113 STAT. 1501A-388 PUBLIC LAW 106-113—APPENDIX F (2) in subparagraph (D), by striking the period at the end and inserting ", or"; and "(E) that is a Medicare+Choice organization under part C that is offering a coordinated care plan described in section 1851(a)(2)(A) to an individual enrolled with the organization.". (b) EFFECTIVE DATE.— The amendment made by this section shall apply to services furnished on or after the date of the enactment of this Act. Subtitle C—Demonstration Projects and Special Medicare Populations SEC. 531. EXTENSION OF SOCIAL HEALTH MAINTENANCE ORGANIZA- TION DEMONSTRATION (SHMO) PROJECT AUTHORITY. (a) EXTENSION.—Section 4018(b) of the Omnibus Budget Reconciliation Act of 1987 (Public Law 100-203) is amended— (1) in paragraph (1), by striking "December 31, 2000" and inserting "the date that is 18 months after the date that the Secretary submits to Congress the report described in section 4014(c) of the Balanced Budget Act of 1997"; (2) in paragraph (4), by striking "March 31, 2001" and inserting "the date that is 21 months after the date on which Secretary submits to Congress the report described in section 4014(c) of the Balanced Budget Act of 1997"; and (3) by adding at the end of paragraph (4) the following: "Not later than 6 months after the date the Secretary submits such final report, the Medicare Payment Advisory Commission shall submit to Congress a report containing recommendations regarding such project.". (b) SUBSTITUTION OF AGGREGATE CAP. — Section 13567(c) of the Omnibus Budget Reconciliation Act of 1993 (Public Law 103-66) is amended to read as follows: "(c) AGGREGATE LIMIT ON NUMBER OF MEMBERS. — The Secretary of Health and Human Services may not impose a limit on the number of individuals that may participate in a project conducted under section 2355 of the Deficit Reduction Act of 1984, other than an aggregate limit of not less than 324,000 for all sites.". SEC. 532. EXTENSION OF MEDICARE COMMUNITY NURSING ORGANIZA- TION DEMONSTRATION PROJECT. (a) EXTENSION. —Notwithstanding any other provision of law, any demonstration project conducted under section 4079 of the Omnibus Budget Reconciliation Act of 1987 (Public Law 100-123; 42 U.S.C. 1395mm note) and conducted for the additional period of 2 years as provided for under section 4019 of BBA, shall be conducted for an additional period of 2 years. The Secretary of Health and Human Services shall provide for such reduction in payments under such project in the extension period provided under the previous sentence as the Secretary determines is necessary to ensure that total Federal expenditures during the extension period under the project do not exceed the total Federal expenditures that would have been made under title XVIII of the Social Security Act if such project had not been so extended.
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