Page:United States Statutes at Large Volume 111 Part 1.djvu/366

 Ill STAT. 342 PUBLIC LAW 105-33—AUG. 5, 1997 "(i) to recoup for the medicare program the amount of such increase in expenditures; and "(ii) to prevent any such increase in the future. "(B) STEPS. — Such steps— "(i) under subparagraph (A)(i) shall include pay- ment of the amount of such increased expenditures by the Secretary of Defense from the current medical care appropriation of the Department of Defense to the trust funds; and "(ii) under subparagraph (A)(ii) shall include suspending or terminating the demonstration project (in whole or in part) or lowering the amount of pa5anent under subsection (i)(D. " (k) EVALUATION AND REPORTS. — "(1) INDEPENDENT EVALUATION. —The Comptroller General of the United States shall conduct an evaluation of the demonstration project, and shall submit annual reports on the demonstration project to the administering Secretaries and to the committees of jurisdiction in the Congress. The first report shall be submitted not later than 12 months after the date on which the demonstration project begins operation, and the final report not later than 3V2 years after that date. The evaluation and reports shall include an assessment, based on the agreement entered into under subsection (b), of the following: "(A) Any savings or costs to the medicare program under this title resulting from the demonstration project. "(B) The cost to the Department of Defense of providing care to medicare-eligible military retirees and dependents under the demonstration project. "(C) A description of the effects of the demonstration project on military treatment facility readiness and training and the probable effects of the project on overall Department of Defense medical readiness and training. "(D) Any impact of the demonstration project on access to care for active duty military personnel and their dependents. "(E) An analysis of how the demonstration project affects the overall accessibility of the uniformed services treatment system and the amount of space available for point-of-service care, and a description of the unintended effects (if any) upon the normal treatment priority system. "(F) Compliance by the Department of Defense with the requirements under this title. "(G) The number of medicare-eligible military retirees and dependents opting to participate in the demonstration project instead of receiving health benefits through another health insureince plem (including benefits under this title). "(H) A list of the health insurance plans and programs that were the primary payers for medicare-eligible military retirees and dependents during the year prior to their participation in the demonstration project and the distribution of their previous enrollment in such plans and programs. "(I) Any impact of the demonstration project on private health care providers and beneficiaries under this title that are not enrolled in the demonstration project.

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