Page:United States Statutes at Large Volume 100 Part 1.djvu/237

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PUBLIC LAW 99-000—MMMM. DD, 1986

PUBLIC LAW 99-272—APR. 7, 1986

100 STAT. 201

striking out "consists only of one individual member of the governing board" and inserting in lieu thereof "consists only of members of the governing board". (b) EFFECTIVE DATE.—The amendment made by this section shall 42 USC l320c-2 become effective on the date of the enactment of this Act. ^°^^SEC. 9405. PEER REVIEW ORGANIZATION REVIEW OF HEALTH MAINTENANCE ORGANIZATIONS. (a) COMPARABLE REVIEW FOR HEALTH MAINTENANCE ORGANIZATIONS AND COMPETITIVE MEDICAL PLANS.—Section 1154(a)(1) of the

Social Security Act (42 U.S.C. 1320c-3(a)(l)) is amended by inserting "(including where payment is made for such services to eligible organizations pursuant to contracts under section 1876)" after "title 42 USC 1395mm XVIII". (b) EFFECTIVE DATE.—The amendment made by this section shall 42 USC 1320C-3 apply to items and services furnished on or after January 1, 1987. note. SEC. 9406. SUBSTITUTE REVIEW PENDING TERMINATION OF A PEER REVIEW ORGANIZATION CONTRACT.

(a) SUBSTITUTE REVIEW.—Section 1153(d) of the Social Security Act (42 U.S.C. 1320c-2(d)) is amended by adding at the end thereof the following new paragraph: "(4) During the period after the Secretary has given notice of intent to terminate a contract, and prior to the time that the Secretary enters into a contract with another utilization and quality control peer review organization, the Secretary may transfer review responsibilities of the organization under the contract being terminated to another utilization and quality control peer review organization, or to an intermediary or carrier having an agreement under section 1816 or a contract under section 1842.". (b) EFFECTIVE DATE.—The amendment made by this section shall become effective on the date of the enactment of this Act.

42 USC 1395h, 1395u. 42 USC 1320C-2 note.

Subtitle B—Medicaid and Maternal and Child Health SEC. 9501. SERVICES FOR PREGNANT WOMEN.

(a) EXPANDED COVERAGE.—Section 1905(n)(l) of the Social Security Act (42 U.S.C. 1396d(n)(l)) is amended— (1) by striking out "or" at the end of subparagraph (A); (2) by striking out "and" at the end of subparagraph (B) and inserting in lieu thereof "or"; and (3) by adding after subparagraph (B) the following new subparagraph: "(C) otherwise meets the income and resources requirements State and local governments. of a State plan under part A of title IV; and". (b) OPTIONAL EXPANSION OF PREGNANCY-RELATED SERVICES.—Sec-

tion 1902(a)(10) of such Act (42 U.S.C. 1396a(a)(10)) is amended, in the matter after subparagraph (D) thereof^ (1) by striking out "and" before "(IV)" and inserting in lieu thereof a comma; and (2) by inserting before the semicolon at the end thereof the following: ", and (V) the making available to pregnant women covered under the plan of services relating to pregnancy (including prenatal, delivery, and postpartum services) or to any other

42 USC 601.