ficiaries who have two or more chronic illnesses, 
with a focus on such beneficiaries who are pro-
vided benefits under the Medicare fee-for-serv-
ice program and whose care is most costly. 
(B) 
SPECIFIC
DUTIES.—The 
Network 
shall— 
(i) research, design, implement, test, 
and validate specific interventions designed 
to improve care management for Medicare 
beneficiaries with multiple chronic condi-
tions; and 
(ii) provide a reproducible, reliable, 
and scalable framework to standardize and 
translate best practices for all Medicare 
beneficiaries. 
(3) FINANCIAL SUPPORT.—The Network shall 
provide financial support in the following areas: 
(A) COLLABORATION.—Support of collabo-
ration and networking, including conference 
calls, meetings, and other forms of communica-
tion between and among Network project sites, 
of publication of guidelines and findings, and of 
development and dissemination of information 
on proven, common care management practices. 
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(B) INFRASTRUCTURE.—Support of re-
search and infrastructure for Network project 
sites, which may be based upon enrollment size 
and success of such sites in realizing targets 
and compliance with data submission require-
ments. 
(C) PATIENT
RECRUITMENT
AND
CARE 
MANAGEMENT.—Support of patient recruitment 
and care management at Network project sites 
for the delivery of specific services and ongoing 
testing of improvements to large patient panels. 
(D) EVALUATION.—Support of internal 
and external evaluation activities, including 
evaluation activities conducted at individual 
Network project sites and the Network. 
(4) ESTABLISHMENT OF TARGET ENROLLMENT 
NUMBERS.—The Secretary and the Network shall 
jointly develop, based on demographics and previous 
history, target enrollment numbers for each Network 
project site. 
(c) BOARD OF DIRECTORS.— 
(1) MEMBERSHIP.— 
(A) IN GENERAL.—The Network shall have 
a Board of Directors (in this section referred to 
as the ‘‘Board’’) composed of the following: 
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(i) CMS ADMINISTRATOR.—The Ad-
ministrator of the Centers for Medicare & 
Medicaid Services, who shall serve as 
chairman of the Board and head of the 
Network. 
(ii) EX OFFICIO MEMBERS.— 
(I) The Director of the Agency 
for Health Research and Quality. 
(II) The Director of the National 
Institute on Aging. 
(III) Representatives of other 
Federal health care and research 
agency officials, as selected by the 
Secretary. 
(iii) APPOINTED MEMBERS.—Members 
appointed under subparagraph (B). 
(B) APPOINTED MEMBERS.— 
(i) INITIAL APPOINTMENT.—The Sec-
retary shall appoint at least 8 individuals 
to serve on the Board, including one indi-
vidual representing each MCCD site. 
(ii) 
ADDITIONAL
MEMBERS.—The 
Secretary may appoint additional members 
to the Board to the extent the Secretary 
determines, including individuals who rep-
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resent Network project sites not otherwise 
represented under clause (i). 
(iii) TERM.—The term of office of 
each member of the Board appointed 
under this subparagraph shall be five 
years. 
(C) VACANCY.—Any vacancy in the mem-
bership of the Board— 
(i) shall not affect the power of the 
remaining members to execute the duties 
of the Board; and 
(ii) shall be filled by appointment by 
the Secretary. 
(2) PROJECT EVALUATIONS.—The Board shall 
provide for both an internal and external evaluation 
of each Network project site. 
(3) INITIAL MEETING.—Not later than 60 days 
after the date members are first appointed under 
paragraph (1)(B), the Secretary shall convene a 
meeting of the members of the Board to— 
(A) initiate the Network; and 
(B) begin the planning phase of the Net-
work. 
(d) BIENNIAL REPORTS.— 
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(1) CONGRESSIONAL REPORTS.—Beginning not 
later than 2 years after the date of the establish-
ment of the Network, the Secretary shall submit to 
the appropriate committees of Congress biennial re-
ports on the Network. Each report shall include at 
least the following: 
(A) A report on progress made toward de-
veloping an efficient and effective research in-
frastructure capable of robustly testing new 
interventions and models of care for chronically 
ill Medicare beneficiaries in a timely manner. 
(B) An evaluation of the overall quality, 
satisfaction, and cost effectiveness of interven-
tions tested. 
(C) An evaluation of the capability of the 
Network to define and test specifications need-
ed to deploy successful interventions on a large 
geographic or nationwide scale without loss of 
effectiveness. 
(D) A description of benefits to the Medi-
care program resulting from increased collabo-
ration and partnership between Network sites. 
(E) Any other information regarding the 
Network that the Secretary determines to be 
appropriate. 
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(2) PUBLIC
REPORTS
ON
CARE
MODELS.— 
Every two years, the Network shall develop and the 
Secretary shall issue a public report of recommended 
practices and guidelines for chronic care that sum-
marizes the care models the Network has found to 
be most effective in managing Medicare beneficiaries 
with multiple, chronic problems. 
(e) WAIVER.—The Secretary shall waive such provi-
sions of title XVIII of the Social Security Act (42 U.S.C. 
1395 et seq.) as may be necessary for the Network to con-
duct activities under this section. 
(f) FUNDING.—There are authorized to be appro-
priated from the Federal Hospital Insurance Trust Fund 
under section 1817 of the Social Security Act (42 U.S.C. 
1395i) and from the Federal Supplementary Medical In-
surance Trust Fund under section 1841 of such Act (42 
U.S.C. 1395t), in such proportions as the Secretary deter-
mines to be appropriate, $60,000,000. Such amount shall 
be available to carry out this section during a 5-fiscal-year 
period. 
(g) DEFINITIONS.—For purposes of this section: 
(1) MEDICARE PROGRAM.—The term ‘‘Medicare 
program’’ means the programs under title XVIII of 
the Social Security Act. 
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