102 STAT. 4820
Reports.
Contracts.
PUBLIC LAW 100-713—NOV. 23, 1988
tion program described in subsection (a), including any agreements with States which may be necessary to provide for such direct billing under the medicaid program; and "CB) any changes which may be necessary to enable participants in such damonstration program to provide to the Service medical records information on patiente served under such demonstration program which is consistent with the medical records information system of the Service. "(2) Prior to the commencement of the demonstration program described in subsection (a), the Secretary shall implement all changes required as a resiilt of the examinations conducted under paragraph (1). "(3) F^or to October 1, 1990, the Secretary shall determine any accounting information which a participant in the demonstration program described in subsection (a) would be required to r^wrt. "(e) The Secretary shall submit a final report at the end of fiscal year 1995, on the activities carried out under the demonstration program described in subsection (a) which shall include an evaluation of whether such activities have fulfilled the objectives of such program. In such report the Secretary shall provide a recommendation, based upon the results of such demonstration pn^ram, as to whether direct billing of, and reimbursement by, the medicare and medicaid programs and other third-party payors should be authorized for all Indian tribes and Alaska Native health organizations which are contracting the entire operation of a facility of the Service. "(0 The Secretary shall provide for the retrocession of any contract entered into between a participant in the demonstration program described in subsection (a) and the Service under the authority of the Indian Self-Determination Act All cost accounting and billing autii<nrity shall be retroceded to the Secretary upon the Secretary's acceptance of a retroceded contract". TITLE V—URBAN INDIAN HEALTH SERVICES REVISION OF PROGRAM
SEC. 501. Title V (25 UJS.C. 1651, et seq.) is amended to read as follows: 'TITLE V—HEALTH SERVICES FOR URBAN INDIANS PURP08K
25 USC 1651.
"SBC. 501. The purpose of this title is to establish programs in urban centers to make health services more accessible to urban Indians. ' ' CONTRACTS W I T H U R R A N INDIAN ORGANIZATIONS
25 USC 1652.
502. Under authority of the Act of November 2, 1921 (25 U.S.C. 13), popularly known as the Snyder Act, the Secretary, thzou^ the Service, shall enter into contracts with urban Indian organizations to assist such organizations in the establishment and administration, within the urban centers in which such organizations are situated, of programs which meet the requirements set forth in this title. The Secretary, through the Service, shall include such conditions as the Secretary considers necessary to effect the
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