Page:United States Statutes at Large Volume 120.djvu/65

 120 STAT. 34

PUBLIC LAW 109–171—FEB. 8, 2006 with recommendations for such legislation and administrative actions as the Secretary considers appropriate. (c) CONTINUATION OF SUSPENSION ON ENROLLMENT.— (1) IN GENERAL.—Subject to paragraph (2), the Secretary shall continue the suspension on enrollment of new specialty hospitals (as so defined) under title XVIII of the Social Security Act until the earlier of— (A) the date that the Secretary submits the final report under subsection (b)(2); or (B) the date that is six months after the date of the enactment of this Act. (2) EXTENSION OF SUSPENSION.—If the Secretary fails to submit the final report described in subsection (b)(2) by the date required under such subsection, the Secretary shall— (A) extend the suspension on enrollment under paragraph (1) for an additional two months; and (B) provide a certification to the appropriate committees of jurisdiction of Congress of such failure. (d) WAIVER.—In developing the plan and report required under this section, the Secretary may waive such requirements of section 553 of title 5, United States Code, as the Secretary determines necessary. (e) FUNDING.—Out of any funds in the Treasury not otherwise appropriated, there are appropriated to the Secretary for fiscal year 2006, $2,000,000 to carry out this section.

Deadline.

42 USC 1395ww note. Deadlines.

VerDate 14-DEC-2004

SEC.

(a) ESTABLISHMENT.—The Secretary shall establish under this section a qualified gainsharing demonstration program under which the Secretary shall approve demonstration projects by not later than November 1, 2006, to test and evaluate methodologies and arrangements between hospitals and physicians designed to govern the utilization of inpatient hospital resources and physician work to improve the quality and efficiency of care provided to Medicare beneficiaries and to develop improved operational and financial hospital performance with sharing of remuneration as specified in the project. Such projects shall be operational by not later than January 1, 2007. (b) REQUIREMENTS DESCRIBED.—A demonstration project under this section shall meet the following requirements for purposes of maintaining or improving quality while achieving cost savings: (1) ARRANGEMENT FOR REMUNERATION AS SHARE OF SAVINGS.—The demonstration project shall involve an arrangement between a hospital and a physician under which the hospital provides remuneration to the physician that represents solely a share of the savings incurred directly as a result of collaborative efforts between the hospital and the physician. (2) WRITTEN PLAN AGREEMENT.—The demonstration project shall be conducted pursuant to a written agreement that— (A) is submitted to the Secretary prior to implementation of the project; and (B) includes a plan outlining how the project will achieve improvements in quality and efficiency. (3) PATIENT NOTIFICATION.—The demonstration project shall include a notification process to inform patients who are

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