Page:United States Statutes at Large Volume 113 Part 2.djvu/901

 PUBLIC LAW 106-113—APPENDIX F 113 STAT. 1501A-383 takes effect or when the individual obtains benefits under the plan. ". SEC. 513. MODIFICATION OF 5-YEAR RE -ENTRY RULE FOR CONTRACT TERMINATIONS. (a) REDUCTION OF GENERAL EXCLUSION PERIOD TO 2 YEARS. — Section 1857(c)(4) (42 U.S.C. 1395w-27(c)(4)) is amended by striking "5-year period" and inserting "2-year period". (b) SPECIFIC EXCEPTION WHERE CHANGE IN PAYMENT POLICY.— (1) IN GENERAL. —Section 1857(c)(4) (42 U.S.C. 1395w- 27(c)(4)) is amended— (A) by striking "except in circumstances" and inserting "except as provided in subparagraph (B) and except in such other circumstances"; (B) by redesignating the sentence following "(4)" as a subparagraph (A) with an appropriate indentation and the heading "IN GENERAL.— "; and (C) by adding at the end the following new subparagraph: "(B) EARLIER RE-ENTRY PERMITTED WHERE CHANGE IN PAYMENT POLICY.— Subparagraph (A) shall not apply with respect to the offering by a Medicare+Choice organization of a Medicare+Choice plan in a Medicare+Choice payment area if during the 6-month period beginning on the date the organization notified the Secretary of the intention to terminate the most recent previous contract, there was a legislative change enacted (or ai regulatory change adopted) that has the effect of increasing payment amounts under section 1853 for that Medicare+Choice payment area.". (2) CONSTRUCTION RELATING TO ADDITIONAL EXCEPTIONS.— Nothing in the amendment made by paragraph (1)(C) shall be construed to affect the authority of the Secretary of Health and Human Services to provide for exceptions in addition to the exception provided in such amendment, including exceptions provided under Operational Policy Letter #103 (OPL99.103). (c) EFFECTIVE DATE. —The amendments made by this section apply to contract terminations occurring before, on, or after the date of the enactment of this Act. SEC. 514. CONTINUED COMPUTATION AND PUBLICATION OF MEDI- CARE ORIGINAL FEE-FOR-SERVICE EXPENDITURES ON A COUNTY-SPECIFIC BASIS. (a) IN GENERAL. —Section 1853(b) (42 U.S.C. 1395w-23(b)) is amended by adding at the end the following new paragraph: " (4) CONTINUED COMPUTATION AMD PUBLICATION OF COUNTY-SPECIFIC PER CAPITA FEE-FOR-SERVICE EXPENDITURE INFORMATION. —The Secretary, through the Chief Actuary of the Health Care Financing Administration, shall provide for the computation and publication, on an armual basis beginning with 2001 at the time of publication of the annual Medicare+Choice capitation rates under paragraph (1), of the following information for the original medicare fee-for-service program under parts A and B (exclusive of individuals eligible for coverage under section 226A) for each Medicare+Choice pa5mtient area for the second calendar year ending before the date of publication:

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