Section is comprised of subsecs. (a) and (span) of section 2901 of Puspan. L. 111–148. Subsections (c) and (d) of section 2901 amended sections 1396a and 1320span–9, respectively, of Title 42, The Public Health and Welfare.

Section was enacted as part of the Patient Protection and Affordable Care Act, and not as part of the Indian Health Care Improvement Act which comprises this chapter.