Page:United States Statutes at Large Volume 114 Part 5.djvu/600

 114 STAT. 2763A-560 PUBLIC LAW 106-554—APPENDIX F Administration of the actuarial costs associated with the new benefits.". (b) CONFORMING AMENDMENT.— Section 1852(a)(5) (42 U.S.C. 1395w-22(a)(5)) is amended— (1) in the heading, by inserting "AND LEGISLATIVE CHANGES IN BENEFITS" after "NATIONAL COVERAGE DETERMINATIONS"; (2) by inserting "or legislative change in benefits required to be provided under this part" after "national coverage determination"; (3) in subparagraph (A), by inserting "or legislative change in benefits" after "such determination"; (4) in subparagraph (B), by inserting "or legislative change" after "if such coverage determination"; and (5) by adding at the end the following: "The projection under the previous sentence shall be based on an analysis by the Chief Actuary of the Health Care Financing Administration of the actuarial costs associated with the coverage determination or legislative change in benefits.". (c) EFFECTIVE DATE. —The amendments made by this section are effective on the date of the enactment of this Act and shall apply to national coverage determinations and legislative changes in benefits occurring on or after such date. SEC. 612. RESTRICTION ON IMPLEMENTATION OF SIGNIFICANT NEW REGULATORY REQUIREMENTS MIDYEAR. (a) IN GENERAL. —Section 1856(b) (42 U.S.C. 1395w-26(b)) is amended by adding at the end the following new paragraph: "(4) PROHIBITION OF MIDYEAR IMPLEMENTATION OF SIGNIFI- CANT NEW REGULATORY REQUIREMENTS. —The Secretary may not implement, other than at the beginning of a calendar year, regulations under this section that impose new, significant regulatory requirements on a Medicare+Choice organization or plan.". (b) EFFECTIVE DATE.— The amendment made by subsection (a) takes effect on the date of the enactment of this Act. SEC. 613. TIMELY APPROVAL OF MARKETING MATERIAL THAT FOL- LOWS MODEL MARKETING LANGUAGE. (a) IN GENERAL.—Section 1851(h) (42 U.S.C. 1395w-21(h)) is amended— (1) in paragraph (1)(A), by inserting "(or 10 days in the case described in paragraph (5))" after "45 days"; and (2) by adding at the end the following new paragraph: " (5) SPECIAL TREATMENT OF MARKETING MATERIAL FOLLOW- ING MODEL MARKETING LANGUAGE. —In the case of marketing material of an organization that uses, without modification, proposed model language specified by the Secretary, the period specified in paragraph (1)(A) shall be reduced from 45 days to 10 days.". (b) EFFECTIVE DATE. —The amendments made by subsection (a) shall apply to marketing material submitted on or after January 1, 2001. SEC. 614. AVOIDING DUPLICATIVE REGULATION. (a) IN GENERAL.—Section 1856(b)(3)(B) (42 U.S.C. 1395w- 26(b)(3)(B)) is amended— (1) in clause (i), by inserting "(including cost-sharing requirements)" after "Benefit requirements"; and

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