EFFECTIVE DATES.

SEC. 4710. EFFECTIVE DATES. (a) General Effective Date.—Except as otherwise provided in this chapter and section 4759, the amendments made by this chapter shall take effect on the date of the enactment of this Act and shall apply to contracts entered into or renewed on or after October 1, 1997.111 STAT. 507 (b) Specific Effective Dates.—Subject to subsection (c) and section 4759— (1) PCCM option.—The amendments made by section 4702 shall apply to primary care case management services furnished on or after October 1, 1997. (2) 75:25 rule.—The amendments made by section 4703 apply to contracts under section 1903(m) of the Social Security Act (42 U.S.C. 1396b(m)) on and after June 20, 1997. (3) Quality standards.—Section 1932(c)(1) of the Social Security Act, as added by section 4705(a), shall take effect on January 1, 1999. (4) Solvency standards.— (A) In general.—The amendments made by section 4706 shall apply to contracts entered into or renewed on or after October 1, 1998. (B) Transition rule.—In the case of an organization that as of the date of the enactment of this Act has entered into a contract under section 1903(m) of the Social Security Act with a State for the provision of medical assistance under title XIX of such Act under which the organization assumes full financial risk and is receiving capitation payments, the amendment made by section 4706 shall not apply to such organization until 3 years after the date or the enactment of this Act. (5) Sanctions for noncompliance.—Section 1932(e) of the Social Security Act, as added by section 4707(a), shall apply to contracts entered into or renewed on or after April 1, 1998. (6) Limitation on ffp for enrollment brokers—The amendment made by section 4707(b) shall apply to amounts expended on or after October 1, 1997. (7) 6-month guaranteed eligibility.—The amendments made by section 4709 shall take effect on October 1, 1997. (c) Nonapplication to Waivers.—Nothing in this chapter (or the amendments made by this chapter) shall be construed as affecting the terms and conditions of any waiver, or the authority of the Secretary of Health and Human Services with respect to any such waiver, under section 1115 or 1915 of the Social Security Act (42 U.S.C. 1315, 1396n).