petition is completed. Chapter 35 of title 
44, United States Code (commonly re-
ferred to as the ‘Paperwork Reduction Act 
of 1995’) shall not apply to the first round 
competition for such program.’’. 
SEC. 18. NATIONAL EXPANSION OF PRIOR AUTHORIZATION 
MODEL FOR REPETITIVE SCHEDULED NON- 
EMERGENT AMBULANCE TRANSPORT. 
(a) INITIAL EXPANSION.— 
(1) IN GENERAL.—In implementing the model 
described in paragraph (2) proposed to be tested 
under subsection (b) of section 1115A of the Social 
Security Act (42 U.S.C. 1315a), the Secretary of 
Health and Human Services shall revise the testing 
under subsection (b) of such section to cover, effec-
tive January 1, 2016, States located in medicare ad-
ministrative contractor (MAC) regions L and 11 
(consisting of Delaware, the District of Columbia, 
Maryland, New Jersey, Pennsylvania, North Caro-
lina, South Carolina, West Virginia, and Virginia). 
(2) MODEL DESCRIBED.—The model described 
in this paragraph is the testing of a model of prior 
authorization for repetitive scheduled non-emergent 
ambulance transport proposed to be carried out in 
New Jersey, Pennsylvania, and South Carolina. 
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(3) FUNDING.—The Secretary shall allocate 
funds made available under section 1115A(f)(1)(B) 
of 
the 
Social 
Security 
Act 
(42 
U.S.C. 
1315a(f)(1)(B)) to carry out this subsection. 
(b) NATIONAL EXPANSION.—Section 1834(l) of the 
Social Security Act (42 U.S.C. 1395m(l)) is amended by 
adding at the end the following new paragraph: 
‘‘(16) PRIOR AUTHORIZATION FOR REPETITIVE 
SCHEDULED NON-EMERGENCY AMBULANCE TRANS-
PORTS.— 
‘‘(A) IN GENERAL.—Beginning January 1, 
2017, the Secretary shall apply the prior au-
thorization program described in subparagraph 
(B) to all States. 
‘‘(B) PROGRAM
DESCRIBED.—The prior 
authorization program described in this sub-
paragraph is a prior authorization program for 
repetitive scheduled ambulance services con-
sisting of non-emergency basic life support serv-
ices involving transport of an individual fur-
nished other than on an emergency basis. In 
carrying out the program, the Secretary shall 
determine in advance of the provision of items 
and services related to the provision of such an 
ambulance service whether payment for such 
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items or services may not be made because the 
item or service is not covered or because of the 
application of section 1862(a)(1). 
‘‘(C) IMPLEMENTATION.—The program de-
scribed in subparagraph (B) shall be imple-
mented in a manner that is consistent with the 
terms and conditions for the testing of a model 
of prior authorization for repetitive scheduled 
non-emergent ambulance transport proposed by 
the Centers for Medicare & Medicaid Services 
to be implemented in New Jersey, Pennsyl-
vania, and South Carolina under section 
1115A. 
‘‘(D) FUNDING.—The Secretary shall use 
funds made available under section 1893(h)(10) 
to carry out this paragraph.’’. 
SEC. 19. REPEALING DUPLICATIVE MEDICARE SECONDARY 
PAYOR PROVISION. 
(a) IN GENERAL.—Section 1862(b)(5) of the Social 
Security Act (42 U.S.C. 1395y(b)(5)) is amended by in-
serting at the end the following new subparagraph: 
‘‘(E) END DATE.—The provisions of this 
paragraph shall not apply to information re-
quired to be provided on or after July 1, 
2016.’’. 
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(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall take effect on the date of the enact-
ment of this Act and shall apply to information required 
to be provided on or after January 1, 2016. 
SEC. 20. PLAN FOR EXPANDING DATA IN ANNUAL CERT RE-
PORT. 
Not later than March 25, 2015, the Secretary of 
Health and Human Services shall submit to the Com-
mittee on Finance of the Senate, and to the Committees 
on Energy and Commerce and on Ways and Means of the 
House of Representatives— 
(1) a plan for including, in the annual report of 
the Comprehensive Error Rate Testing (CERT) pro-
gram, data on services (or groupings of services) 
(other than medical visits) paid under the physician 
fee schedule under section 1848 of the Social Secu-
rity Act (42 U.S.C. 1395w–4) where the fee sched-
ule amount is in excess of 250 dollars and where the 
error rate is in excess of 20 percent; and 
(2) to the extent practicable by such date, spe-
cific examples of services described in paragraph (1). 
SEC. 21. RULE OF CONSTRUCTION. 
Except as explicitly provided in this Act, nothing in 
this Act, including the amendments made by this Act, 
shall be construed as preventing the use of notice and com-
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ment rulemaking in the implementation of the provisions 
of, and the amendments made by, this Act. 
Æ 
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