tion project instead of receiving such bene-
fits through another health insurance plan
(including health care benefits under this
title).
‘‘(v) A comparison of the costs of par-
ticipation of the demonstration sites in the
program with the reimbursements for
health care services provided by such sites.
‘‘(vi) Any impact the demonstration
project has on the access to health care
services, or the quality of such services,
for—
‘‘(I) 
targeted 
medicare-eligible
veterans receiving health care benefits
under the demonstration project; and
‘‘(II) veterans (including targeted
medicare-eligible veterans) that are
not receiving health care benefits
under the demonstration project.
‘‘(vii) Any impact the demonstration
project has on private health care providers
and on beneficiaries under this title that
are not receiving health care benefits under
the demonstration project.
‘‘(viii) Any effect that the demonstra-
tion project has on the enrollment in
Medicare+Choice 
plans 
offered 
by
Medicare+Choice organizations under part
C of this title in the established dem-
onstration site areas.
‘‘(ix) Any impact that the exclusion of
the amounts described in subsection (k)(2)
from the reimbursement amounts under
the demonstration has on the Department
of Veterans Affairs or on targeted medi-
care-eligible veterans.
‘‘(x) A description of the difficulties
(if any) experienced by—
‘‘(I) the Department of Veterans
Affairs in managing the demonstra-
tion project; or
‘‘(II) the Department of Health
and Human Services in overseeing the
demonstration project.
‘‘(xi) Any additional elements speci-
fied in the agreement entered into under
subsection (b).
‘‘(xii) Any additional elements that
the Comptroller General of the United
States determines are appropriate to as-
sess regarding the demonstration project.
‘‘(C) PERIODIC REPORTS.—
‘‘(i) COORDINATED
CARE
HEALTH
PLAN MODEL.—With respect to the portion
of the demonstration project that is oper-
ating under a coordinated care health plan
model, the Comptroller General of the
United States shall submit reports on the
evaluation conducted under subparagraph
(A) to the administering Secretaries and to
the committees of jurisdiction of Congress
as follows:
‘‘(I) INITIAL REPORT.—An initial
report shall be submitted not later
than 12 months after the date that
enrollment in a coordinated care
health plan begins at any demonstra-
tion site.
‘‘(II) SECOND
REPORT.—A sec-
ond report shall be submitted not
later than 30 months after such date.
‘‘(III) FINAL
REPORT.—A final
report shall be submitted not later
than 42 months after such date.
‘‘(ii) 
FEE-FOR-SERVICE
MODEL.—
With respect to the portion of the dem-
onstration project that is operating under
a fee-for-service model, the Comptroller
General of the United States shall submit
reports on the evaluation conducted under
subparagraph (A) to the administering
Secretaries and to the committees of juris-
diction of Congress as follows:
‘‘(I) INITIAL REPORT.—An initial
report shall be submitted not later
than 12 months after the date that
medicare health care services begin to
be provided at any demonstration site
using such a model.
‘‘(II) SECOND
REPORT.—A sec-
ond report shall be submitted not
later than 30 months after such date.
‘‘(III) FINAL
REPORT.—A final
report shall be submitted not later
than 42 months after such date.
‘‘(2) REPORTS ON EXTENSION AND EXPANSION
OF THE DEMONSTRATION PROJECT.—
‘‘(A) COORDINATED CARE HEALTH PLAN
MODEL.—With respect to the demonstration
project that is operating under a coordinated
care health plan model, not later than 3 months
after the date of the submission of the final re-
port by the Comptroller General of the United
States under paragraph (1)(C)(i)(III), the ad-
ministering Secretaries shall submit to the com-
mittees of jurisdiction of Congress a report con-
taining the final recommendations of such Sec-
retaries as to—
‘‘(i) whether expenditures for targeted
medicare-eligible veterans under the dem-
onstration project exceed the expenditures
that would have been incurred under the
medicare program under this title with re-
gard to such veterans had this section not
been enacted;
‘‘(ii) 
whether 
the 
demonstration
project could be expanded or extended
without increasing the cost to the medicare
program under this title or to the Federal
Government;
‘‘(iii) whether to extend the duration
of the demonstration project;