114 STAT. 2763A-474 PUBLIC LAW 106-554-APPENDIX F "(B) The provisions of subsection (b)(18)(B) shall apply to charges for such drugs or biologicals in the same manner as they apply to services furnished by a practitioner described in subsection (b)(18)(C).". (b) EFFECTIVE DATE. —The amendment made by subsection (a) shall apply to items furnished on or after January 1, 2001. SEC. 115. WAIVER OF 24-MONTH WATTING PERIOD FOR MEDICARE COV- ERAGE OF INDIVIDUALS DISABLED WTTH AMYOTROPHIC LATERAL SCLEROSIS (ALS). (a) IN GENERAL.—Section 226 (42 U.S.C. 426) is amended— (1) by redesignating subsection (h) as subsection (j) and by moving such subsection to the end of the section; and (2) by inserting after subsection (g) the following new subsection: "(h) For purposes of applying this section in the case of an individual medically determined to have amyotrophic lateral sclerosis (ALS), the following special rules apply: "(1) Subsection (b) shall be applied as if there were no requirement for any entitlement to benefits, or status, for a period longer than 1 month. "(2) The entitlement under such subsection shall begin with the first month (rather than twenty-fifth month) of entitlement or status. "(3) Subsection (f) shall not be applied.". (b) CONFORMING AMENDMENT.— Section 1837 (42 U.S.C. 1395p) is amended by adding at the end the following new subsection: "(j) In applying this section in the case of an individual who is entitled to benefits under part A pursuant to the operation of section 226(h), the following special rules apply: "(1) The initial enrollment period under subsection (d) shall begin on the first day of the first month in which the individual satisfies the requirement of section 1836(1). "(2) In applying subsection (g)(1), the initial enrollment period shall begin on the first day of the first month of entitlement to disability insurance benefits referred to in such subsection.". (c) EFFECTIVE DATE. —The amendments made by this section shall apply to benefits for months beginning July 1, 2001. Subtitle C—Demonstration Projects and Studies SEC. 121. DEMONSTRATION PROJECT FOR DISEASE MANAGEMENT FOR SEVERELY CHRONICALLY ILL MEDICARE BENE- FICIARIES. (a) IN GENERAL.— The Secretary of Health and Human Services shall conduct a demonstration project under this section (in this section referred to as the "project") to demonstrate the impact on costs and health outcomes of applying disease management to medicare beneficiaries with diagnosed, advanced-stage congestive heart failure, diabetes, or coronary heart disease. In no case may the number of participants in the project exceed 30,000 at any time. (b) VOLUNTARY PARTICIPATION. —
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