[Code of Federal Regulations]
[Title 42, Volume 2]
[Revised as of October 1, 2002]
From the U.S. Government Printing Office via GPO Access
[CITE: 42CFR417.402]

[Page 711]
 
                         TITLE 42--PUBLIC HEALTH
 
                             HUMAN SERVICES
 
PART 417--HEALTH MAINTENANCE ORGANIZATIONS, COMPETITIVE MEDICAL PLANS, AND HEALTH CARE PREPAYMENT PLANS--Table of Contents
 
         Subpart J--Qualifying Conditions for Medicare Contracts
 
Sec. 417.402  Effective date of initial regulations.

    (a) The changes made to section 1876 of the Act by section 114 of 
the Tax Equity and Fiscal Responsibility Act of 1982 became effective on 
February 1, 1985, the effective date of the initial implementing 
regulations.
    (b) The changes made to section 1876 of the Act by section 4002 of 
the Balanced Budget Act of 1997 (BBA) are incorporated in part 422 of 
this chapter, except for changes affecting section 1876 cost contracts, 
which are incorporated in subpart L of this part. Upon enactment of the 
BBA (August 5, 1998), no new cost contracts are accepted by CMS, except 
for current Health Care Prepayment Plans that may convert to section 
1876 cost contracts. Section 1876 cost contracts may not be extended or 
renewed beyond December 31, 2004. CMS must accept and approve 
applications to modify the cost contracts in order to expand the service 
area, provided they are submitted on or before September 1, 2003 and CMS 
determines that the organization continues to meet the regulatory 
requirements and the requirements in its cost contract.

[63 FR 35066, June 26, 1998, as amended at 65 FR 40314, June 29, 2000; 
67 FR 13288, Mar. 22, 2002]