Page:United States Statutes at Large Volume 113 Part 2.djvu/907

 PUBLIC LAW 106-113—APPENDIX F 113 STAT. 1501A-389 (b) REPORT.— Not later than July 1, 2001, the Secretary of Health and Human Services shall submit to Congress a report describing the results of any demonstration project conducted under section 4079 of the Omnibus Budget Reconciliation Act of 1987, and describing the data collected by the Secretary relevant to the analysis of the results of such project, including the most recently available data through the end of 2000. SEC. 533. MEDICARE+CHOICE COMPETITIVE BIDDING DEMONSTRA- TION PROJECT. Section 4011 of BBA (42 U.S.C. 1395w-23 note) is amended— (1) in subsection (a)— (A) by striking "The Secretary" and inserting the following (and conforming the indentation for the remainder of the subsection accordingly): "(1) IN GENERAL. — Subject to the succeeding provisions of this subsection, the Secretary"; and (B) by adding at the end the following: "(2) DELAY IN IMPLEMENTATION. — The Secretary shall not implement the project until January 1, 2002, or, if later, 6 months after the date the Competitive Pricing Advisory Committee has submitted to Congress a report on each of the following topics: "(A) INCORPORATION OF ORIGINAL MEDICARE FEE-FOR- SERVICE PROGRAM INTO PROJECT.— What changes would be required in the project to feasibly incorporate the original medicare fee-for-service program into the project in the areas in which the project is operational. "(B) QUALITY ACTIVITIES.—The nature and extent of the quality reporting and monitoring activities that should be required of plans participating in the project, the estimated costs that plans will incur as a result of these requirements, and the current ability of the Health Care Financing Administration to collect and report comparable data, sufficient to support comparable quality reporting and monitoring activities with respect to beneficiaries enrolled in the original medicare fee-for-service program generally. "(C) RURAL PROJECT. — The current viability of initiating a project site in a rural area, given the site specific budget neutrality requirements of the project under subsection (g), and insofar as the Committee decides that the addition of such a site is not viable, recommendations on how the project might best be changed so that such a site is val. "(D) BENEFIT STRUCTURE.— The nature and extent of the benefit structure that should be required of plans participating in the project, the rationale for such benefit structure, the potential implications that any benefit standardization requirement may have on the number of plan choices available to a beneficiary in an area designated under the project, the potential implications of requiring participating plans to offer variations on any standardized benefit package the committee might recommend, such that a beneficiary could elect to pay a higher percentage of out-of-pocket costs in exchange for a lower premium (or premium rebate as the case may be), and the potential

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