Ill STAT. 516 PUBLIC LAW 105-33 —AUG. 5, 1997 shall be determined based on estimates of the resident illegal alien population residing in each State prepared by the Statistics Division of the Immigration and Naturalization Service as of October 1992 (or as of such later date if such date is at least 1 year before the beginning of the fiscal year involved). (c) USE OF FUNDS. — From the allotments made under subsection (b), the Secretary shall pay to each State amounts the State demonstrates were paid by the State (or by a political subdivision of the State) for emergency health services furnished to undocumented aliens. (d) STATE DEFINED. — For purposes of this section, the term "State" includes the District of Columbia. (e) STATE ENTITLEMENT. —This section constitutes budget authority in advance of appropriations Acts and represents the obligation of the Federal Government to provide for the payment to States of amounts provided under this section. SEC. 4724. ELIMINATION OF WASTE, FRAUD, AND ABUSE. (a) BAN ON SPENDING FOR NONHEALTH RELATED ITEMS.— Section 1903(i) (42 U.S.C. 1396b(i)) is amended— (1) in paragraphs (2) and (16), by striking the period at the end and inserting "; or"; (2) in paragraphs (10)(B), (11), and (13), by adding "or" at the end; and (3) by inserting after paragraph (16), the following: "(17) with respect to any amount expended for roads, bridges, stadiums, or any other item or service not covered under a State plan under this title.". (b) SURETY BOND REQUIREMENT FOR HOME HEALTH AGEN- CIES (1) IN GENERAL.— Section 1903(i) (42 U.S.C. 1396b(i)), as amended by subsection (a), is amended— (A) in paragraph (17), by striking the period at the end and inserting "; or"; and (B) by inserting after paragraph (17), the following: "(18) with respect to any amount expended for home health care services provided by an agency or organization unless the agency or organization provides the State agency on a continuing basis a surety bond in a form specified by the Secretary under paragraph (7) of section 186 l(o) and in an amount that is not less than $50,000 or such comparable surety bond as the Secretary may permit under the last sentence of such section.". 42 USC 1396b (2) EFFECTIVE DATE.—The amendments made by paragraph note. (1) shall apply to home health care services furnished on or after January 1, 1998. (c) CONFLICT OF INTEREST SAFEGUARDS.— (1) IN GENERAL.—Section 1902(a)(4)(C) (42 U.S.C. 1396a(a)(4)(C)) is amended— (A) by striking "and (C)" and inserting "(C)"; (B) by striking "loced officer or employee" and inserting "local officer, employee, or independent contractor"; (C) by striking "such an officer or employee" the first 2 places it appears and inserting "such an officer, employee, or contractor"; and
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