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(8) in subparagraph (I)—
(A) by striking ‘‘such’’ and inserting
‘‘Such’’, and
(B) by redesignating such subparagraph as
subparagraph (G).
(c) PERMITTING NON-PHYSICIAN PROVIDERS TO SU-
PERVISE INDIVIDUAL PROGRAM OF TREATMENT.—Sec-
tion 1861(ff)(1) (42 U.S.C. 1395x(ff)(1)) is amended by
inserting after ‘‘supervision of a physician’’ the following:
‘‘(or, to the extent permitted under the law of the State
in which the services are furnished, a non-physician men-
tal health or substance abuse treatment professional)’’.
(d) REQUIRING SERVICES TO MEET MANAGEMENT
STANDARDS.—Section 
1861(ff)(1) 
(42 
U.S.C.
1395x(ff)(1)) is amended by striking the period at the end
and inserting the following: ‘‘, but does not include any
item or service that is not furnished in accordance with
standards established by the Secretary for the manage-
ment of such services.’’.
(e) PROGRAMS ELIGIBLE TO PROVIDE SERVICES.—
Section 1861(ff)(3) (42 U.S.C. 1395x(ff)(3)) is amended
to read as follows:
‘‘(3) A program described in this paragraph is a pro-
gram (whether facility-based or freestanding) which is fur-
nished by an entity—
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‘‘(A) legally authorized to furnish such a pro-
gram under State law (or the State regulatory mech-
anism provided by State law) or certified to furnish
such a program by an appropriate accreditation en-
tity approved by the State in consultation with the
Secretary; and
‘‘(B) meeting such other requirements as the
Secretary may impose to assure the quality of the
intensive community-based services provided.’’.
(f) WAIVER OF COPAYMENT FOR CASE MANAGE-
MENT
SERVICES
FURNISHED
TO
CERTAIN
INDIVID-
UALS.—Section 1833(a)(2) (42 U.S.C. 1395l(a)(2)), as
amended by section 147(f)(6)(C) of the Social Security
Act Amendments of 1994, is amended—
(1) in subparagraph (B), by striking ‘‘or (E)’’
and inserting ‘‘(E), or (F)’’;
(2) by striking ‘‘and’’ at the end of subpara-
graph (E);
(3) by adding ‘‘and’’ at the end of subpara-
graph (F); and
(4) by adding at the end the following new sub-
paragraph:
‘‘(G) with respect to services described in
section 1832(a)(2)(J)(i), the amount deter-
mined under subparagraph (B), except that
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‘100 percent’ shall be substituted for any ref-
erence in such subparagraph to ‘80 percent’;’’.
(g) 
CONFORMING
AMENDMENTS.—(1) 
Section
1835(a)(2)(F) (42 U.S.C. 1395n(a)(2)(F)) is amended—
(A) by striking ‘‘partial hospitalization’’ and in-
serting ‘‘intensive community-based’’; and
(B) in clause (ii), by striking ‘‘physician’’ and
inserting ‘‘physician (or, to the extent permitted
under the law of the State in which the services are
furnished, a non-physician mental health profes-
sional)’’.
(2) 
Section 
1861(s)(2)(B) 
(42 
U.S.C.
1395x(s)(2)(B)) is amended by striking ‘‘partial hos-
pitalization’’ and inserting ‘‘intensive community-based’’.
(3) Section 1861(ff) (42 U.S.C. 1395x(ff)) is amend-
ed—
(A) in the heading, by striking ‘‘Partial Hos-
pitalization’’ and inserting ‘‘Intensive Community-
Based’’; and
(B) in paragraph (1), by striking ‘‘partial hos-
pitalization’’ and inserting ‘‘intensive community-
based’’.
(4) Section 1866(e)(2) (42 U.S.C. 1395cc(e)(2)) is
amended by striking ‘‘partial hospitalization’’ and insert-
ing ‘‘intensive community-based’’.
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SEC. 206. EFFECTIVE DATE.
The amendments made by this title shall apply to
items and services furnished on or after January 1, 1999.
Æ