118 STAT. 253 PUBLIC LAW 108–199—JAN. 23, 2004 Service Act unless the applicant for the award certifies to the Secretary that it encourages family participation in the decision of minors to seek family planning services and that it provides counseling to minors on how to resist attempts to coerce minors into engaging in sexual activities. SEC. 211. None of the funds appropriated by this Act (including funds appropriated to any trust fund) may be used to carry out the Medicare+Choice program if the Secretary denies participation in such program to an otherwise eligible entity (including a Provider Sponsored Organization) because the entity informs the Secretary that it will not provide, pay for, provide coverage of, or provide referrals for abortions: Provided, That the Secretary shall make appropriate prospective adjustments to the capitation payment to such an entity (based on an actuarially sound estimate of the expected costs of providing the service to such entity’s enrollees): Provided further, That nothing in this section shall be construed to change the Medicare program’s coverage for such services and a Medicare+Choice organization described in this section shall be responsible for informing enrollees where to obtain information about all Medicare covered services. SEC. 212. Notwithstanding any other provision of law, no pro vider of services under title X of the Public Health Service Act shall be exempt from any State law requiring notification or the reporting of child abuse, child molestation, sexual abuse, rape, or incest. SEC. 213. The Foreign Operations, Export Financing, and Related Programs Appropriations Act, 1990 (Public Law 101–167) is amended— (1) in section 599D (8 U.S.C. 1157 note)— (A) in subsection (b)(3), by striking ‘‘1997, 1998, 1999, 2000, 2001, 2002, and 2003’’ and inserting ‘‘1997, 1998, 1999, 2000, 2001, 2002, 2003, and 2004’’; and (B) in subsection (e), by striking ‘‘October 1, 2003’’ each place it appears and inserting ‘‘October 1, 2004’’; (C) in subsection (b)(1)— (i) in subparagraph (A), by striking ‘‘and’’ at the end; (ii) in subparagraph (B), by striking the period and inserting ‘‘; and’’; and (iii) by adding at the end the following: ‘‘(C) one or more categories of aliens who are or were nationals and residents of the Islamic Republic or Iran who, as members of a religious minority in Iran, share common characteristics that identify them as targets of persecution in that state on account of race, religion, nationality, membership in a particular social group, or political opinion.’’; and (2) in section 599E (8 U.S.C. 1255 note) in subsection (b)(2), by striking ‘‘September 30, 2003’’ and inserting ‘‘Sep tember 30, 2004’’. SEC. 214. (a) Except as provided by subsection (e) none of the funds appropriated by this Act may be used to withhold sub stance abuse funding from a State pursuant to section 1926 of the Public Health Service Act (42 U.S.C. 300x–26) if such State certifies to the Secretary of Health and Human Services by May 1, 2004, that the State will commit additional State funds, in accordance with subsection (b), to ensure compliance with State
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