PUBLIC LAW 101-508—NOV. 5, 1990 104 STAT. 1388-123 (5) EFFECTIVE DATE. — The amendments made by this subsection shall be effective as if included in the enactment of section 6204 of the Omnibus Budget Reconciliation Act of 1989, (f) CASE MANAGEMENT DEMONSTRATION PROJECT.— (1) IN GENERAL.— Notwithstanding any other provision of law, the Secretary of Health and Human Services shall resume the 3 case management demonstration projects described in paragraph (2) and approved under section 425 of the Medicare Catastrophic Coverage Act of 1988 (in this subsection referred to as "MCCA"). (2) PROJECT DESCRIPTIONS. — The demonstration projects referred to in paragraph (1) are— (A) the project proposed to be conducted by Providence Hospital for case management of the elderly at risk for acute hospitalization as described in Project No. 18-P- 99379/5-01; (B) the project proposed to be conducted by the Iowa Foundation for Medical Care to study patients with chronic congestive conditions to reduce repeated hospitalizations of such patients as described in Project No. P-99399/4-01; and (C) the project proposed to be conducted by Key Care Health Resources, Inc., to examine the effects of case management on 2,500 high cost medicare beneficiaries as described in Project No. 18-P -99396/5. (3) TERMS AND CONDITIONS.— Except as provided in paragraph (4), the demonstration projects resumed pursuant to paragraph (1) shall be subject to the same terms and conditions established under section 425 of MCCA. In determining the 2-year duration period of a project resumed pursuant to paragraph (1), the Secretary may not take into account any period of time for which the project was in effect under section 425 of MCCA. (4) AUTHORIZATION OF APPROPRIATIONS.—Notwithstanding section 425(g) of MCCA, there are authorized to be appropriated for administrative costs in carrying out the demonstration projects resumed pursuant to paragraph (1) $2,000,000 in each of fiscal years 1991 and 1992. (g) PROHIBITION OF USER FEES FOR SURVEY AND CERTIFICATION. — Section 1864 (42 U.S.C. 1395aa) is amended by adding at the end the following new subsection: "(e) Notwithstanding any other provision of law, the Secretary may not impose, or require a State to impose, any fee on any facility or entity subject to a determination under subsection (a), or any renal dialysis facility subject to the requirements of section 1881(b)(1), for any such determination or any survey relating to determining the compliance of such facility or entity with any requirement of this title.". (h) DELEGATION OF AUTHORITY TO INSPECTOR GENERAL.— Section 1128A(j) (42 U.S.C. 1320a-7a(j)) is amended— (i) by striking "(])" and inserting "CJ)(1)"; and (ii) by adding at the end the following new paragraph: "(2) The Secretary may delegate authority granted under this section and under section 1128 to the Inspector General of the Department of Health and Human Services.". (i) MODIFICATION OF HOME HEALTH AGENCY DEFICIENCY STAND- ARDS.— (1) IN GENERAL. — Effective as if included in the enactment of the Omnibus Budget Reconciliation Act of 1987, section 42 USC 1395nn note. 42 USC 1395b-l note.
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