PUBLIC LAW 106-554-APPENDIX F 114 STAT. 2763A-583 (b) CONFORMING AMENDMENT.— Section 1934(f)(2) (42 U.S.C. 1396u-4(f)(2)) is amended by adding at the end the following new subparagraph: "(C) CONTINUATION OF MODIFICATIONS OR WAIVERS OF OPERATIONAL REQUIREMENTS UNDER DEMONSTRATION STA- TUS. —If a PACE program operating under demonstration authority has contractual or other operating arrangements which are not otherwise recognized in regulation and which were in effect on July 1 2000, the Secretary (in close consultation with, and with the concurrence of, the State . administering agency) shall permit any such program to continue such arrangements so long as such arrangements are found by the Secretary and the State to be reasonably consistent with the objectives of the PACE program.". (c) EFFECTIVE DATE.— The amendments made by this section shall be effective as included in the enactment of BBA. SEC. 903. FLEXIBILITY IN EXERCISING WAIVER AUTHORITY. In applying sections 1894(f)(2)(B) and 1934(f)(2)(B) of the Social Security Act (42 U.S.C. 1395eee(f)(2)(B), 1396u-4(f)(2)(B)), the Secretary of Health and Human Services— (1) shall approve or deny a request for a modification or a waiver of provisions of the PACE protocol not later than 90 days after the date the Secretary receives the request; and (2) may exercise authority to modify or waive such provisions in a manner that responds promptly to the needs of PACE programs relating to areas of employment and the use of community-based primary care physicians. Subtitle B—Outreach to Eligible Low- Income Medicare Beneficiaries SEC. 911. OUTREACH ON AVAILABILITY OF MEDICARE COST-SHARING ASSISTANCE TO ELIGIBLE LOW-INCOME MEDICARE BENEFICIARIES. (a) OUTREACH.— (1) IN GENERAL.— Title XI (42 U.S.C. 1301 et seq.) is amended by inserting after section 1143 the following new section: " OUTREACH EFFORTS TO INCREASE AWARENESS OF THE AVAILABILITY OF MEDICARE COST-SHARING "SEC 1144. (a) OUTREACH.— "(1) IN GENERAL.— The Commissioner of Social Security (in this section referred to as the 'Commissioner') shall conduct outreach efforts to— "(A) identify individuals entitled to benefits under the medicare program under title XVIII who may be eligible for medical assistance for pa5nTient of the cost of medicare cost-sharing under the medicaid program pursuant to sections 1902(a)(10)(E) and 1933; and "(B) notify such individuals of the availability of such medical assistance under such sections.
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