120 STAT. 54
Certification.
Deadline. Reports.
PUBLIC LAW 109–171—FEB. 8, 2006 expense payments under this subsection with respect to costs incurred during the first 3 years of the site’s operation. (5) REQUIREMENT TO ACCESS RISK RESERVES PRIOR TO PAYMENT.—A rural PACE pilot site shall access and exhaust any risk reserves held or arranged for the provider (other than revenue or reserves maintained to satisfy the requirements of section 460.80(c) of title 42, Code of Federal Regulations) and any working capital established through a site development grant awarded under subsection (b)(1), prior to receiving any payment from the outlier fund. (6) APPLICATION.—In order to receive an outlier expense payment under this subsection with respect to an eligible outlier participant, a rural PACE pilot site shall submit an application containing— (A) documentation of the costs incurred with respect to the participant; (B) a certification that the site has complied with the requirements under paragraph (4); and (C) such additional information as the Secretary may require. (7) APPROPRIATION.— (A) IN GENERAL.—Out of funds in the Treasury not otherwise appropriated, there are appropriated to the Secretary to carry out this subsection for fiscal year 2006, $10,000,000. (B) AVAILABILITY.—Funds appropriated under subparagraph (A) shall remain available for expenditure through fiscal year 2010. (d) EVALUATION OF PACE PROVIDERS SERVING RURAL SERVICE AREAS.—Not later than 60 months after the date of enactment of this Act, the Secretary shall submit a report to Congress containing an evaluation of the experience of rural PACE pilot sites. (e) AMOUNTS IN ADDITION TO PAYMENTS UNDER SOCIAL SECURITY ACT.—Any amounts paid under the authority of this section to a PACE provider shall be in addition to payments made to the provider under section 1894 or 1934 of the Social Security Act (42 U.S.C. 1395eee; 1396u–4).
TITLE VI—MEDICAID AND SCHIP Subtitle A—Medicaid CHAPTER 1—PAYMENT FOR PRESCRIPTION DRUGS SEC. 6001. FEDERAL UPPER PAYMENT LIMIT FOR MULTIPLE SOURCE DRUGS AND OTHER DRUG PAYMENT PROVISIONS.
(a) MODIFICATION OF FEDERAL UPPER PAYMENT LIMIT FOR MULTIPLE SOURCE DRUGS; DEFINITION OF MULTIPLE SOURCE DRUGS.— Section 1927 of the Social Security Act (42 U.S.C. 1396r–8) is amended— (1) in subsection (e)(4)— (A) by striking ‘‘The Secretary’’ and inserting ‘‘Subject to paragraph (5), the Secretary’’; and (B) by inserting ‘‘(or, effective January 1, 2007, two or more)’’ after ‘‘three or more’’;
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