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SEC. 508. BIPA-RELATED TECHNICAL AMENDMENTS AND 
CORRECTIONS. 
(a) TECHNICAL AMENDMENTS RELATING TO 
ADVISORY COMMITTEE UNDER BIPA SECTION 
522.—(1) Subsection (i) of section 1114 (42 
U.S.C. 1314)—
(A) is transferred to section 1862 and 
added at the end of such section; and 
(B) is redesignated as subsection (j). 
(2) Section 1862 (42 U.S.C. 1395y) is 
amended—
(A) in the last sentence of subsection 
(a), by striking ‘‘established under section 
1114(f)’’; and 
(B) in subsection (j), as so transferred 
and redesignated—
(i) by striking ‘‘under subsection 
(f)’’; and 
(ii) by striking ‘‘section 1862(a)(1)’’ 
and inserting ‘‘subsection (a)(1)’’. 
(b) TERMINOLOGY CORRECTIONS.—(1) Sec-
tion 
1869(c)(3)(I)(ii) 
(42 
U.S.C. 
1395ff(c)(3)(I)(ii)), as amended by section 521 
of BIPA, is amended—
(A) in subclause (III), by striking ‘‘pol-
icy’’ and inserting ‘‘determination’’; and
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(B) in subclause (IV), by striking 
‘‘medical review policies’’ and inserting 
‘‘coverage determinations’’. 
(2) Section 1852(a)(2)(C) (42 U.S.C. 1395w–
22(a)(2)(C)) is amended by striking ‘‘policy’’ 
and ‘‘POLICY’’ and inserting ‘‘determination’’ 
each place it appears and ‘‘DETERMINATION’’, 
respectively. 
(c) 
REFERENCE
CORRECTIONS.—Section 
1869(f)(4) (42 U.S.C. 1395ff(f)(4)), as added by 
section 522 of BIPA, is amended—
(1) in subparagraph (A)(iv), by strik-
ing ‘‘subclause (I), (II), or (III)’’ and in-
serting ‘‘clause (i), (ii), or (iii)’’; 
(2) in subparagraph (B), by striking 
‘‘clause (i)(IV)’’ and ‘‘clause (i)(III)’’ and 
inserting 
‘‘subparagraph 
(A)(iv)’’ 
and 
‘‘subparagraph (A)(iii)’’, respectively; and 
(3) in subparagraph (C), by striking 
‘‘clause (i)’’, ‘‘subclause (IV)’’ and ‘‘sub-
paragraph (A)’’ and inserting ‘‘subpara-
graph (A)’’, ‘‘clause (iv)’’ and ‘‘paragraph 
(1)(A)’’, respectively each place it ap-
pears.
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(d) OTHER CORRECTIONS.—Effective as if 
included in the enactment of section 521(c) of 
BIPA, section 1154(e) (42 U.S.C. 1320c–3(e)) is 
amended by striking paragraph (5). 
(e) EFFECTIVE DATE.—Except as otherwise 
provided, the amendments made by this sec-
tion shall be effective as if included in the en-
actment of BIPA.
SEC. 509. CONFORMING AUTHORITY TO WAIVE A PROGRAM 
EXCLUSION. 
The first sentence of section 1128(c)(3)(B) 
(42 U.S.C. 1320a–7(c)(3)(B)) is amended to read 
as follows: ‘‘Subject to subparagraph (G), in 
the case of an exclusion under subsection (a), 
the minimum period of exclusion shall be not 
less than five years, except that, upon the re-
quest of the administrator of a Federal health 
care program (as defined in section 1128B(f)) 
who determines that the exclusion would im-
pose a hardship on individuals entitled to 
benefits under part A of title XVIII or enrolled 
under part B of such title, or both, the Sec-
retary may waive the exclusion under sub-
section (a)(1), (a)(3), or (a)(4) with respect to 
that program in the case of an individual or
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entity that is the sole community physician or 
sole source of essential specialized services in 
a community.’’. 
SEC. 510. TREATMENT OF CERTAIN DENTAL CLAIMS. 
(a) IN GENERAL.—Section 1862 (42 U.S.C. 
1395y), as amended by section 508(a)(1), is 
amended by adding at the end the following 
new subsection: 
‘‘(k)(1) Subject to paragraph (2), a group 
health 
plan 
(as 
defined 
in 
subsection 
(a)(1)(A)(v)) providing supplemental or sec-
ondary coverage to individuals also entitled 
to services under this title shall not require 
a medicare claims determination under this 
title for dental benefits specifically excluded 
under subsection (a)(12) as a condition of 
making a claims determination for such bene-
fits under the group health plan. 
‘‘(2) A group health plan may require a 
claims determination under this title in cases 
involving or appearing to involve inpatient 
dental hospital services or dental services ex-
pressly covered under this title pursuant to 
actions taken by the Secretary.’’.
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(b) EFFECTIVE
DATE.—The amendment 
made by subsection (a) shall take effect on the 
date that is 60 days after the date of the enact-
ment of this Act. 
SEC. 511. ENHANCEMENT OF PROGRAM INTEGRITY EF-
FORTS IN MEDICARE PROVIDER ENROLL-
MENT. 
(a) IN GENERAL.—Section 1842(b)(6)(A) (42 
U.S.C. 1395u(b)(6)(A)) is amended—
(1) by striking ‘‘or’’ before ‘‘(ii)’’; and 
(2) by inserting after ‘‘for such serv-
ice,’’ the following: ‘‘or (iii) where the 
service was provided under a contractual 
arrangement between such physician or 
other person and an entity (such as a 
medical group, physician practice man-
agement organization, or a staffing com-
pany), to the entity if under such ar-
rangement such entity submits the bill 
for such service and such arrangement 
meets such other qualifications to assure 
program integrity as the Secretary may 
provide,’’. 
(b) EFFECTIVE
DATE.—The amendments 
made by this section shall apply to payments