PUBLIC LAW 101-239—DEC. 19, 1989 103 STAT. 2249 ,;. condition described in paragraph (I)(B), to deliver (including the placenta)"; (D) in parc^aph (4)(B)— ,; (i) by inserting "described in paragraph (I)(A)" after "emergency medical condition", (ii) by inserting "or occur during" after "to result r from", and (iii) by inserting before the period at the end the following: ", or, with respect to an emergency medical condition described in paragraph (I)(B), that the ^ woman has delivered (including the placenta)"; and (E) by redesignating paragraphs (3) through (6) as para- graphs (2) through (5), respectively. (2) CONFORMING AMENDMENTS.— Such section is further amended— (A) in the heading, by striking "ACTIVE"; (B) in subsection (a), by striking "or to determine if the individual is in active labor (within the meaning of section (e)(2))"; (C) in the heading of subsection (b), by striking "ACTIVE"; (D) in subsection (b)(D— (i) by striking "or is in active labor", and (ii) in subparagraph (A), by striking "or to provide for treatment of the labor"; and (E) in subsection (c)(D, by striking "(e)(4)(B)) or is in active labor" and inserting "(e)(3)(B))". (i) EFFECTIVE DATE. —The amendments made by this section shall take effect on the first day of the first month that begins more than 180 days after the date of the enactment of this Act, without regard to whether regulations to carry out such amendments have been promulgated by such date. SEC. 6212. HEALTH MAINTENANCE ORGANIZATIONS AND COMPETITIVE MEDICAL PLANS. (a) TEMPORARY WAIVER FOR WATTS HEALTH FOUNDATION.—Section 9312(c)(3)(D) of the Omnibus Budget Reconciliation Act of 1986, as added by section 4018(d) of the Omnibus Budget Reconciliation Act of 1987, is amended— (1) in clause (i), by striking "January 1, 1990" and inserting , "January 1, 1994"; and (2) by amending clauses (ii) and (iii) to read as follows: "(ii) beginning on January 1. 1990, the Secretary of Health and Human Services snail conduct an annual review of the organization to determine the organiza- tion's compliance with the quality assurance require- ments of section 1876(c)(6) of such Act; and "(iii) after January 1, 1990, if the organization re- ceives an unfavorable review under clause (ii), the Secretary, after notice to the organization of the un- ^, favorable review and an opportunity to correct any deficiencies identified during the review, may provide for the sanction described in section 1876(f)(o) of such Act effective with respect to individuals enrolling with the organization after the date the Secretary notices the organization that the organization is not in compli- , ance with the requirements of section 1876(c)(6) of such Act.". 42 USC 1395dd note. 42 USC 1395mm note. 42 USC 1320a-7a note.
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