12 2 STA T . 2 5 5 0PUBLIC LA W 110 – 2 7 5 —J UL Y 15 , 200 8expansio no f s uchm o d e l s t o the br oader M edicare patient popu - lation .I n conductin g such stud y, the C ommission shall ta k e into account the structure, implementation, and results of prior and existing care coordination and disease management demonstrations and pilots, including the Medicare Coordinated Care D emonstration P ro j ect under section 4016 of the B alanced Budget A ctof1 9 9 7( 4 2U . S .C. 1 3 9 5 b – 1 note ) and the chronic care impro v ement pro- grams under section 1 8 07 of the Social Security Act (42 U.S.C. 1395b–8), commonly kno w ntoas ‘ ‘Medicare H ealth Support ’ ’. (b) REPORT . —N ot later than J une 15, 2009, the Commission shall submit to Congress a report containing the results of the study conducted under subsection (a). SEC.15 1. IN C R E A SE OF F QH C P A YM EN TL IMITS. (a) I NG ENER AL .—Section 1833 of the Social Security Act (42 U.S.C. 1395l) is amended by adding at the end the following new subsection
‘‘(v) IN C REA S EO FFQ HC PA YM ENT LI MITS.—In the case of serv- ices furnished by Federally q ualified health centers (as defined in section 1861(aa)(4)), the Secretary shall establish payment limits with respect to such services under this part for services furnished— ‘‘(1) in 2010, at the limits otherwise established under this part for such year increased by $ 5
and ‘‘(2) in a subsequent year, at the limits established under this subsection for the previous year increased by the percent- age increase in the M E I (as defined in section 1842(i)(3)) for such subsequent year.’’. (b) ST UD Y AND REPORT ON T H E EFFECTS AND ADE Q UACY OF THE MEDICARE FEDERALLY QUALIFIED HEALTH CENTER PAYMENT STRUCTURE.— (1) STUDY.— T he Comptroller General of the United States shall conduct a study to determine whether the structure for payments for services furnished by Federally qualified health centers (as defined in section 1861(aa)(4) of the Social Security Act (42 U.S.C. 1395x(aa)(4)) under part B of title XV III of the Social Security Act (42 U.S.C. 1395j et seq.) adequately reimburses Federally qualified health centers for the care fur- nished to Medicare beneficiaries. In conducting such study, the Comptroller General shall— (A) use the most current cost report data available; (B) examine the effects of the payment limits estab- lished with respect to such services under such part B on the ability of Federally qualified health centers to fur- nish care to Medicare beneficiaries; and (C) examine the cost of furnishing services covered under the Medicare program as of the date of the enactment of this Act that were not covered under such program as of the date on which the Secretary determined the payment rate for Federally qualified health centers in 1991. (2) REPORT.—Not later than 15 months after the date of the enactment of this Act, the Comptroller General of the United States shall submit to Congress a report on the study conducted under paragraph (1), together with recommendations for such legislation and administrative action the Comptroller General determines appropriate, taking into consideration the structure and adequacy of the prospective payment methodology used to make payments to Federally qualified health centers
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