113 STAT. 1501A-396 PUBLIC LAW 106-113—APPENDIX F (1) The amendment made by subsection (a)(1) applies to expenditures made on and after the date of the enactment of this Act. (2) The amendments made by subsections (a)(2) and (b) apply as of such date as the Secretary of Health and Human Services certifies to Congress that the Secretary is fully implementing section 1932(c)(2) of the Social Security Act (42 U.S.C. 1396u-2(c)(2)). SEC. 605. INAPPUCABILITY OF ENHANCED MATCH UNDER THE STATE CHILDREN'S HEALTH INSURANCE PROGRAM TO MED- ICAID DSH PAYMENTS. (a) IN GENERAL.— The last sentence of section 1905(b) (42 U.S.C. 1396d(b)) is amended by inserting "(other than expenditures under section 1923)" after "with respect to expenditures". (b) EFFECTIVE DATE. —The amendment made by subsection (a) takes effect on October 1, 1999, and applies to expenditures made on or after such date. SEC. 606. OPTIONAL DEFERMENT OF THE EFFECTIVE DATE FOR OUT- PATIENT DRUG AGREEMENTS. (a) IN GENERAL. —Section 1927(a)(1) (42 U.S.C. 1396r-8(a)(l)) is amended by striking "shall not be effective until" and inserting "shall become effective as of the date on which the agreement is entered into or, at State option, on any date thereafter on or before". (b) EFFECTIVE DATE. —The amendment made by subsection (a) applies to agreements entered into on or after the date of enactment of this Act. SEC. 607. MAKING MEDICAID DSH TRANSITION RULE PERMANENT. (a) IN GENERAL.— Section 4721(e) of BBA (42 U.S.C. 1396r- 4 note) is amended— (1) in the matter before paragraph (1), by striking "1923(g)(2)(A)" and "1396r-4(g)(2)(A)" and inserting "1923(g)(2)" and "1396r-4(g)(2)", respectively; (2) in paragraphs (1) and (2)-- (A) by striking ", and before July 1, 1999"; and (B) by striking "in such section" and inserting "in subparagraph (A) of such section"; and (3) by striking "and" at the end of paragraph (1), by striking the period at the end of paragraph (2) and inserting "; and", and by adding at the end the following new paragraph: "(3) effective for State fiscal years that begin on or after July 1, 1999, 'or (b)(1)(B)' were inserted in section 1923(g)(2)(B)(ii)(I) after '(b)(1)(A)'.". (b) EFFECTIVE DATE. —The amendments made by subsection (a) shall take effect as if included in the enactment of section 4721(e) of BBA. SEC. 608. MEDICAID TECHNICAL CORRECTIONS. (a) Section 1902(a)(64) (42 U.S.C. 1396a(a)(64)) is amended by adding "and" at the end. (b) Section 1902(j) (42 U.S.C. 1396aO')) is amended by striking "of of and inserting "of. (c) Section 1902(1) (42 U.S.C. 1396a(l)) is amended— (1) in paragraph (1)(C), by striking "children children" and inserting "children";
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