amount calculated for
such services under this subsection for the preceding
fiscal year—
‘‘(A) increased by the percentage increase
in the MEI (as defined in section 1842(i)(3))
applicable to primary care services (as defined
in section 1842(i)(4)) for that fiscal year; and
‘‘(B) adjusted to take into account any in-
crease in the scope of such services furnished by
the center or clinic during that fiscal year.
the amount otherwise required to be paid to the
center or clinic under this section.’’.
(c) CONFORMING AMENDMENTS.—
(1) Section 4712 of the Balanced Budget Act
of 1997 (Public Law 105–33; 111 Stat. 508) is
amended by striking subsection (c).
(2) Section 1915(b) (42 U.S.C. 1396n(b)) is
amended by striking ‘‘1902(a)(13)(E)’’ and insert-
ing ‘‘1902(a)(15), 1902(aa),’’.
(d) GAO STUDY
OF
FUTURE
REBASING.—The
Comptroller General of the United States shall provide for
a study on the need for, and how to, rebase or refine costs
for making payment under the medicaid program for serv-
ices provided by Federally-qualified health centers and
rural health centers (as provided under the amendments
made by this section). The Comptroller General shall pro-
vide for submittal of a report on such study to the Con-
gress by not later than 4 years after the date of the enact-
ment of this Act.
(e) EFFECTIVE DATE.—The amendments made by
this section take effect on October 1, 2000, and apply to
services furnished on or after such date.
SEC. 503. OPTIONAL COVERAGE OF LEGAL IMMIGRANTS
UNDER THE MEDICAID PROGRAM.
(a) IN
GENERAL.—Section 1903(v) (42 U.S.C.
1396b(v)) is amended—
(1) in paragraph (1), by striking ‘‘paragraph
(2)’’ and inserting ‘‘paragraphs (2) and (4)’’; and
(2) by adding at the end the following new
paragraph:
‘‘(4)(A) A State may elect (in a plan amendment
under this title) to provide medical assistance under this
title, notwithstanding sections 401(a), 402(b), 403, and
421 of the Personal Responsibility and Work Opportunity
Reconciliation Act of 1996, for aliens who are lawfully re-
siding in the United States (including battered aliens de-
scribed in section 431(c) of such Act) and who are other-
wise eligible for such assistance, within either or both of
the following eligibility categories, but only if they have
lawfully resided in the United States for 2 years:
‘‘(i) PREGNANT WOMEN.—Women during preg-
nancy (and during the 60-day period beginning on
the last day of the pregnancy).
‘‘(ii) CHILDREN.—Children (as defined under
such plan), including optional targeted low-income
children described in section 1905(u)(2)(B).
‘‘(B) In the case of a State that has elected to provide
medical assistance to a category of aliens under subpara-
graph (A), no action may be brought under an affidavit
of support against any sponsor of such an alien who has
lawfully resided in the United State for 2 years on the
basis of provision of assistance to such category.’’.
(b) EFFECTIVE DATE.—The amendments made by
subsection (a) take effect on October 1, 2000, and apply
to medical assistance and child health assistance furnished
on or after such date.
SEC. 504. ADDITIONAL ENTITIES QUALIFIED TO DETER-
MINE MEDICAID PRESUMPTIVE ELIGIBILITY
FOR LOW-INCOME CHILDREN.
(a) IN GENERAL.—Section 1920A(b)(3)(A)(i) (42
U.S.C. 1396r–1a(b)(3)(A)(i)) is amended—
(1) by striking ‘‘or (II)’’ and inserting ‘‘, (II)’’;
and
(2) by inserting ‘‘eligibility of a child for med-
ical assistance under the State plan under this title,
or eligibility of a child for child health assistance
under the program funded under title XXI, (III) is
an elementary school or secondary school, as such
terms are defined in section 14101 of the Elemen-
tary and Secondary Education Act of 1965 (20
U.S.C. 8801), an elementary or secondary school op-
erated or supported by the Bureau of Indian Affairs,
a State or tribal child support enforcement agency,
a child care resource and referral agency, an organi-
zation that is providing emergency food and shelter
under a grant under the Stewart B. McKinney
Homeless Assistance Act, or a State or tribal office
or entity involved in enrollment in the program
under this title, under part A of title IV, under title
XXI, or that determines eligibility for any assistance
or benefits provided under any program of public or
assisted housing that receives Federal funds, includ-
ing the program under section 8 or any other section
of the United States Housing Act of 1937 (42
U.S.C. 1437 et seq.) or under the Native American
Housing Assistance and Self-Determination Act of
1996 (25 U.S.C. 4101 et seq.), or (IV) any other en-
tity the State so deems, as approved by the Sec-
retary’’ before the semicolon.
(b) TECHNICAL AMENDMENTS.—Section 1920A (42
U.S.C. 1396r–1a) is amended—
(1) in subsection (b)(3)(A)(ii)—
(A) by striking ‘‘paragraph (1)(A)’’ and in-
serting ‘‘paragraph (2)’’, and
(B) by striking ‘‘42 U.S.C. 9821’’ and in-
serting ‘‘42 U.S.C. 9831’’; and
100
(2) in subsection (c)(2), in the matter preceding
subparagraph 
(A), 
by 
striking 
‘‘subsection
(b)(1)(A)’’ and inserting ‘‘subsection (b)(2)’’.
(c) APPLICATION TO PRESUMPTIVE ELIGIBILITY FOR
PREGNANT WOMEN UNDER MEDICAID.—Section 1920(b)
(42 U.S.C. 1396r–1(b)) is amended by adding at the end
after and below paragraph (2) the following flush sen-
tence:
‘‘The term ‘qualified provider’ includes a qualified entity
as defined in section 1920A(b)(3).’’.
(d) APPLICATION
UNDER
TITLE
XXI.—Section
2107(e)(1) (42 U.S.C. 1397gg(e)(1)) is amended by add-
ing at the end the following new subparagraph:
‘‘(D) Section 1920A (relating to presump-
tive eligibility).’’.
SEC. 505. IMPROVING WELFARE-TO-WORK TRANSITION.
(a) 1 YEAR
EXTENSION.—Section 1925(f) (42
U.S.C. 1396r–6(f)) is amended by striking ‘‘2001’’ and
inserting ‘‘2002’’.
(b) SIMPLIFICATION OPTIONS.—
(1) REMOVAL OF ADMINISTRATIVE REPORTING
REQUIREMENTS FOR ADDITIONAL 6-MONTH EXTEN-
SION.—Section 1925(b)(2) of such Act (42 U.S.C.
1396r–6(b)(2)) is amended by adding at the end the
following new subparagraph:
101
‘‘(C) STATE OPTION TO WAIVE REPORTING
REQUIREMENTS.—A State may elect to waive
the reporting requirements under subparagraph
(B) and, in the case of such a waiver for pur-
poses of notices required under subparagraph
(A), to exclude from such notices any reference
to any requirement under subparagraph (B).’’.
(2) EXEMPTION FOR STATES COVERING NEEDY
FAMILIES UP TO 185 PERCENT OF POVERTY.—Sec-
tion 1925 (42 U.S.C. 1396r–6) is amended—
(A) in each of subsections (a)(1) and
(b)(1), by inserting ‘‘but subject to subsection
(g),’’ after ‘‘Notwithstanding any other provi-
sion of this title,’’; and
(B) by adding at the end the following new
subsection:
‘‘(g) EXEMPTION
FOR STATE COVERING NEEDY
FAMILIES UP TO 185 PERCENT OF POVERTY.—
‘‘(1) IN GENERAL.—At State option, the provi-
sions of this section shall not apply to a State that
uses the authority under section 1931(b)(2)(C) to
make medical assistance available under the State
plan under this title, at a minimum, to all individ-
uals described in section 1931(b)(1) in families with
gross incomes (determined without regard to work-
102
related child care expenses of such individuals) at or
below 185 percent of the income official poverty line
(as defined by the Office of Management and Budg-
et, and revised annually in accordance with section
673(2) of the Omnibus Budget Reconciliation Act of
1981) applicable to a family of the size involved.
‘‘(2) APPLICATION TO OTHER PROVISIONS OF
THIS TITLE.—The State plan of a State described in
paragraph (1) shall be deemed to meet the require-
ments 
of 
sections 
1902(a)(10)(A)(i)(I) 
and
1902(e)(1).’’.
(3) EFFECTIVE DATE.—The amendments made
by this subsection take effect on October 1, 2000.
SEC. 506. MEDICAID COUNTY-ORGANIZED HEALTH SYS-
TEMS.
Section 9517(c)(3)(C) of the Comprehensive Omni-
bus Budget Reconciliation Act of 1985 is amended by
striking ‘‘10 percent’’ and inserting ‘‘14 percent’’.
SEC. 507. MEDICAID RECOGNITION FOR SERVICES OF PHY-
SICIAN ASSISTANTS.
(a) IN
GENERAL.—Section 1905(a) (42 U.S.C.
1396d(a)) is amended—
(1) by redesignating paragraphs (22) through
(27) as paragraphs (23) through (28), and
103
(2) by inserting after paragraph (21) the fol-
lowing new paragraph:
‘‘(22) services furnished by an physician assist-
ant (as defined in section 1861(aa)(5)) which the as-
sistant is legally authorized to perform under State
law and with the supervision of a physician;’’.
(b) 
CONFORMING
AMENDMENTS.—(1) 
Section
1902(a)(10)(C)(iv) (42 U.S.C. 1396a(a)(10)(C)(iv)) is
amended by striking ‘‘(24)’’ and inserting ‘‘(25)’’.
(2) 
Section 
1929(e)(2)(A) 
(42 
U.S.C.
1396t(e)(2)(A)) is amended by striking ‘‘1905(a)(23)’’
and inserting ‘‘1905(a)(24)’’.
(3) 
Section 
1917(c)(1)(C)(ii) 
(42 
U.S.C.
1396p(c)(1)(C)(ii)) is amended by striking ‘‘(22), or (24)’’
and inserting ‘‘(23), or (25)’’.
TITLE VI—STATE CHILDREN’S
HEALTH INSURANCE PROGRAM
SEC. 601. SPECIAL RULE FOR AVAILABILITY AND REDIS-
TRIBUTION OF UNUSED FISCAL YEAR 1998
AND 1999 SCHIP ALLOTMENTS.
(a) CHANGE IN RULES FOR RETENTION AND REDIS-
TRIBUTION OF UNUSED SCHIP ALLOTMENTS FOR FIS-
CAL YEARS 1998 AND 1999.—Section 2104 (42 U.S.C.
1397dd) is amended by adding at the end the following
new subsection:
104
‘‘(g) RULE FOR EXTENDED AVAILABILITY AND RE-
DISTRIBUTION OF FISCAL YEARS 1998 AND 1999 ALLOT-
MENTS.—
‘‘(1) AMOUNT REDISTRIBUTED.—In the case of
a State that expends all of its allotment under this
section for fiscal year 1998 by the end of fiscal year
2000, and for fiscal year 1999 by the end of fiscal
year 2001, the Secretary shall redistribute to the
State under subsection (f) (from the unexpended
portion of fiscal year 1998 or 1999 allotments of
other States (as applicable and determined by the
application of paragraph (2) with respect to such fis-
cal year)) the following amount:
‘‘(A) STATE.—In the case of one of the 50
States or the District of Columbia, the amount
of the State’s expenditures in excess of the
State’s allotment for fiscal year 1998 or 1999
(as applicable).
‘‘(B) TERRITORY.—In the case of a com-
monwealth or territory described in subsection
(c)(3), an amount that bears the same ratio to
1.05 percent of the total amount described in
paragraph (2)(B)(i)(I) as the ratio of its fiscal
year 1998 or 1999 allotment under subsection
(c) (as applicable) bears to the total of all such
105
allotments for such fiscal year under such sub-
section.
‘‘(2) EXTENSION OF AVAILABILITY OF PORTION
OF FISCAL YEARS 1998 AND 1999 ALLOTMENTS.—
‘‘(A) IN GENERAL.—Notwithstanding sub-
section (e)—
‘‘(i) of the amounts allotted to a State
pursuant to this section for fiscal year
1998 that were not expended by the State
by the end of fiscal year 2000; and
‘‘(ii) of the amounts allotted to a
State pursuant to this section for fiscal
year 1999 that were not expended by the
State by the end of fiscal year 2001,
the amount specified in subparagraph (B) with
respect to fiscal year 1998 or 1999 (as applica-
ble) for such State shall remain available for
expenditure by the State through the end of fis-
cal year 2002.
‘‘(B) AMOUNT REMAINING AVAILABLE FOR
EXPENDITURE.—With respect to any State de-
scribed in subparagraph (A), the amount speci-
fied in this subparagraph is equal to—
‘‘(i) the amount by which (I) the total
amount available for redistribution under
106
subsection (f) from the allotments for fis-
cal year 1998 or 1999 (as applicable and
determined without regard to this sub-
section), exceeds (II) the total amounts re-
distributed under paragraph (1); multiplied
by
‘‘(ii) the ratio of such State’s unex-
pended fiscal year 1998 or 1999 allotment
(as applicable) to the total amount de-
scribed in clause (i)(I) for such fiscal year.
‘‘(C) USE OF UP TO 10 PERCENT OF RE-
TAINED 1998 ALLOTMENTS FOR OUTREACH AC-
TIVITIES.—Notwithstanding 
section
2105(c)(2)(A), with respect to any State de-
scribed in subparagraph (A), the State may use
up to 10 percent of the amount specified in
subparagraph (B) for fiscal year 1998 for ex-
penditures for outreach activities made con-
sistent with section 2102(c)(1).
‘‘(3) DETERMINATION OF AMOUNTS.—For pur-
poses of calculating the amounts described in para-
graphs (1) and (2), the Secretary shall use the
amounts reported by the States not later than No-
vember 30 of the appropriate year on HCFA Form
107
64 or HCFA Form 21, as approved by the Sec-
retary.’’.
(b) EFFECTIVE DATE.—The amendments made by
this section shall take effect as if included in the enact-
ment of section 4901 of BBA (111 Stat. 552).
SEC. 602. OPTIONAL COVERAGE OF CERTAIN LEGAL IMMI-
GRANTS UNDER SCHIP.
(a) IN GENERAL.—Section 2107(e)(1) (42 U.S.C.
1397gg(e)(1)) is amended by adding at the end the fol-
lowing new subparagraph:
‘‘(D) Section 1903(v)(4) (relating to op-
tional coverage of categories of permanent resi-
dent alien children), but only if the State has
elected to apply such section to the category of
children under title XIX.’’.
(b) EFFECTIVE DATE.—The amendment made by
this section takes effect on October 1, 2000, and applies
to medical assistance and child health assistance furnished
on or after such date.
108
TITLE VII—EXTENSION OF SPE-
CIAL DIABETES GRANT PRO-
GRAMS
SEC. 701. EXTENSION OF JUVENILE AND INDIAN DIABETES
GRANT PROGRAMS.
(a) JUVENILE DIABETES RESEARCH PROGRAM.—
Section 330B of the Public Health Service Act (42 U.S.C.
254c–2) is amended by adding at the end the following
new subsection:
‘‘(c) EXTENSION OF FUNDING.—There are hereby
appropriated, from any amounts in the Treasury not oth-
erwise appropriated, for each of fiscal years 2003 through
2007, $50,000,000 for grants under this section, to re-
main available until expended. Nothing in this subsection
shall be construed as providing for such amounts to be
derived or deducted from appropriations made under sec-
tion 2104(a) of the Social Security Act.’’.
(b) INDIAN DIABETES GRANT PROGRAM.——Section
330C of the Public Health Service Act (42 U.S.C. 254c–
3) is amended by adding at the end the following new sub-
section:
‘‘(d) EXTENSION OF FUNDING.—There are hereby
appropriated, from any amounts in the Treasury not oth-
erwise appropriated, for each of fiscal years 2003 through
2007, $50,000,000 for grants under this section, to re-
109
main available until expended. Nothing in this subsection
shall be construed as providing for such amounts to be
derived or deducted from appropriations made under sec-
tion 2104(a) of the Social Security Act.’’.
(c) EXTENSION
OF
REPORTS
ON
GRANT
PRO-
GRAMS.—Section 4923(b) of BBA is amended—
(1) in paragraph (1), by striking ‘‘an interim
report’’ and inserting ‘‘interim reports’’;
(2) in paragraph (1), by striking ‘‘, 2000’’ and
inserting ‘‘in each of 2000, 2002, and 2004’’; and
(3) in paragraph (2), by striking ‘‘2002’’ and
inserting ‘‘2007’’.
Æ