PUBLIC LAW 100-607—NOV. 4, 1988

102 STAT. 3089

either directly or through affiliation with a hospital that
has experience in treating AIDS patients; and

"(iii) case management services to ensure, through exist-
ing services and programs whenever possible, appropriate
discharge planning for patients; and

"(B) technical assistance, to other facilities in the region
served by such facility, that is directed toward education and
training of physicians, nurses, and other health-care profes-
sionals in the subacute care and treatment of patients infected
with the human immunodeficiency virus.

"(2) Services provided under each demonstration project may also
include—

"(A) hospice services;
"(B) outpatient care; and

"(C) outreach activities in the surrounding community to
hospitals and other health-care facilities that serve patients
infected with the human immunodeficiency virus.
"(d) The demonstration projects shall be conducted—

"(1) during a 4-year period beginning not later than 9 months
after the date of enactment of this section; and
"(2) at sites that—

"(A) are geographically diverse and located in areas that
are appropriate for the provision of the required and au-
thorized services; and

"(B) have the highest incidence of AIDS cases and the
greatest need for subacute-care services.

"(e) The Secretary shall evaluate the operations of the demonstra- Reports.
tion projects and shall submit to the Committee on Energy and
Commerce of the House of Representatives and the Committee on
Labor and Human Resources of the Senate—

"(1) not later than 18 months after the beginning of the first
project, a preliminary report that contains—

"(A) a description of the sites at which the projects are
being conducted and of the services being provided in each
project; and

"(B) a preliminary evaluation of the experience of the
projects in the first 12 months of operation; and
"(2) not later than 6 months after the completion of the last
project, a final report that contains—

"(A) an assessment of the costs of subacute care for
patients infected with the human immunodeficiency virus,
including a breakdown of all other sources of funding for
the care provided to coyer subacute care; and

"(B) recommendations for appropriate legislative
changes.

"(f) Each demonstration project shall provide for other research to
be carried out at the site of such demonstration project including—
"(1) clinical research on the acquired immunodeficiency syn-
drome, concentrating on research on the neurological mani-
festations resulting from infection with the human
immunodeficiency virus; and

"(2) the study of the psychological and mental health issues
related to the acquired immunodeficiency syndrome.
"(gXD To carry out this section, there are authorized to be appro-
priated $10,000,000 for fiscal year 1988 and such sums as are nec-
essary for each of the fiscal years 1989 through 1991.

Research and
development.

Appropriation
authorization.