tion contained in a report under this subsection with 
respect to a physician in determining reimbursement 
rates under this part for items and services fur-
nished by that physician.’’. 
(b) EFFECTIVE DATE.—The Secretary of Health and 
Human Services shall first provide for reporting of infor-
mation under the amendment made by subsection (a) for 
billings during 2010. 
SEC. 302. INFORMATION FOR BENEFICIARIES ON MEDI-
CARE EXPENDITURES. 
(a) IN GENERAL.—Section 1804 of the Social Secu-
rity Act (42 U.S.C. 1395b–2) is amended by adding at 
the end the following new subsection: 
‘‘(d) ANNUAL REPORT ON INDIVIDUAL RESOURCE 
UTILIZATION.—The Secretary shall provide for the report-
ing, on an annual basis, to each individual entitled to ben-
efits under part A or enrolled under part B, on the amount 
of payments made to or on behalf of the individual under 
this title during the year involved. Such information shall 
be provided in a format that compares such amount with 
the average per capita expenditures in the region or area 
involved.’’. 
(b) EFFECTIVE DATE.—The Secretary of Health and 
Human Services shall first provide for reporting of infor-
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mation under the amendment made by subsection (a) for 
payments made during 2010. 
SEC. 303. COLLECTION OF DATA ON MEDICARE SAVINGS 
FROM PHYSICIANS’ SERVICES DIVERSION. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services shall collect data on annual savings in 
expenditures in the Medicare program due to physicians’ 
services that resulted in hospital or in-patient diversion. 
(b) REPORT.—The Secretary shall transmit to Con-
gress annually a summary of the data collected under sub-
section (a). 
SEC. 304. TRUSTEES’ ONGOING EXAMINATION OF MEDI-
CARE FUNDING. 
(a) EXAMINATION BY BOARD OF TRUSTEES.—The 
Board of Trustees of the Federal Hospital Insurance 
Trust Fund under section 1817 of the Social Security Act 
(42 U.S.C. 1395i) and of the Federal Supplementary Med-
ical Insurance Trust Fund under section 1841 of such Act 
(42 U.S.C. 1395t) shall monitor and examine the extent 
to which the different funding mechanisms under parts A, 
B, and D of title XVIII of such Act provide an appropriate 
alignment with the program goals of the respective parts. 
Such examination shall include an analysis of each of the 
following: 
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(1) The extent to which, as the volume of serv-
ices increases in physician settings under such part 
B, there is a corresponding reduction in similar serv-
ices provided in a hospital setting under such part 
A. 
(2) The extent to which, as a result of increased 
coordination between physicians and the delivery of 
prescription drugs under such part D, particularly 
with respect to individuals with chronic conditions, 
there will be a decrease in hospitalizations under 
such part A. 
(3) The extent to which other changes in physi-
cian or other health care practice results in a shift-
ing of expenditures among the various parts of such 
title XVIII. 
(b) INCLUSION IN ANNUAL REPORTS.—In each an-
nual report submitted to the Congress after the date of 
the enactment of this Act under section 1817(b)(2) or sec-
tion 1841(b)(2) of the Social Security Act (42 U.S.C. 
1395i(b)(2), 1395t(b)(2)), such Board of Trustees shall 
include information on the matters described in subsection 
(a). 
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SEC. 305. STUDY OF REPORTING REQUIREMENTS ON 
HEALTH CARE DISPARITIES. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services shall provide for a study of health care 
disparities in high-risk health condition areas and minor-
ity communities about the impact reporting requirements 
may have on physician penetration in such communities. 
(b) REPORT.—The Secretary shall provide for the 
completion of the study conducted under subsection (a) 
by not later than January 1, 2012, and shall submit to 
Congress a report on the study upon its completion. 
Æ 
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