Page:United States Statutes at Large Volume 114 Part 5.djvu/599

 PUBLIC LAW 106-554—APPENDIX F 114 STAT. 2763A-559 SEC. 608. EXPANSION OF APPLICATION OF MEDICARE+CHOICE NEW ENTRY BONUS. (a) IN GENERAL. —Section 1853(i)(l) (42 U.S.C. 1395w-23(i)(l)) is amended in the matter preceding subparagraph (A) by inserting ", or filed notice with the Secretary as of October 3, 2000, that they will not be offering such a plan as of January 1, 2001" after "January 1, 2000". (b) EFFECTIVE DATE. —The amendment made by subsection (a) shall apply as if included in the enactment of BBRA. SEC. 609. REPORT ON INCLUSION OF CERTAIN COSTS OF THE DEPART- MENT OF VETERANS AFFAIRS AND MILITARY FACILITY SERVICES IN CALCULATING MEDICARE+CHOICE PAY- MENT RATES. The Secretary of Health and Human Services shall report to Congress by not later than January 1, 2003, on a method to phasein the costs of military facility services furnished by the Department of Veterans Affairs, and the costs of military facility services furnished by the Department of Defense, to medicare-eligible beneficiaries in the calculation of an area's Medicare-i -Choice capitation payment. Such report shall include on a county-by-county basis— (1) the actual or estimated cost of such services to medicareeligible beneficiaries; (2) the change in Medicare-i-Choice capitation payment rates if such costs are included in the calculation of payment rates; (3) one or more proposals for the implementation of pay- • ment adjustments to Medicare+Choice plans in counties where the payment rate has been affected due to the failure to calculate the cost of such services to medicare-eligible beneficiaries; and (4) a system to ensure that when a Medicare+Choice enrollee receives covered services through a facility of the Department of Veterans Affairs or the Department of Defense there is an appropriate payment recovery to the medicare program under title XVIII of the Social Security Act. Subtitle B—Other Medicare+Choice Reforms SEC. 611. PAYMENT OF ADDITIONAL AMOUNTS FOR NEW BENEFITS COVERED DURING A CONTRACT TERM. (a) IN GENERAL. —Section 1853(c)(7) (42 U.S.C. 1395w-23(c)(7)) is amended to read as follows: "(7) ADJUSTMENT FOR NATIONAL COVERAGE DETERMINATIONS AND LEGISLATIVE CHANGES IN BENEFITS.— I f the Secretary makes a determination with respect to coverage under this title or there is a change in benefits required to be provided under this part that the Secretary projects will result in a significant increase in the costs to Medicare+Choice of providing benefits under contracts under this part (for periods after any period described in section 1852(a)(5)), the Secretary shall adjust appropriately the payments to such organizations under this part. Such projection and adjustment shall be based on an analysis by the Chief Actuary of the Health Care Financing

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