PUBLIC LAW 106-113—APPENDIX F 113 STAT. 1501A-393 (B) includes medical diagnostic factors from all provider settings (including hospital and nursing facility settings); and (C) includes functional indicators of health status and such other factors as may be necessary to achieve appropriate payments for plans serving such beneficiaries. (2) REPORT.— Not later than 1 year after the date of the enactment of this Act, the Commission shall submit a report to Congress on the study conducted under paragraph (1), together with any recommendations for legislation that the Commission determines to be appropriate as a result of such study. (b) REPORT ON MEDICARE MSA (MEDICAL SAVINGS ACCOUNT) PLANS.—Not later than 1 year after the date of the enactment of this Act, the Medicare Payment Assessment Commission shall submit to Congress a report on specific legislative changes that should be made to make MSA plans (as defined in section 1859(b)(3) of the Social Security Act, 42 U.S.C. 1395w-29(b)(3)) a viable option under the Medicare+Choice program. SEC. 553. GAO STUDIES, AUDITS, AND REPORTS. (a) STUDY OF MEDIGAP POLICIES. — (1) IN GENERAL. — The Comptroller General of the United States (in this section referred to as the "Comptroller General") shall conduct a study of the issues described in paragraph (2) regarding medicare supplemental policies described in section 1882(g)(1) of the Social Security Act (42 U.S.C. 1395ss(g)(l)). (2) ISSUES TO BE STUDIED.— The issues described in this paragraph are the following: (A) The level of coverage provided by each type of medicare supplemental policy. (B) The current enrollment levels in each type of medicare supplemental policy. (C) The availability of each type of medicare supplemental policy to medicare beneficiaries over age 65 y2. (D) The number and type of medicare supplemental policies offered in each State. (E) The average out-of-pocket costs (including premiums) per beneficiary under each type of medicare supplemental policy. (2) REPORT.— Not later than July 31, 2001, the Comptroller General shall submit a report to Congress on the results of the study conducted under this subsection, together with any recommendations for legislation that the (^llomptroller (General determines to be appropriate as a result of such study. (b) GAO AUDIT AND REPORTS ON THE PROVISION OF MEDICARE+CHOICE HEALTH INFORMATION TO BENEFICIARIES.— (1) IN GENERAL. —Beginning in 2000, the Comptroller General shall conduct an annual audit of the expenditures by the Secretary of Health and Human Services during the preceding year in providing information regarding the Medicare+Choice program under part C of title XVIII of the Social Security Act (42 U.S.C. 1395w-21 et seq.) to eligible medicare beneficiaries. (3) REPORTS. — Not later than March 31 of 2001, 2004, 2007, and 2010, the Comptroller (General shall submit a report
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