Page:United States Statutes at Large Volume 113 Part 2.djvu/900

 113 STAT. 1501A-382 PUBLIC LAW 106-113—APPENDIX F (E) Differences in the ability of Medicare+Choice organizations to report encounter data, and the potential for adverse competitive impacts on group and staff model health maintenance organizations or other integrated providers of care based on data reporting capabilities. (2) REPORT.—Not later than January 1, 2001, the Secretary shall submit a report to Congress on the study conducted under this subsection, together with any recommendations for legislation that the Secretary determines to be appropriate as a result of such study. SEC. 512. ENCOURAGING OFFERING OF MEDICARE+CHOICE PLANS IN AREAS WITHOUT PLANS. Section 1853 (42 U.S.C. 1395w-23) is amended— (1) in subsection (a)(1), by striking "subsections (e) and (f)" and inserting "subsections (e), (g), and (i)"; (2) in subsection (c)(5), by inserting "(other than those attributable to subsection (i))" after "payments under this part"; and (3) by adding at the end the following new subsection: "(i) NEW ENTRY BONUS.— "(1) IN GENERAL.— Subject to paragraphs (2) and (3), in the case of Medicare+Choice payment area in which a Medicare+Choice plan has not been offered since 1997 (or in which all organizations that offered a plan since such date have filed notice with the Secretary, as of October 13, 1999, that they will not be offering such a plan as of January 1, 2000), the amount of the monthly payment otherwise made under this section shall be increased— "(A) only for the first 12 months in which any Medicare+Choice plan is offered in the area, by 5 percent of the total monthly payment otherwise computed for such payment area; and "(B) only for the subsequent 12 months, by 3 percent of the total monthly payment otherwise computed for such payment area. "(2) PERIOD OF APPLICATION. —Paragraph (1) shall only apply to payment for Medicare+Choice plans which are first offered in a Medicare+Choice payment area during the 2-year period beginning on January 1, 2000. "(3) LIMITATION TO ORGANIZATION OFFERING FIRST PLAN IN AN AREA.— Paragraph (1) shall only apply to payment to the first Medicare+Choice organization that offers a Medicare+Choice plan in each Medicare+Choice payment area, except that if more than one such organization first offers such a plan in an area on the same date, paragraph (1) shall apply to payment for such organizations. "(4) CONSTRUCTION. —Nothing in paragraph (1) shall be construed as affecting the calculation of the annual Medicare+Choice capitation rate under subsection (c) for any pa3mrient area or as applying to payment for any period not described in such paragraph and paragraph (2). "(5) OFFERED DEFINED. —In this subsection, the term 'offered' means, with respect to a Medicare+Choice plan as of a date, that a Medicare+Choice eligible individual may enroll with the plan on that date, regardless of when the enrollment

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