102 STAT. 796
42 USC 1396J.
42 USC 1396a note.
State and local governments.
42 USC 1396n.
42 USC 1396n.
PUBLIC LAW 100-360—JULY 1, 1988 "(C) by adding at the end the following new paragraph: "'(5) The term "beneficiary" means an individual who is eligible to receive items or services for which payment may be made under title V, XVIII, XIX, or XX but does not include a provider, supplier, or practitioner,'. "(11) Section 1903(i)(2) of such Act (42 U.S.C. 1396b(i)(2)) is amended— "(A) in subparagraph (A), by striking 'in the State plan under this title pursuant to section 1128 or section 1128A' and inserting 'under title V, XVIII, or XX or under this title pursuant to section 1128, 1128A, 1156, 18420X2), or 1867(d)(2)', and "(B) in subparagraph (B), by striking 'pursuant to section 1128 or section 1128A from participation in the progrgun under this title' and inserting 'from participation under title V, XVIII, or XX or under this title pursuant to section 1128, 1128A, 1156, 18420X2), or 1867(d)(2)'. "(12) Section 504(b)(6) of such Act (42 U.S.C. 704(b)(6)) is amended by striking 'pursuant to section 1128 or section 1128A from participation in the program under this title' each place it appears and inserting 'under this title or title XVIII, XIX, or XX pursuant to section 1128, 1128A, 1156, 18420X2), or 1867(d)(2)'. "(13) Section 2005(a)(9) of such Act (42 U.S.C. 1397d(a)(9)) is amended by striking 'pursuant to section 1128 or section 1128A from participation in the program under this title' each place it appears and inserting 'under this title or title V, XVIII, or XIX pursuant to section 1128, 1128A, 1156, 18420X2), or 1867(d)(2)'.". (E) Section 4118(fKl) of OBRA is amended by striking "4111(g)(8)" and inserting "4211(h)(8)". (F) Section 4118(g)(l)(B) of OBRA is amended by striking "insert" and inserting "inserting". (G) Section 4118(h) of OBRA is amended— (i) by inserting a dash after "EXPENSES."; (ii) in paragraph (1), by striking "Section 1902(a)(17) of the Social Security Act (42 U.S.C. 1396a(a)(17)) is amended" and inserting "Sections 1902(a)(17) and 1903(f)(2) of the Social Security Act (42 U.S.C. 1396a(a)(17), 1396b(f)(2)) are each amended"; (iii) in paragraph (2), by striking "(2) The amendment made by paragraph (1)" and inserting "(3) The amendments made by this subsection", and (iv) by inserting after paragraph (1) the following new paragraph: "(2) The first sentence of section 1902(f) of such Act (42 U.S.C. 1396a(f)) is amended by inserting after 'as recognized under State law' the following: 'regardless of whether such expenses are reimbursed under another public program of the State or political subdivision thereof'.". (H) Section 1915(c)(7)(B) of the Social Security Act, as added by section 4118(k) of OBRA, is £unended by inserting before the period at the end the following: ", without regard to the availability of beds for such inpatients". a) Section 41180X1) of OBRA is amended by inserting ", as redesignated by section 4102(a)," after "1396n(h))".
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