Page:United States Statutes at Large Volume 122.djvu/2418

 12 2 STA T . 2 395PUBLIC LA W 11 0– 252 —J U NE 30, 200 8Insura n ceT rus tF un di n suc hp r o portion as the S ecretar y deter m ines appropriate .‘ ‘ (3) F UNDI N GL I M I TA TI O N. —A mounts in the Fund sha l l b e a v ailable in advance o f appropriations but only if the total amount obli g ated from the Fund does not e x ceed the amount available to the Fund under paragraph ( 1 ). The Secretary may obligate funds from the Fund only if the Secretary determines (and the C hief Actuary of the Centers for M edicare & Medicaid Services and the appropriate budget officer certify) that there are available in the Fund sufficient amounts to cover all such obligations incurred consistent w ith the previous sentence. ’ ’. (b) M E DI C AID IM PR O V EMENT FUND.— Title X IX of the Social Security Act ( 42U .S.C. 13 96 et se q .) , as amended by section 70 01(d), is further amended by adding at the end the following new section

‘‘MEDICAID IMPROVEMENT F UND ‘‘SEC. 1941. (a) ES TA B LIS H MENT.—The Secretary shall establish under this title a Medicaid Improvement Fund (in this section referred to as the ‘Fund’) which shall be available to the Secretary to improve the management of the Medicaid program by the Centers for Medicare & Medicaid Services, including oversight of contracts and contractors and evaluation of demonstration pro j ects. P ayments made for activities under this subsection shall be in addition to payments that would otherwise be made for such activities. ‘‘(b) FUNDING.— ‘‘(1) IN GENERAL.—There shall be available to the Fund, for expenditures from the Fund— ‘‘(A) for fiscal year 2014, $ 100,000,000 and ‘‘( B ) for fiscal years 201 5 through 201 8, $150,000,000. ‘‘(2) FUNDING LIMITATION.—Amounts in the Fund shall be available in advance of appropriations but only if the total amount obligated from the Fund does not exceed the amount available to the Fund under paragraph (1). The Secretary may obligate funds from the Fund only if the Secretary determines (and the Chief Actuary of the Centers for Medicare & Medicaid Services and the appropriate budget officer certify) that there are available in the Fund sufficient amounts to cover all such obligations incurred consistent with the previous sentence.’’. (c) AD J USTMENT TO PA Q I FUND.—Section 1848(l)(2) of the Social Security Act (42 U.S.C. 1395w - 4(l)(2)), as amended by section 101(a)(2) of the Medicare, Medicaid, and SC H IP Extension Act of 2007 (Public L aw 110-173), is amended— (1) in subparagraph (A)(i)— (A) in subclause (III), by stri k ing ‘‘$4,960,000,000’’ and inserting ‘‘$4,670,000,000’’; and (B) by adding at the end the following new subclause: ‘‘(I V ) For expenditures during 2014, an amount equal to $290,000,000.’’; (2) in subparagraph (A)(ii), by adding at the end the fol- lowing new subclause: ‘‘(IV) 2014.—The amount available for expenditures during 2014 shall only be available for an adjustment to the update of the conversion factor under subsection (d) for that year.’’; and (3) in subparagraph (B)— (A) in clause (ii), by striking ‘‘and’’ at the end; Certif i ca ti on.42US C 1396w– 1.

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