124 STAT. 324 PUBLIC LAW 111–148—MAR. 23, 2010 if their care had not been subject to payment under the dem- onstration project. (5) Hospitals participating in the demonstration project shall have or establish robust discharge planning programs to ensure that Medicaid beneficiaries requiring post-acute care are appropriately placed in, or have ready access to, post- acute care settings. (6) The Secretary and each State selected to participate in the demonstration project shall ensure that the demonstra- tion project does not result in the Medicaid beneficiaries whose care is subject to payment under the demonstration project being provided with less items and services for which medical assistance is provided under the State Medicaid program than the items and services for which medical assistance would have been provided to such beneficiaries under the State Med- icaid program in the absence of the demonstration project. (c) WAIVER OF PROVISIONS.—Notwithstanding section 1115(a) of the Social Security Act (42 U.S.C. 1315(a)), the Secretary may waive such provisions of titles XIX, XVIII, and XI of that Act as may be necessary to accomplish the goals of the demonstration, ensure beneficiary access to acute and post-acute care, and maintain quality of care. (d) EVALUATION AND REPORT.— (1) DATA.—Each State selected to participate in the dem- onstration project under this section shall provide to the Sec- retary, in such form and manner as the Secretary shall specify, relevant data necessary to monitor outcomes, costs, and quality, and evaluate the rationales for selection of the episodes of care and services specified by States under subsection (b)(3). (2) REPORT.—Not later than 1 year after the conclusion of the demonstration project, the Secretary shall submit a report to Congress on the results of the demonstration project. SEC. 2705. MEDICAID GLOBAL PAYMENT SYSTEM DEMONSTRATION PROJECT. (a) IN GENERAL.—The Secretary of Health and Human Services (referred to in this section as the ‘‘Secretary’’) shall, in coordination with the Center for Medicare and Medicaid Innovation (as estab- lished under section 1115A of the Social Security Act, as added by section 3021 of this Act), establish the Medicaid Global Payment System Demonstration Project under which a participating State shall adjust the payments made to an eligible safety net hospital system or network from a fee-for-service payment structure to a global capitated payment model. (b) DURATION AND SCOPE.—The demonstration project con- ducted under this section shall operate during a period of fiscal years 2010 through 2012. The Secretary shall select not more than 5 States to participate in the demonstration project. (c) ELIGIBLE SAFETY NET HOSPITAL SYSTEM OR NETWORK.— For purposes of this section, the term ‘‘eligible safety net hospital system or network’’ means a large, safety net hospital system or network (as defined by the Secretary) that operates within a State selected by the Secretary under subsection (b). (d) EVALUATION.— (1) TESTING.—The Innovation Center shall test and evaluate the demonstration project conducted under this section Definition. Selection. 42 USC 1315a note.
