(f) INVESTIGATION AND REPORT.—Not later than
September 30, 1995, the Chairperson of the National En-
dowment for the Arts shall—
(1) conduct an investigation of State compli-
ance with section 5(g)(4)(C)(i) of the National
Foundation on the Arts and the Humanities Act of
1965 (20 U.S.C. 954(g)(4)(C)(i)), and
(2) submit to the Speaker of the House of Rep-
resentatives and the President pro tempore, a report
containing—
(A) the results of such investigation, and
(B) any information and recommendations
as the Chairperson considers to be appropriate.
TITLE V—COMMITTEE ON
ENERGY AND COMMERCE
SEC. 501. REDUCING TO 45 PERCENT THE MATCHING RATE
FOR ADMINISTRATIVE COSTS UNDER THE
MEDICAID PROGRAM.
(a) IN GENERAL.—Section 1903(a) of the Social Se-
curity Act (42 U.S.C. 1396b(a)) is amended to read as
follows:
‘‘(a) From the sums appropriated therefor, the Sec-
retary (except as otherwise provided in this section) shall
pay to each State that has a plan approved under this
title, for each quarter—
‘‘(1) an amount with respect to total expendi-
tures during such quarter under the State plan for
medical assistance (as defined in section 1905(a))
equal to the sum of—
‘‘(A) an amount equal to 90 percent of
such expenditures for family planning services
and supplies, plus
‘‘(B) an amount equal to the Federal med-
ical assistance percentage (as defined in section
1905(b), subject to subsections (g) and (j) of
this section), of the remainder of such expendi-
tures; plus
‘‘(2) subject to section 1919(g)(3)(C), an
amount equal to 45 percent of the remainder of the
expenditures during such quarter as found necessary
by the Secretary for the proper and efficient admin-
istration of the State plan.’’.
(b) CONFORMING AMENDMENTS.—
(1) FRAUD CONTROL UNITS.—Section 1903(b)
of such Act (42 U.S.C. 1396b(b)) is amended by
striking paragraph (3).
(2) MEDICAID
MANAGEMENT
INFORMATION
SYSTEMS.—Section 1903(r) of such Act (42 U.S.C.
1396b(r)) is amended—
(A) by amending paragraph (1) to read as
follows:
‘‘(1) In order to receive payments under subsection
(a)(2) without being subject to per centum reductions set
forth in paragraph (2), a State must have in operation
mechanized claims processing and information retrieval
systems approved by the Secretary (of the type approved
since October 7, 1980) which are determined to be likely
to provide more efficient, economical, and effective admin-
istration of the plan and which—
‘‘(A) are compatible with the claims processing
and information retrieval systems used in the admin-
istration of title XVIII, and
‘‘(B) include provision for prompt written notice
to each individual who is furnished services covered
by the plan, or to each individual in a sample group
of such individuals, of the specific services (other
than confidential services) so covered, the name of
the person or persons furnishing the services, the
date or dates on which the services were furnished,
and the amount of the payment or payments made
under the plan on account of the services.’’;
(B) by striking paragraphs (2) and (3), and re-
designating paragraphs (4) through (8) as para-
graphs (2) through (6), respectively;
(C) in paragraph (2), as so redesignated—
(i) in subparagraph (A), by striking
‘‘paragraph (6)’’ and inserting ‘‘paragraph
(4)’’, and
(ii) in subparagraph (B)—
(I) 
by 
striking 
‘‘subsection
(a)(3)(B)’’ and inserting ‘‘subsection
(a)(2)’’; and
(II) by striking ‘‘not less than 50
per centum and not more than 70 per
centum’’ and inserting ‘‘not less than
25 per centum and not more than 45
per centum’’;
(D) in paragraph (3), as so redesignated—
(i) in the matter in subparagraph (A)
preceding clause (i), by striking ‘‘sub-
section (a)(3)(B)’’ and inserting ‘‘para-
graph (1)’’, and
(ii) in subparagraphs (A)(iii) and (B),
by striking ‘‘paragraph (6)’’ and inserting
‘‘paragraph (4)’’; and
(E) in paragraph (4), as so redesignated—
(i) by striking subparagraph (C) and
redesignating subparagraphs (D) through
(J) as subparagraphs (C) through (I), and
(ii) in subparagraph (H), as redesig-
nated, by striking ‘‘subsection (a)(3) of
this section’’ and inserting ‘‘subsection
(a)(2)’’.
(3) NURSING
HOME
ENFORCEMENT.—Section
1919 of such Act (42 U.S.C. 1396r) is amended—
(A) in subsection (g)(3)(C), by striking
‘‘section 1903(a)(2)(D)’’ and inserting ‘‘section
1903(a)(2) with respect to amounts expended
for State activities under this subsection’’, and
(B) in subsection (h)(2), by striking
‘‘1903(a)(7)’’ and inserting ‘‘1903(a)(2)’’ each
place it appears in subparagraphs (E) and (F).
(4) PEER REVIEW FUNDING.—Section 1158 of
such Act (42 U.S.C. 1320c–7) is amended—
(A) by striking ‘‘(a)’’, and
(B) by striking subsection (b).
(c) EFFECTIVE DATE.—The amendments made by
subsections (a) and (b) shall apply to expenditures in cal-
endar quarters beginning on or after October 1, 1994,
without regard to whether or not final regulations to carry
out such amendments have been promulgated by such
date.
SEC. 502. TERMINATION OF CLEAN COAL TECHNOLOGY
PROGRAM.
(a) IN GENERAL.—The United States shall not obli-
gate any funds for the Clean Coal Technology program.
(b) REPEAL.—
(1) IN GENERAL.—Except as provided in para-
graph (2), the matter under the heading ‘‘DEPART-
MENT OF ENERGY, CLEAN COAL TECHNOLOGY’’
in the Act entitled ‘‘An Act making appropriations
for the Department of the Interior and Related
Agencies for the fiscal year ending September 30,
1986, and for other purposes’’ enacted by section
101(d) of the Joint Resolution entitled ‘‘Joint Reso-
lution making further continuing appropriations for
the fiscal year 1986, and for other purposes’’ (Public
Law 99–190; 99 Stat. 1251) is repealed.
(2) EXCEPTION.—The authority provided in the
matter repealed by paragraph (1) of this subsection
shall be preserved to the extent necessary to carry
out obligations of the United States with respect to
clean coal technology projects selected by the Sec-
retary of Energy pursuant to the fifth general re-
quest for proposals issued by the Secretary under
such section 101(d) (and pursuant to any such gen-
eral request issued before the fifth general request).