Page:United States Statutes at Large Volume 114 Part 5.djvu/598

 114 STAT. 2763A-558 PUBLIC LAW 106-554-APPENDIX F directly, as an adjustment to any social security, railroad retirement, or civil service retirement benefits, or, in the case of an individual who receives medical assistance under title XIX for medicare costs described in section 1905(p)(3)(A)(ii), as an adjustment to the amount otherwise owed by the State for such medical assistance.". (C) INFORMATION COMPARING PLAN PREMIUMS UNDER PART c—Section 1851(d)(4)(B) (42 U.S.C. 1395w- 21(d)(4)(B)) is amended— (i) by striking "PREMIUMS. — The" and inserting "PR EMIUMS.— "(i) IN GENERAL.—The"; and (ii) by adding at the end the following new clause: "(ii) REDUCTIONS. —The reduction in part B premiums, if any.". (D) TREATMENT OF REDUCTION FOR PURPOSES OF DETER- MINING GOVERNMENT CONTRIBUTION UNDER PART B.—Section 1844 (42 U.S.C. 1395w) is amended by adding at the end the following new subsection: "(c) The Secretary shall determine the Government contribution under subparagraphs (A) and (B) of subsection (a)(1) without regard to any premium reduction resulting from an election under section 1854(f)(1)(E).". (b) EFFECTIVE DATE. —The amendments made by subsection (a) shall apply to years beginning with 2003. SEC. 607. FULL IMPLEMENTATION OF RISK ADJUSTMENT FOR CONGES- TIVE HEART FAILURE ENROLLEES FOR 2001. (a) IN GENERAL.—Section 1853(a)(3)(C) (42 U.S.C. 1395w- 23(a)(3)(C)) is amended— (1) in clause (ii), by striking "Such risk adjustment" and inserting "Except as provided in clause (iii), such risk adjustment"; and (2) by adding at the end the following new clause: "(iii) FULL IMPLEMENTATION OF RISK ADJUSTMENT FOR CONGESTIVE HEART FAILURE ENROLLEES FOR 2001.— " (I) EXEMPTION FROM PHASE-IN.—Subject to subclause (II), the Secretary shall fully implement the risk adjustment methodology described in clause (i) with respect to each individual who has had a qualifying congestive heart failure inpatient diagnosis (as determined by the Secretary under such risk adjustment methodology) during the period beginning on July 1, 1999, and ending on June 30, 2000, and who is enrolled in a coordinated care plan that is the only coordinated care plan offered on January 1, 2001, in the service area of the individual. " (II) PERIOD OF APPLICATION.— Subclause (I) shall only apply during the 1-year period beginning on January 1, 2001.". (b) EXCLUSION FROM DETERMINATION OF THE BUDGET NEUTRAL- ITY FACTOR.—Section 1853(c)(5) (42 U.S.C. 1395w-23(c)(5)) is amended by striking "subsection (i)" and inserting "subsections (a)(3)(C)(iipand(i)".

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