such implementation would place the public health 
insurance option at a competitive disadvantage. 
‘‘(3) The Secretary may prioritize implementa-
tion of such a reform in high-cost geographic areas 
or otherwise in order to reduce total program costs 
or to promote high value care. 
‘‘(4) The Secretary may prioritize implementa-
tion of such a reform to reduce racial, ethnic, socio-
economic, geographic, gender, sexual identity, or 
other health disparities, including such disparities 
experienced by people with disabilities or older 
adults. 
‘‘(e) NON-UNIFORMITY
PERMITTED.—Nothing in 
this section shall prevent the Secretary from varying pay-
ments based on different payment structure models (such 
as accountable care organizations and medical homes) 
under the health plan for different geographic areas. 
‘‘(f) INTEGRATION WITH SOCIAL SERVICES.— 
‘‘(1) IN GENERAL.—The Secretary shall estab-
lish processes and, when appropriate, collaborate 
with other agencies to integrate medical care under 
the health plan with food, housing, transportation, 
and income assistance if the Secretary determines 
that such integration is expected to— 
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‘‘(A) reduce spending without reducing the 
quality of patient care; 
‘‘(B) improve the quality of patient care 
without increasing spending; or 
‘‘(C) reduce racial, ethnic, socioeconomic, 
geographic, gender, sexual identity, or other 
health disparities, including any such disparities 
experienced by people with disabilities or older 
adults. 
‘‘(2) AUTHORIZATION OF A GRANT PROGRAM.— 
‘‘(A) IN GENERAL.—The Secretary may es-
tablish a grant program to permit broader ex-
perimentation with accountable communities for 
health model. 
‘‘(B) ELIGIBLE
RECIPIENTS.—The Sec-
retary may award a grant under this section 
to— 
‘‘(i) an institution of higher learning 
(as defined in section 3452(f) of title 38, 
United States Code); 
‘‘(ii) a local educational agency (as de-
fined in section 8101 of the Elementary 
and Secondary Education Act of 1965) or 
health care agency; 
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‘‘(iii) a nonprofit entity that the Sec-
retary determines has a demonstrated his-
tory of community engagement; or 
‘‘(iv) any other entity, as the Sec-
retary determines appropriate. 
‘‘(C) USE
OF
FUNDS.—A recipient of a 
grant under this section may use the grant to— 
‘‘(i) support community needs assess-
ment; 
‘‘(ii) establish social service partner-
ships; or 
‘‘(iii) establish interactive data sys-
tems across health and social service pro-
viders. 
‘‘(D) 
AUTHORIZATION
OF
APPROPRIA-
TIONS.—There are authorized to be appro-
priated such sums as may be necessary to carry 
out this paragraph. 
‘‘(3) REGULATIONS.—If the Secretary estab-
lishes a grant program under this section, the Sec-
retary shall promulgate regulations on— 
‘‘(A) the evaluation of applications for 
grants under the program; and 
‘‘(B) administration of the program. 
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‘‘(g) TELEHEALTH.—The Secretary shall ensure the 
integration of telehealth tools, including technology-en-
abled collaborative learning and capacity building models, 
that increase patient access to medical care (including spe-
cialty care), particularly in remote or underserved areas, 
if the Secretary determines that such integration is ex-
pected to— 
‘‘(1) reduce spending without reducing the qual-
ity of patient care; or 
‘‘(2) improve the quality of patient care without 
increasing spending. 
‘‘(h) ALTERNATIVE PAYMENT MODEL.— 
‘‘(1) IN GENERAL.—The Secretary shall evalu-
ate the possibility of providing incentives, and, if ap-
propriate, apply incentives, for enrollees in the 
health plan who receive services from providers who 
are participating in an alternative payment model 
(as defined in section 1833(z)(3)(C)). 
‘‘(2) AUTHORITY TO USE APMS IN USE UNDER 
TRADITIONAL MEDICARE.—Nothing in this section 
shall preclude the Secretary from using alternative 
payment models (as so defined) under this title that 
are in use under title XVIII. 
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‘‘SEC. 2210. NO EFFECT ON MEDICARE BENEFITS OR MEDI-
CARE TRUST FUNDS. 
‘‘Nothing in this title shall— 
‘‘(1) affect the benefits available under title 
XVIII; or 
‘‘(2) impact the Federal Hospital Insurance 
Trust Fund under section 1817 or the Federal Sup-
plementary Medical Insurance Trust Fund under 
section 1841 (including the Medicare Prescription 
Drug Account within such Trust Fund).’’. 
SEC. 3. EXCLUSION OF PROVIDERS THAT PLACE ADDI-
TIONAL RESTRICTIONS ON MEDICARE EX-
CHANGE HEALTH PLAN PATIENTS FROM FED-
ERAL HEALTH CARE PROGRAMS. 
Section 1128(b) of the Social Security Act (42 U.S.C. 
1320a–7(b)) is amended by adding at the end the fol-
lowing new paragraph: 
‘‘(18) PLACEMENT OF RESTRICTIONS ON MEDI-
CARE EXCHANGE HEALTH PLAN PATIENTS.—Any in-
dividual or entity that places restrictions on the indi-
viduals the individual or provider will accept for 
treatment and fails to either— 
‘‘(A) exempt enrollees in the Medicare Ex-
change health plan established under title XXII 
from such restrictions; or 
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