124 STAT. 675 PUBLIC LAW 111–148—MAR. 23, 2010 (3) 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 demonstration. (4) ADMINISTRATION.—Chapter 35 of title 44, United States Code, shall not apply to the implementation of this section. (b) WRITTEN AGREEMENTS WITH ELIGIBLE PARTNERS.—No pay- ment shall be made under this section to an eligible hospital unless such hospital has in effect a written agreement with the eligible partners of the hospital. Such written agreement shall describe, at a minimum— (1) the obligations of the eligible partners with respect to the provision of qualified training; and (2) the obligation of the eligible hospital to reimburse such eligible partners applicable (in a timely manner) for the costs of such qualified training attributable to partner. (c) EVALUATION.—Not later than October 17, 2017, the Sec- retary shall submit to Congress a report on the demonstration. Such report shall include an analysis of the following: (1) The growth in the number of advanced practice reg- istered nurses with respect to a specific base year as a result of the demonstration. (2) The growth for each of the specialties described in subparagraphs (A) through (D) of subsection (e)(1). (3) The costs to the Medicare program under title XVIII of the Social Security Act as a result of the demonstration. (4) Other items the Secretary determines appropriate and relevant. (d) FUNDING.— (1) IN GENERAL.—There is hereby appropriated to the Sec- retary, out of any funds in the Treasury not otherwise appro- priated, $50,000,000 for each of fiscal years 2012 through 2015 to carry out this section, including the design, implementation, monitoring, and evaluation of the demonstration. (2) PRORATION.—If the aggregate payments to eligible hos- pitals under the demonstration exceed $50,000,000 for a fiscal year described in paragraph (1), the Secretary shall prorate the payment amounts to each eligible hospital in order to ensure that the aggregate payments do not exceed such amount. (3) WITHOUT FISCAL YEAR LIMITATION.—Amounts appro- priated under this subsection shall remain available without fiscal year limitation. (e) DEFINITIONS.—In this section: (1) ADVANCED PRACTICE REGISTERED NURSE.—The term ‘‘advanced practice registered nurse’’ includes the following: (A) A clinical nurse specialist (as defined in subsection (aa)(5) of section 1861 of the Social Security Act (42 U.S.C. 1395x)). (B) A nurse practitioner (as defined in such subsection). (C) A certified registered nurse anesthetist (as defined in subsection (bb)(2) of such section). (D) A certified nurse-midwife (as defined in subsection (gg)(2) of such section). (2) APPLICABLE NON-HOSPITAL COMMUNITY-BASED CARE SET- TING.—The term ‘‘applicable non-hospital community-based care setting’’ means a non-hospital community-based care setting which has entered into a written agreement (as described in subsection (b)) with the eligible hospital participating in the Deadline. Reports.
