Title V, SEC. 5413. LIMITATIONS ON PHYSICIAN SELF-REFERRAL. 
      The provisions of section 1877 of the Social Security Act shall apply 

        (1) to items and services (and payments and claims for payment for such 
      items and services) furnished under any applicable health plan in the 
      same manner as such provisions apply to designated health services (and 
      payments and claims for payment for such services) under title XVIII of 
      the Social Security Act; and 

        (2) to a State (with respect to an item or service furnished or payment 
      made under a regional alliance health plan) and to the Secretary of Labor 
      (with respect to a an item or service furnished or payment made under a 
      corporate alliance health plan) in the same manner as such provisions 
      apply to the Secretary.