Page:United States Statutes at Large Volume 124.djvu/1025

124 STAT. 999 PUBLIC LAW 111–148—MAR. 23, 2010 of the actual charge or the amount determined under such section’’. (C) Section 1833(a) of the Social Security Act (42 U.S.C. 1395l(a)) is amended— (i) in paragraph (3)(B)(i)— (I) by inserting ‘‘(I)’’ after ‘‘otherwise been provided’’; and (II) by inserting ‘‘, or (II) in the case of such services furnished on or after the implementation date of the prospective payment system under section 1834(o), under such section (calculated as if ‘100 percent’ were substituted for ‘80 percent’ in such section) for such services if the individual had not been so enrolled’’ after ‘‘been so enrolled’’; and (ii) by adding at the end the following flush sentence: ‘‘Paragraph (3)(A) shall not apply to Federally qualified health center services furnished on or after the implementation date of the prospective payment system under section 1834(0).’’. (j) Section 5505 is amended by adding at the end the following new subsection: ‘‘(d) APPLICATION.—The amendments made by this section shall not be applied in a manner that requires reopening of any settled cost reports as to which there is not a jurisdictionally proper appeal pending as of the date of the enactment of this Act on the issue of payment for indirect costs of medical education under section 1886(d)(5)(B) of the Social Security Act (42 U.S.C. 1395ww(d)(5)(B)) or for direct graduate medical education costs under section 1886(h) of such Act (42 U.S.C. 1395ww(h)).’’. (k) Subtitle G of title V of this Act is amended by adding at the end the following: ‘‘SEC. 5606. STATE GRANTS TO HEALTH CARE PROVIDERS WHO PRO- VIDE SERVICES TO A HIGH PERCENTAGE OF MEDICALLY UNDERSERVED POPULATIONS OR OTHER SPECIAL POPU- LATIONS. ‘‘(a) IN GENERAL.—A State may award grants to health care providers who treat a high percentage, as determined by such State, of medically underserved populations or other special popu- lations in such State. ‘‘(b) SOURCE OF FUNDS.—A grant program established by a State under subsection (a) may not be established within a depart- ment, agency, or other entity of such State that administers the Medicaid program under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.), and no Federal or State funds allocated to such Medicaid program, the Medicare program under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.), or the TRICARE program under chapter 55 of title 10, United States Code, may be used to award grants or to pay administrative costs associated with a grant program established under subsection (a).’’. (l) Part C of title VII of the Public Health Service Act (42 U.S.C. 293k et seq.) is amended— (1) after the part heading, by inserting the following: ‘‘Subpart I—Medical Training Generally’’; and (2) by inserting at the end the following: 42 USC 254b–1. 42 USC 1395ww note.