Page:United States Statutes at Large Volume 113 Part 2.djvu/902

 113 STAT. 1501A-384 PUBLIC LAW 106-113—APPENDIX F "(A) Total expenditures per capita per month, computed separately for part A and for part B. "(B) The expenditures described in subparagraph (A) reduced by the best estimate of the expenditures (such as graduate medical education and disproportionate share hospital payments) not related to the payment of claims. "(C) The average risk factor for the covered population based on diagnoses reported for medicare inpatient services, using the same methodology as is expected to be applied in making payments under subsection (a). "(D) Such average risk factor based on diagnoses for inpatient and other sites of service, using the same methodology as is expected to be applied in making payments under subsection (a).", (b) SPECIAL RULE FOR 2001. —In providing for the publication of information under section 1853(b)(4) of the Social Security Act (42 U.S.C. 1395w-23(b)(4)), as added by subsection (a), in 2001, the Secretary of Health and Human Services shall also include the information described in such section for 1998, as well as for 1999. SEC. 515. FLEXIBILITY TO TAILOR BENEFITS UNDER MEDICARE+CHOICE PLANS. (a) IN GENERAL.—Section 1854 (42 U.S.C. 1395w-24) is amended— (1) in subsection (a)(1), by inserting "(or segment of such an area if permitted under subsection (h))" after "service area" in the matter preceding subparagraph (A); and (2) by adding at the end the following: "(h) PERMITTING USE OF SEGMENTS OF SERVICE AREAS.— The Secretary shall permit a Medicare+Choice organization to elect to apply the provisions of this section uniformly to separate segments of a service area (rather than uniformly to an entire service area) as long as such segments are composed of one or more Medicare+Choice payment areas.". (b) EFFECTIVE DATE, —The amendments made by this section apply to contract years beginning on or after January 1, 2001. SEC. 516. DELAY IN DEADLINE FOR SUBMISSION OF ADJUSTED COMMUNITY RATES. (a) DELAY IN DEADLINE FOR SUBMISSION OF ADJUSTED COMMU- NITY RATES.—Section 1854(a)(1) (42 U.S.C. 1395w-24(a)(l)) is amended by striking "May 1" and inserting "July 1" in the matter preceding subparagraph (A). (b) EFFECTIVE DATE. —The amendment made by subsection (a) applies to information submitted by Medicare+Choice organizations for years beginning with 1999. SEC. 517. REDUCTION IN ADJUSTMENT IN NATIONAL PER CAPITA MEDICARE+CHOICE GROWTH PERCENTAGE FOR 2002. Section 1853(c)(6)(B)(v) (42 U.S.C. 1395w-23(c)(6)(B)(v)) is amended by striking "0.5 percentage points" and inserting "0.3 percentage points". SEC. 518. DEEMING OF MEDICARE+CHOICE ORGANIZATION TO MEET REQUIREMENTS. Section 1852(e)(4) (42 U.S.C. 1395w-22(e)(4)) is amended to read as follows:

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