Page:United States Statutes at Large Volume 111 Part 1.djvu/368

 Ill STAT. 344 PUBLIC LAW 105-33—AUG. 5, 1997 Urban and rural areas. District of Columbia. (A) improve the quality of items and services provided to target individuals; and (B) reduce expenditures under the medicare program under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) for items and services provided to target individuals. (2) TARGET INDIVIDUAL DEFINED. —In this section, the term "target individual" means an individual that has a chronic illness, as defined and identified by the Secretary, and is enrolled under the fee-for-service program under parts A and B of title XVIII of the Social Security Act (42 U.S.C. 1395c et seq.; 1395j et seq.). (b) PROGRAM DESIGN.— (1) INITIAL DESIGN. —The Secretary shall evaluate best practices in the private sector of methods of coordinated care for a period of 1 year and design the demonstration project based on such evaluation. (2) NUMBER AND PROJECT AREAS.— Not later than 2 years after the date of enactment of this Act, the Secretary shall implement at least 9 demonstration projects, including— (A) 5 projects in urban areas; (B) 3 projects in rural areas; and (C) 1 project within the District of Columbia which is operated by a nonprofit academic medical center that maintains a National Cancer Institute certified comprehensive cancer center. (3) EXPANSION OF PROJECTS; IMPLEMENTATION OF DEM- ONSTRATION PROJECT RESULTS.— (A) EXPANSION OF PROJECTS.—I f the initial report under subsection (c) contains an evaluation that demonstration projects— (i) reduce expenditures under the medicare program; or (ii) do not increase expenditures under the medicare program and increase the quality of health care services provided to target individuals and satisfaction of beneficiaries and health care providers; the Secretary shall continue the existing demonstration projects and may expand the number of demonstration projects. (B) IMPLEMENTATION OF DEMONSTRATION PROJECT RESULTS.—If a report under subsection (c) contains an evaluation as described in subparagraph (A), the Secretary may issue regulations to implement, on a permanent basis, the components of the demonstration project that are beneficial to the medicare program. (c) REPORT TO CONGRESS. — (1) IN GENERAL.—Not later than 2 years after the Secretary implements the initial demonstration projects under this section, and biannually thereafter, the Secretary shall submit to Congress a report regarding the demonstration projects conducted under this section. (2) CONTENTS OF REPORT.— The report in paragraph (1) shall include the following: (A) A description of the demonstration projects conducted under this section. (B) An evaluation of—

�