Page:United States Statutes at Large Volume 105 Part 2.djvu/449

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PUBLIC LAW 102-190—DEC. 5, 1991 105 STAT. 1401 (A) in paragraph (13), by striking out "clause (4)" and inserting in lieu thereof "paragraph (4)"; (B) by striking out "and" at the end of paragraph (14); (C) by striking out the period at the end of paragraph (15XD) and inserting in lieu thereof "; and"; and (D) by adding at the end the following new paragraph: "(16) hospice care may be provided only in the manner and under the conditions provided in section 1861(dd) of the Social Security Act (42 U.S.C. 1395x(dd)).". (2) Subsection (j)(2)(B) of such section is amended by inserting "hospice program (as defined in section 1861(ddX2) of the Social Security Act (42 U.S.C. 1395x(ddX2))," after "home health agency,". SEC. 703. BLOOD-LEAD LEVEL SCREENINGS OF DEPENDENT INFANTS OF MEMBERS OF THE UNIFORMED SERVICES. Section 1077(a)(8) of title 10, United States Code, is amended by inserting before the period the following: ", including well-baby care that includes one screening of an infant for the level of lead in the blood of the infant". SEC. 704. EXPANSION OF CHAMPUS COVERAGE TO INCLUDE CERTAIN MEDICARE PARTICIPANTS. (a) EuGiBiliTY OF DISABLED PERSONS.— Section 1086 of title 10, United States Code, is amended by striking out subsection (d) and inserting in lieu thereof the following new subsection: "(d)(1) A person who is entitled to hospital insurance benefits under part A of title XVIII of the Social Security Act (42 U.S.C. 1395c et seq.) is not eligible for health benefits under this section. "(2) The prohibition contained in paragraph (1) shall not apply in the case of a person referred to in subsection (c) who— "(A) is entitled to hospital insurance benefits under part A of title XVIII of the Social Security Act pursuant to subparagraph (A) or (C) of section 226(b)(2) of such Act (42 U.S.C. 426(b)(2)); "(B) is under 65 years of age; and "(C) is enrolled in the supplementary medical insurance program under part B of such title (42 U.S.C. 1395j et seq.).". "(3) If a person described in paragraph (2) receives medical or dental care for which payment may be made under both title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) and a plan contracted for under subsection (a), the amount payable for that care under the plan may not exceed the difference between— "(A) the sum of any deductibles, coinsurance, and balance billing charges that would be imposed on the person if payment for that care were made solely under that title; and "(B) the sum of any deductibles, coinsurance, and balance billing charges that would be imposed on the person if payment for that care were made solely under the plan.'. (b) CONFORMING AMENDMENTS. —(1) Such section is further amended— (A) in subsection (c)— (i) by striking out "The following" and inserting in lieu thereof "Except as provided in subsection (d), the following"; and (ii) by striking out the sentence following paragraph (3); and (B) in subsection (g), by striking out "Notwithstanding subsection (d) or any other provision of this chapter," and inserting in