Page:United States Statutes at Large Volume 117.djvu/2367

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[117 STAT. 2348]
[117 STAT. 2348]
PUBLIC LAW 107-000—MMMM. DD, 2003

117 STAT. 2348

PUBLIC LAW 108–173—DEC. 8, 2003 ‘‘(iv)

42 USC 1395w–22 note.

DEFINITION OF PREFERRED PROVIDER ORGANIZATION PLAN.—In this subparagraph, the term ‘preferred provider organization plan’ means an MA plan that— ‘‘(I) has a network of providers that have agreed to a contractually specified reimbursement for covered benefits with the organization offering the plan; ‘‘(II) provides for reimbursement for all covered benefits regardless of whether such benefits are provided within such network of providers; and ‘‘(III) is offered by an organization that is not licensed or organized under State law as a health maintenance organization. ‘‘(B) LIMITATIONS.— ‘‘(i) TYPES OF DATA.—The Secretary shall not collect under subparagraph (A) data on quality, outcomes, and beneficiary satisfaction to facilitate consumer choice and program administration other than the types of data that were collected by the Secretary as of November 1, 2003. ‘‘(ii) CHANGES IN TYPES OF DATA.—Subject to subclause (iii), the Secretary may only change the types of data that are required to be submitted under subparagraph (A) after submitting to Congress a report on the reasons for such changes that was prepared in consultation with MA organizations and private accrediting bodies. ‘‘(iii) CONSTRUCTION.—Nothing in the subsection shall be construed as restricting the ability of the Secretary to carry out the duties under section 1851(d)(4)(D).’’; (3) in paragraph (4)(B)— (A) by amending clause (i) to read as follows: ‘‘(i) Paragraphs (1) through (3) of this subsection (relating to quality improvement programs).’’; and (B) by adding at the end the following new clause: ‘‘(vii) The requirements described in section 1860D–4(j), to the extent such requirements apply under section 1860D–21(c).’’; and (4) by striking paragraph (5). (b) CONFORMING AMENDMENT.—Section 1852(c)(1)(I) (42 U.S.C. 1395w–22(c)(1)(I)) is amended to read as follows: ‘‘(I) QUALITY IMPROVEMENT PROGRAM.—A description of the organization’s quality improvement program under subsection (e).’’. (c) EFFECTIVE DATE.—The amendments made by this section shall apply with respect to contract years beginning on and after January 1, 2006.

42 USC 1395b–8 note. Deadline.

VerDate 11-MAY-2000


(a) DEVELOPMENT OF PLAN.—Not later than 6 months after the date of the enactment of this Act, the Secretary shall develop a plan to improve quality of care and reduce the cost of care for chronically ill medicare beneficiaries.

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