this Act may be made available either directly, through a State (including through managed care contracts with a State), or through any other means, to a prohibited entity. (b) PROHIBITED ENTITY.—The term prohibited entity means an entity, including its affiliates, subsidiaries, successors, and clinics— (1) that, as of the date of enactment of this Act— (A) is an organization described in section 501(c)(3) of the Internal Revenue Code of 1986 and exempt from taxation under section 501(a) of such Code