Page:United States Statutes at Large Volume 124.djvu/681

 124 STAT. 655 PUBLIC LAW 111–148—MAR. 23, 2010 U.S.C. 1395m) is amended by adding at the end the following new subsection: ‘‘(n) DEVELOPMENT AND IMPLEMENTATION OF PROSPECTIVE PAY- MENT SYSTEM.— ‘‘(1) DEVELOPMENT.— ‘‘(A) IN GENERAL.—The Secretary shall develop a prospective payment system for payment for Federally qualified health services furnished by Federally qualified health centers under this title. Such system shall include a process for appropriately describing the services fur- nished by Federally qualified health centers. ‘‘(B) COLLECTION OF DATA AND EVALUATION.—The Sec- retary shall require Federally qualified health centers to submit to the Secretary such information as the Secretary may require in order to develop and implement the prospec- tive payment system under this paragraph and paragraph (2), respectively, including the reporting of services using HCPCS codes. ‘‘(2) IMPLEMENTATION.— ‘‘(A) IN GENERAL.—Notwithstanding section 1833(a)(3)(B), the Secretary shall provide, for cost reporting periods beginning on or after October 1, 2014, for payments for Federally qualified health services furnished by Feder- ally qualified health centers under this title in accordance with the prospective payment system developed by the Secretary under paragraph (1). ‘‘(B) PAYMENTS.— ‘‘(i) INITIAL PAYMENTS.—The Secretary shall imple- ment such prospective payment system so that the estimated amount of expenditures under this title for Federally qualified health services in the first year that the prospective payment system is implemented is equal to 103 percent of the estimated amount of expenditures under this title that would have occurred for such services in such year if the system had not been implemented. ‘‘(ii) PAYMENTS IN SUBSEQUENT YEARS.—In the year after the first year of implementation of such system, and in each subsequent year, the payment rate for Federally qualified health services furnished in the year shall be equal to the payment rate established for such services furnished in the preceding year under this subparagraph increased by the percentage increase in the MEI (as defined in 1842(i)(3)) for the year involved.’’. SEC. 5503. DISTRIBUTION OF ADDITIONAL RESIDENCY POSITIONS. (a) IN GENERAL.—Section 1886(h) of the Social Security Act (42 U.S.C. 1395ww(h)) is amended— (1) in paragraph (4)(F)(i), by striking ‘‘paragraph (7)’’ and inserting ‘‘paragraphs (7) and (8)’’; (2) in paragraph (4)(H)(i), by striking ‘‘paragraph (7)’’ and inserting ‘‘paragraphs (7) and (8)’’; (3) in paragraph (7)(E), by inserting ‘‘or paragraph (8)’’ before the period at the end; and (4) by adding at the end the following new paragraph: ‘‘(8) DISTRIBUTION OF ADDITIONAL RESIDENCY POSITIONS.— Effective date.