EFFECTIVE DATES.

SEC. 4214. EFFECTIVE DATES. (a) New Requirements and Survey and Certification Process.— Except as otherwise specifically provided in section 1919 of the Social Security Act, the amendments made by sections 4211 and 4212 (relating to nursing facility requirements and survey and certification requirements) shall apply to nursing facility services furnished on or after October 1, 1990, without regard to whether regulations to implement such amendments are promulgated by such date; except that section 1902(a)(28)(B) of the Social Security Act (as amended by section 4211(b) of this Act), relating to requiring State medical assistance plans to specify the services included in nursing facility services, shall apply to calendar quarters beginning more than 6 months after the date of the enactment of this Act, without regard to whether regulations to implement such section are promulgated by such date. (b) Enforcement.— (1) Except as otherwise specifically provided in section 1919 of the Social Security Act, the amendments made by section 4213 of this Act apply to payments under title XIX of the Social Security Act for calendar quarters beginning on or after the date of the enactment of this Act, without regard to whether regulations to implement such amendments are promulgated by such date. (c) Transitional Rule.— In applying the amendments made by this part for services furnished before October 1, 1990— (A) any reference to a nursing facility is deemed a reference to a skilled nursing facility or intermediate care facility (other than an intermediate care facility for the mentally retarded), and (B) with respect to such a skilled nursing facility or intermediate care facility, any reference to a requirement of subsection101 STAT. 1330–220 (b), (c), or (d), is deemed a reference to the provisions of section 186l(j) or section 1905(c), respectively, of the Social Security Act. (d) Waiver Of Paperwork Reduction.— Chapter 35 of title 44, United States Code, shall not apply to information required for purposes of carrying out this part and implementing the amendments made by this part.