124 STAT. 415 PUBLIC LAW 111–148—MAR. 23, 2010 (e) WAIVER AUTHORITY.—The Secretary may waive such requirements of titles XI and XVIII of the Social Security Act as may be necessary to carry out the program. (f) FUNDING.—For purposes of carrying out this section, the Secretary of Health and Human Services shall provide for the transfer, from the Federal Hospital Insurance Trust Fund under section 1817 of the Social Security Act (42 U.S.C. 1395i) and the Federal Supplementary Medical Insurance Trust Fund under sec- tion 1841 of such Act (42 U.S.C. 1395t), in such proportion as the Secretary determines appropriate, of $500,000,000, to the Cen- ters for Medicare & Medicaid Services Program Management Account for the period of fiscal years 2011 through 2015. Amounts transferred under the preceding sentence shall remain available until expended. SEC. 3027. EXTENSION OF GAINSHARING DEMONSTRATION. (a) IN GENERAL.—Subsection (d)(3) of section 5007 of the Deficit Reduction Act of 2005 (Public Law 109–171) is amended by inserting ‘‘(or September 30, 2011, in the case of a demonstration project in operation as of October 1, 2008)’’ after ‘‘December 31, 2009’’. (b) FUNDING.— (1) IN GENERAL.—Subsection (f)(1) of such section is amended by inserting ‘‘and for fiscal year 2010, $1,600,000,’’ after ‘‘$6,000,000,’’. (2) AVAILABILITY.—Subsection (f)(2) of such section is amended by striking ‘‘2010’’ and inserting ‘‘2014 or until expended’’. (c) REPORTS.— (1) QUALITY IMPROVEMENT AND SAVINGS.—Subsection (e)(3) of such section is amended by striking ‘‘December 1, 2008’’ and inserting ‘‘March 31, 2011’’. (2) FINAL REPORT.—Subsection (e)(4) of such section is amended by striking ‘‘May 1, 2010’’ and inserting ‘‘March 31, 2013’’. Subtitle B—Improving Medicare for Patients and Providers PART I—ENSURING BENEFICIARY ACCESS TO PHYSICIAN CARE AND OTHER SERVICES SEC. 3101. INCREASE IN THE PHYSICIAN PAYMENT UPDATE. Section 1848(d) of the Social Security Act (42 U.S.C. 1395w– 4(d)) is amended by adding at the end the following new paragraph: ‘‘(10) UPDATE FOR 2010.— ‘‘(A) IN GENERAL.—Subject to paragraphs (7)(B), (8)(B), and (9)(B), in lieu of the update to the single conversion factor established in paragraph (1)(C) that would otherwise apply for 2010, the update to the single conversion factor shall be 0.5 percent. ‘‘(B) NO EFFECT ON COMPUTATION OF CONVERSION FACTOR FOR 2011 AND SUBSEQUENT YEARS.—The conversion factor under this subsection shall be computed under para- graph (1)(A) for 2011 and subsequent years as if subpara- graph (A) had never applied.’’. 42 USC 1395ww note.
