Page:United States Statutes at Large Volume 124.djvu/595

 124 STAT. 569 PUBLIC LAW 111–148—MAR. 23, 2010 (5) AUTHORIZATION OF APPROPRIATIONS.—There are author- ized to be appropriated to carry out this subsection, such sums as may be necessary for each of fiscal years 2010 through 2014. (b) EVALUATION AND PLAN FOR COMMUNITY-BASED PREVENTION AND WELLNESS PROGRAMS FOR MEDICARE BENEFICIARIES.— (1) IN GENERAL.—The Secretary shall conduct an evaluation of community-based prevention and wellness programs and develop a plan for promoting healthy lifestyles and chronic disease self-management for Medicare beneficiaries. (2) MEDICARE EVALUATION OF PREVENTION AND WELLNESS PROGRAMS.— (A) IN GENERAL.—The Secretary shall evaluate commu- nity prevention and wellness programs including those that are sponsored by the Administration on Aging, are evi- dence-based, and have demonstrated potential to help Medicare beneficiaries (particularly beneficiaries that have attained 65 years of age) reduce their risk of disease, disability, and injury by making healthy lifestyle choices, including exercise, diet, and self-management of chronic diseases. (B) EVALUATION.—The evaluation under subparagraph (A) shall consist of the following: (i) EVIDENCE REVIEW.—The Secretary shall review available evidence, literature, best practices, and resources that are relevant to programs that promote healthy lifestyles and reduce risk factors for the Medi- care population. The Secretary may determine the scope of the evidence review and such issues to be considered, which shall include, at a minimum— (I) physical activity, nutrition, and obesity; (II) falls; (III) chronic disease self-management; and (IV) mental health. (ii) INDEPENDENT EVALUATION OF EVIDENCE-BASED COMMUNITY PREVENTION AND WELLNESS PROGRAMS.— The Administrator of the Centers for Medicare & Med- icaid Services, in consultation with the Assistant Sec- retary for Aging, shall, to the extent feasible and prac- ticable, conduct an evaluation of existing community prevention and wellness programs that are sponsored by the Administration on Aging to assess the extent to which Medicare beneficiaries who participate in such programs— (I) reduce their health risks, improve their health outcomes, and adopt and maintain healthy behaviors; (II) improve their ability to manage their chronic conditions; and (III) reduce their utilization of health services and associated costs under the Medicare program for conditions that are amenable to improvement under such programs. (3) REPORT.—Not later than September 30, 2013, the Sec- retary shall submit to Congress a report that includes— (A) recommendations for such legislation and adminis- trative action as the Secretary determines appropriate to