Page:United States Statutes at Large Volume 122.djvu/2591

 12 2 STA T . 2 568PUBLIC LA W 11 0– 2 7 5 —J UL Y 15, 2008 tha t couldbe u s ed to m a k e dete r m in ations p ursuant to subpara g raph (A)f or the first competition under the competiti v eac q uisition program described in such subpara - graph and submit to the S ecretar y a report on the results of the study .T he I nspector G eneral shall also conduct such a study and submit such a report before the Secretary conducts a subsequent competitive acquistion program described in subparagraph (A). ’ ’. ( 4 ) OTHERCONF OR MI N GA MEN D MENT S . — Section 18 4 7 (b)(11) of such Act , as redesignated by paragraph ( 3 ), is amended— (A) in subparagraph ( C ), by inserting ‘ ‘and the identi- fication of areas under subsection (a)(1)( D )(iii)’’ after ‘‘(a)(1)(A)’’ ( B ) in subparagraph (D), by inserting ‘‘and implementa- tion of subsection (a)(1)(D)’’ after ‘‘(a)(1)(B)’’; (C) in subparagraph ( E ), by striking ‘‘or’’ at the end; (D) in subparagraph ( F ), by striking the period at the end and inserting ‘‘; or’’; and (E) by adding at the end the follo w ing new subpara- graph

‘‘(G) the implementation of the special rule described in paragraph (1 0 ).’’. ( 5 )F U NDING FOR IM PL EMENTATION.—In addition to funds otherwise available, for purposes of implementing the provi- sions of, and amendments made by, this section, other than the amendment made by subsection (c)(1) and other than sec- tion 1847(a)(1)(E) of the Social Security Act, the Secretary of H ealth and Human Services shall provide for the transfer from the Federal Supplementary M edical Insurance Trust Fund established under section 1841 of the Social Security Act (4 2U .S.C. 13 9 5t) to the Centers for Medicare & Medicaid Services P rogram Management Account of $ 20,000,000 for fiscal year 2008, and $25,000,000 for each of fiscal years 2009 through 2012. Amounts transferred under this paragraph for a fiscal year shall be available until e x pended. (e) EFFECTI V E DATE.—The amendments made by this section shall take effect as of J une 30, 2008. Subti t leD—Prov i s io n s R el a tin g to Part CSEC.16 1. PHA SE -OUT O FIND I R ECT M EDICA L EDUCATION ( IME ) . (a) IN GENERAL.—Section 1853(k) of the Social Security Act (42 U.S.C. 1395w – 23(k)) is amended— (1) in paragraph (1), in the matter preceding subparagraph (A), by striking ‘‘paragraph (2)’’ and inserting ‘‘paragraphs (2) and (4)’’; and (2) by adding at the end the following new paragraph: ‘‘(4) PHASE-OUT OF THE INDIRECT COSTS OF MEDICAL EDU- CATION FROM CAPITATION RATES.— ‘‘(A) IN GENERAL.—After determining the applicable amount for an area for a year under paragraph (1) (begin- ning with 2010), the Secretary shall ad j ust such applicable amount to exclude from such applicable amount the phase- in percentage (as defined in subparagraph (B)(i)) for the year of the Secretary’s estimate of the standardi z ed costs for payments under section 188 6 (d)(5)(B) in the area for 42USC1395mnote.R e p o r t s.

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