Page:United States Statutes at Large Volume 98 Part 1.djvu/1136

 98 STAT. 1088

42 USC 1395u.

Effective date. 42 USC 1395h note. Study.

42 USC 1395h, 1395U.

Report.

PUBLIC LAW 98-369—JULY 18, 1984

must be incurred by an efficiently and economically operated agency or organization in carrying out the terms of its agreement.". (2) Section 1842(c) of such Act is amended by adding at the end the following new sentence: "The Secretary shall provide that in determining a carrier's necessary and proper cost of administration, the Secretary shall, with respect to each contract, take into account the amount that is reasonable and adequate to meet the costs which must be incurred by an efficiently and economically operated carrier in carrying out the terms of its contract.". (3) The amendments made by this subsection shall apply to agreements and contracts entered into or renewed after September 30, 1984. (e)(1) The Comptroller General shall conduct a study on— (A) the ability of the Administrator of the Health Care Financing Administration to manage competitive bidding for agreements and contracts under sections 1816 and 1842 of the Social Security Act, and on the relative costs and efficiency of such competitive agreements and contracts as compared to current cost reimbursement for such agreements and contracts; (B) the need (if any) for eliminating the provider nomination procedure under section 1816(a) of such Act; (C) the disparities (if any) in costs and quality of claims processing among the various entities performing claims processing pursuant to sections 1816 and 1842 of such Act; (D) whether the standards of the Secretary of Health and Human Services for evaluating costs and performance of intermediaries and carriers are adequate and properly applied; and (E) whether the Secretary's statutory authority is sufficient to deal with inefficient intermediaries and carriers either through the contract negotiation and budget review process or through the process for termination or nonrenewal of contracts. (2) The Comptroller General shall submit a report on the results of such study to the Congress not later than 12 months after the date of the enactment of this Act. PART II—ADMINISTRATIVE AND MISCELLANEOUS CHANGES REPEAL OF EXCLUSION OF FOR-PROFIT ORGANIZATIONS FROM RESEARCH AND DEMONSTRATION GRANTS

42 USC 1310. 42 USC 1395b-l.

Effective date. 42 USC 1310 note.

SEC. 2331. (a) Section 1110(a)(1) of the Social Security Act is amended by striking out "nonprofit". (b) The first sentence of section 402(a)(1) of the Social Security Amendments of 1967 (Public Law 90-248) is amended by striking out "nonprofit". (c) The amendments made by this section shall become effective on the date of the enactment of this Act. PRESIDENTIAL APPOINTMENT OF AND PAY LEVEL FOR THE ADMINISTRATOR OF THE HEALTH CARE FINANCING ADMINISTRATION

SEC. 2332. (a) Title XI of the Social Security Act is amended by inserting after section 1116 the following new section:

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