117 STAT. 2194
manner and at such time as the Secretary specifies, information on— ‘‘(i) the manner in which such rebate will be provided under clause (ii) of such subsection; and ‘‘(ii) the MA monthly prescription drug beneficiary premium (if any) and the MA monthly supplemental beneficiary premium (if any). ‘‘(C) PAPERWORK REDUCTION FOR OFFERING OF MA REGIONAL PLANS NATIONALLY OR IN MULTI-REGION AREAS.— The Secretary shall establish requirements for information submission under this subsection in a manner that promotes the offering of MA regional plans in more than one region (including all regions) through the filing of consolidated information.’’; and (B) by adding at the end of subsection (a) the following: ‘‘(6) SUBMISSION OF BID AMOUNTS BY MA ORGANIZATIONS BEGINNING IN 2006.— ‘‘(A) INFORMATION TO BE SUBMITTED.—For an MA plan (other than an MSA plan) for a plan year beginning on or after January 1, 2006, the information described in this subparagraph is as follows: ‘‘(i) The monthly aggregate bid amount for the provision of all items and services under the plan, which amount shall be based on average revenue requirements (as used for purposes of section 1302(8) of the Public Health Service Act) in the payment area for an enrollee with a national average risk profile for the factors described in section 1853(a)(1)(C) (as specified by the Secretary). ‘‘(ii) The proportions of such bid amount that are attributable to— ‘‘(I) the provision of benefits under the original medicare fee-for-service program option (as defined in section 1852(a)(1)(B)); ‘‘(II) the provision of basic prescription drug coverage; and ‘‘(III) the provision of supplemental health care benefits. ‘‘(iii) The actuarial basis for determining the amount under clause (i) and the proportions described in clause (ii) and such additional information as the Secretary may require to verify such actuarial bases and the projected number of enrollees in each MA local area. ‘‘(iv) A description of deductibles, coinsurance, and copayments applicable under the plan and the actuarial value of such deductibles, coinsurance, and copayments, described in subsection (e)(4)(A). ‘‘(v) With respect to qualified prescription drug coverage, the information required under section 1860D–4, as incorporated under section 1860D– 11(b)(2), with respect to such coverage. In the case of a specialized MA plan for special needs individuals, the information described in this subparagraph is such information as the Secretary shall specify. ‘‘(B) ACCEPTANCE AND NEGOTIATION OF BID AMOUNTS.—
Guidelines.
VerDate 11-MAY-2000
13:59 Aug 30, 2004
PUBLIC LAW 108–173—DEC. 8, 2003
Jkt 019194
PO 00000
Frm 00130
Fmt 6580
Sfmt 6581
D:\STATUTES\2003\19194PT3.001
APPS10
PsN: 19194PT3
�
