EXTENSION OF SOCIAL HEALTH MAINTENANCE ORGANIZATION DEMONSTRATIONS.

SEC. 13667. EXTENSION OF SOCIAL HEALTH MAINTENANCE ORGANIZATION DEMONSTRATIONS. (a) Extension of Current Waivers.— Section 4018(b) of OBRA–1987, as amended by section 4207(b)(4)(B) of OBRA–1990, is amended— (1) in paragraph (1) by striking “December 31, 1995” and inserting “December 31, 1997”; and (2) in paragraph (4) by striking “March 31, 1996” and inserting “March 31, 1998”. (b) Expansion of Demonstrations.— Section 2355 of the Deficit Reduction Act of 1984 is amended— (1) in the last sentence of subsection (a) by striking “12 months” and inserting “36 months”; and (2) in subsection (b)(1)(B)— (A) by striking “of” at the end of clause (iii); and (B) by redesignating clause (iv) as clause (v) and inserting after clause (iii) the following new clause: “(iv) integrating acute and chronic care management for patients with end-stage renal disease through expanded community care case management services (and for purposes of a demonstration project conducted under this clause, any requirement under a waiver granted under this section that a project disenroll individuals who develop end-stage renal disease shall not apply); or”. (c) Expansion of Number of Members Per Site.— The Secretary of Health and Human Services may not impose a limit of less than 12,000 on the number of individuals that may participate in a project conducted under section 2355 of the Deficit Reduction Act of 1984. (d) Effective Date.— The amendments made by this section shall take effect as if included in the enactment of OBRA–1990.