Page:United States Statutes at Large Volume 124.djvu/355

 124 STAT. 329 PUBLIC LAW 111–148—MAR. 23, 2010 (A) in paragraph (1)— (i) in the paragraph heading, by inserting ‘‘FOR ALL STATES’’ before ‘‘AND ANNUAL’’; and (ii) in subparagraph (A), by striking ‘‘children’s’’; (iii) in subparagraph (B), by inserting ‘‘, the Sec- retary, and States’’ after ‘‘Congress’’; (iv) in subparagraph (C), by striking ‘‘March 1’’ and inserting ‘‘March 15’’; and (v) in subparagraph (D), by striking ‘‘June 1’’ and inserting ‘‘June 15’’; (B) in paragraph (2)— (i) in subparagraph (A)— (I) in clause (i)— (aa) by inserting ‘‘the efficient provision of’’ after ‘‘expenditures for’’; and (bb) by striking ‘‘hospital, skilled nursing facility, physician, Federally-qualified health center, rural health center, and other fees’’ and inserting ‘‘payments to medical, dental, and health professionals, hospitals, residential and long-term care providers, providers of home and community based services, Feder- ally-qualified health centers and rural health clinics, managed care entities, and providers of other covered items and services’’; and (II) in clause (iii), by inserting ‘‘(including how such factors and methodologies enable such bene- ficiaries to obtain the services for which they are eligible, affect provider supply, and affect providers that serve a disproportionate share of low-income and other vulnerable populations)’’ after ‘‘bene- ficiaries’’; (ii) by redesignating subparagraphs (B) and (C) as subparagraphs (F) and (H), respectively; (iii) by inserting after subparagraph (A), the fol- lowing: ‘‘(B) ELIGIBILITY POLICIES.—Medicaid and CHIP eligi- bility policies, including a determination of the degree to which Federal and State policies provide health care cov- erage to needy populations. ‘‘(C) ENROLLMENT AND RETENTION PROCESSES.—Med- icaid and CHIP enrollment and retention processes, including a determination of the degree to which Federal and State policies encourage the enrollment of individuals who are eligible for such programs and screen out individ- uals who are ineligible, while minimizing the share of program expenses devoted to such processes. ‘‘(D) COVERAGE POLICIES.—Medicaid and CHIP benefit and coverage policies, including a determination of the degree to which Federal and State policies provide access to the services enrollees require to improve and maintain their health and functional status. ‘‘(E) QUALITY OF CARE.—Medicaid and CHIP policies as they relate to the quality of care provided under those programs, including a determination of the degree to which Federal and State policies achieve their stated goals and