Page:United States Statutes at Large Volume 124.djvu/988

 124 STAT. 962 PUBLIC LAW 111–148—MAR. 23, 2010 (A) reduce spending under title XVIII of the Social Security Act without reducing the quality of care; or (B) improve the quality of care and reduce spending; (2) the Chief Actuary of the Centers for Medicare & Med- icaid Services certifies that such expansion would reduce pro- gram spending under such title XVIII; and (3) the Secretary determines that such expansion would not deny or limit the coverage or provision of benefits under such title XIII for Medicare beneficiaries. SEC. 10327. IMPROVEMENTS TO THE PHYSICIAN QUALITY REPORTING SYSTEM. (a) IN GENERAL.—Section 1848(m) of the Social Security Act (42 U.S.C. 1395w–4(m)) is amended by adding at the end the following new paragraph: ‘‘(7) ADDITIONAL INCENTIVE PAYMENT.— ‘‘(A) IN GENERAL.—For 2011 through 2014, if an eligible professional meets the requirements described in subpara- graph (B), the applicable quality percent for such year, as described in clauses (iii) and (iv) of paragraph (1)(B), shall be increased by 0.5 percentage points. ‘‘(B) REQUIREMENTS DESCRIBED.—In order to qualify for the additional incentive payment described in subpara- graph (A), an eligible professional shall meet the following requirements: ‘‘(i) The eligible professional shall— ‘‘(I) satisfactorily submit data on quality meas- ures for purposes of paragraph (1) for a year; and ‘‘(II) have such data submitted on their behalf through a Maintenance of Certification Program (as defined in subparagraph (C)(i)) that meets— ‘‘(aa) the criteria for a registry (as described in subsection (k)(4)); or ‘‘(bb) an alternative form and manner determined appropriate by the Secretary. ‘‘(ii) The eligible professional, more frequently than is required to qualify for or maintain board certification status— ‘‘(I) participates in such a Maintenance of Cer- tification program for a year; and ‘‘(II) successfully completes a qualified Mainte- nance of Certification Program practice assessment (as defined in subparagraph (C)(ii)) for such year. ‘‘(iii) A Maintenance of Certification program sub- mits to the Secretary, on behalf of the eligible profes- sional, information— ‘‘(I) in a form and manner specified by the Secretary, that the eligible professional has successfully met the requirements of clause (ii) (which may be in the form of a structural measure); ‘‘(II) if requested by the Secretary, on the survey of patient experience with care (as described in subparagraph (C)(ii)(II)); and ‘‘(III) as the Secretary may require, on the methods, measures, and data used under the Maintenance of Certification Program and the Time period. Certification.