102 STAT. 3800 PUBLIC LAW 100-647—NOV. 10, 1988

SEC. 8404 DEMONSTRATION PROJECTS WITH KESPECT TO CHRONIC YEN-
TILATOR-DEPENPENT UNITS IN H0SPITAJLS.

(a) IN GENERAL.—Section 429(a) of the Medicare Catastrophic
42 use I895b-l Coverage Act of 1988 is amended by striking "up to" each place it
note appears and inserting "at least".

42 use I395b-l (b) EFFECTIVE DATE.—The amendment made by subsection (a)
note< shall take effect as if included in the Medicare Catastrophic Cov-

erage Act of 1988.

42 USC 1395ww SEC. 8405. ELECTION OF PERSONNEL POLICY FOR PROPAC EMPLOYEES.

With respect to employees of the Prospective Payment Assess-
ment Commission hired before December 22, 1987, such employees
shall have the option to elect within 60 days of the date of enact-
ment of this Act to be covered under either the personnel policy in
effect with respect to such employees before December 22, 1987, or
under the employees coverage provided under the last sentence of
section 1886(eX6XD) of the Social Security Act.

PART II—RELATING TO A AND B OF

MEDICARE PROGRAM

42 USC 1395b-l SEC. 8411. TREATMENT OF CERTAIN NURSING EDUCATION PROGRAMS.

note' (a) DEMONSTRATION OF JOINT NURSING GRADUATE EDUCATION PRO-

GRAMS.—

(1) The Secretary of Health and Human Services shall provide •
for demonstration programs under this subsection in each of 5
hospitals for cost reporting periods beginning on or after July 1,
1989, and before July 1,1994.

(2) Under each demonstration project, subject to paragraph
(4), the reasonable costs incurred by a hospital pursuant to a
written agreement with an educational institution for the
activities described in paragraph (3) conducted as part of an
approved educational program that—

(A) involves a substantial clinical component (as deter-
mined by the Secretary), and

(B) leads to a master's or doctoral degree in nursing,
shall be allowable as reasonable costs under title XVM of the
Social Security Act and reimbursed under such title on the
same basis as if they were allowable direct costs of a hospital-
operated approved educational program (other than an
approved graduate medical education program).

(3) The activities described in this paragraph are the activities
for which the reasonable costs of conducting such activities are
allowable under title XVHI of the Social Security Act if con-
ducted under a hospital-operated approved educational program
(other than an approved graduate medical education program),
but only to the extent such activities are directly related to the
operation of the educational program conducted pursuant to the
written agreement between the hospital and the educational
institution.

(4) The amount paid under a demonstration program under
this subsection to a hospital for a cost reporting period may not
exceed $200,000.

Reports. (§) The Secretary shall report to Congress, by not later than

January 1, 1995, on the demonstration programs conducted