H. R. 3590—269 
‘‘(B) take into consideration current innovative meth-
odologies and strategies for quality improvement practices 
in the delivery of health care services that represent best 
practices for such quality improvement and measures 
endorsed by the entity with a contract under section 1890 
since the previous review by the Secretary. 
‘‘(d) RULE OF CONSTRUCTION.—Nothing in this section shall 
preclude a State from using the quality measures identified under 
sections 1139A and 1139B.’’. 
(c) FUNDING.—For purposes of carrying out the amendments 
made by this section, the Secretary shall provide for the transfer, 
from the Federal Hospital Insurance Trust Fund under section 
1817 of the Social Security Act (42 U.S.C. 1395i) and the Federal 
Supplementary Medical Insurance Trust Fund under section 1841 
of such Act (42 U.S.C. 1395t), in such proportion as the Secretary 
determines appropriate, of $20,000,000, to the Centers for Medicare 
& Medicaid Services Program Management Account for each of 
fiscal years 2010 through 2014. Amounts transferred under the 
preceding sentence shall remain available until expended. 
SEC. 3015. DATA COLLECTION; PUBLIC REPORTING. 
Title III of the Public Health Service Act (42 U.S.C. 241 et 
seq.), as amended by section 3011, is further amended by adding 
at the end the following: 
‘‘SEC. 399II. COLLECTION AND ANALYSIS OF DATA FOR QUALITY AND 
RESOURCE USE MEASURES. 
‘‘(a) IN GENERAL.—The Secretary shall collect and aggregate 
consistent data on quality and resource use measures from informa-
tion systems used to support health care delivery to implement 
the public reporting of performance information, as described in 
section 399JJ, and may award grants or contracts for this purpose. 
The Secretary shall ensure that such collection, aggregation, and 
analysis systems span an increasingly broad range of patient popu-
lations, providers, and geographic areas over time. 
‘‘(b) GRANTS OR CONTRACTS FOR DATA COLLECTION.— 
‘‘(1) IN GENERAL.—The Secretary may award grants or con-
tracts to eligible entities to support new, or improve existing, 
efforts to collect and aggregate quality and resource use meas-
ures described under subsection (c). 
‘‘(2) ELIGIBLE ENTITIES.—To be eligible for a grant or con-
tract under this subsection, an entity shall— 
‘‘(A) be— 
‘‘(i) a multi-stakeholder entity that coordinates the 
development of methods and implementation plans for 
the consistent reporting of summary quality and cost 
information; 
‘‘(ii) an entity capable of submitting such summary 
data for a particular population and providers, such 
as a disease registry, regional collaboration, health 
plan collaboration, or other population-wide source; or 
‘‘(iii) a Federal Indian Health Service program or 
a health program operated by an Indian tribe (as 
defined in section 4 of the Indian Health Care Improve-
ment Act); 
‘‘(B) promote the use of the systems that provide data 
to improve and coordinate patient care;
H. R. 3590—270 
‘‘(C) support the provision of timely, consistent quality 
and resource use information to health care providers, and 
other groups and organizations as appropriate, with an 
opportunity for providers to correct inaccurate measures; 
and 
‘‘(D) agree to report, as determined by the Secretary, 
measures on quality and resource use to the public in 
accordance with the public reporting process established 
under section 399JJ. 
‘‘(c) CONSISTENT
DATA
AGGREGATION.—The Secretary may 
award grants or contracts under this section only to entities that 
enable summary data that can be integrated and compared across 
multiple sources. The Secretary shall provide standards for the 
protection of the security and privacy of patient data. 
‘‘(d) MATCHING FUNDS.—The Secretary may not award a grant 
or contract under this section to an entity unless the entity agrees 
that it will make available (directly or through contributions from 
other public or private entities) non-Federal contributions toward 
the activities to be carried out under the grant or contract in 
an amount equal to $1 for each $5 of Federal funds provided 
under the grant or contract. Such non-Federal matching funds 
may be provided directly or through donations from public or private 
entities and may be in cash or in-kind, fairly evaluated, including 
plant, equipment, or services. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—To carry out this sec-
tion, there are authorized to be appropriated such sums as may 
be necessary for fiscal years 2010 through 2014. 
‘‘SEC. 399JJ. PUBLIC REPORTING OF PERFORMANCE INFORMATION. 
‘‘(a) DEVELOPMENT OF PERFORMANCE WEBSITES.—The Secretary 
shall make available to the public, through standardized Internet 
websites, performance information summarizing data on quality 
measures. Such information shall be tailored to respond to the 
differing needs of hospitals and other institutional health care pro-
viders, physicians and other clinicians, patients, consumers, 
researchers, policymakers, States, and other stakeholders, as the 
Secretary may specify. 
‘‘(b) INFORMATION ON CONDITIONS.—The performance informa-
tion made publicly available on an Internet website, as described 
in subsection (a), shall include information regarding clinical condi-
tions to the extent such information is available, and the informa-
tion shall, where appropriate, be provider-specific and sufficiently 
disaggregated and specific to meet the needs of patients with dif-
ferent clinical conditions. 
‘‘(c) CONSULTATION.— 
‘‘(1) IN GENERAL.—In carrying out this section, the Sec-
retary shall consult with the entity with a contract under 
section 1890(a) of the Social Security Act, and other entities, 
as appropriate, to determine the type of information that is 
useful to stakeholders and the format that best facilitates use 
of the reports and of performance reporting Internet websites. 
‘‘(2) CONSULTATION WITH STAKEHOLDERS.—The entity with 
a contract under section 1890(a) of the Social Security Act 
shall convene multi-stakeholder groups, as described in such 
section, to review the design and format of each Internet 
website made available under subsection (a) and shall transmit
H. R. 3590—271 
to the Secretary the views of such multi-stakeholder groups 
with respect to each such design and format. 
‘‘(d) COORDINATION.—Where appropriate, the Secretary shall 
coordinate the manner in which data are presented through Internet 
websites described in subsection (a) and for public reporting of 
other quality measures by the Secretary, including such quality 
measures under title XVIII of the Social Security Act. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—To carry out this sec-
tion, there are authorized to be appropriated such sums as may 
be necessary for fiscal years 2010 through 2014.’’. 
PART III—ENCOURAGING DEVELOPMENT OF 
NEW PATIENT CARE MODELS 
SEC. 3021. ESTABLISHMENT OF CENTER FOR MEDICARE AND MED-
ICAID INNOVATION WITHIN CMS. 
(a) IN GENERAL.—Title XI of the Social Security Act is amended 
by inserting after section 1115 the following new section: 
‘‘CENTER FOR MEDICARE AND MEDICAID INNOVATION 
‘‘SEC. 1115A. (a) CENTER FOR MEDICARE AND MEDICAID INNOVA-
TION ESTABLISHED.— 
‘‘(1) IN GENERAL.—There is created within the Centers for 
Medicare & Medicaid Services a Center for Medicare and Med-
icaid Innovation (in this section referred to as the ‘CMI’) to 
carry out the duties described in this section. The purpose 
of the CMI is to test innovative payment and service delivery 
models to reduce program expenditures under the applicable 
titles while preserving or enhancing the quality of care fur-
nished to individuals under such titles. In selecting such 
models, the Secretary shall give preference to models that 
also improve the coordination, quality, and efficiency of health 
care services furnished to applicable individuals defined in 
paragraph (4)(A). 
‘‘(2) DEADLINE.—The Secretary shall ensure that the CMI 
is carrying out the duties described in this section by not 
later than January 1, 2011. 
‘‘(3) CONSULTATION.—In carrying out the duties under this 
section, the CMI shall consult representatives of relevant Fed-
eral agencies, and clinical and analytical experts with expertise 
in medicine and health care management. The CMI shall use 
open door forums or other mechanisms to seek input from 
interested parties. 
‘‘(4) DEFINITIONS.—In this section: 
‘‘(A) APPLICABLE
INDIVIDUAL.—The term ‘applicable 
individual’ means— 
‘‘(i) an individual who is entitled to, or enrolled 
for, benefits under part A of title XVIII or enrolled 
for benefits under part B of such title; 
‘‘(ii) an individual who is eligible for medical assist-
ance under title XIX, under a State plan or waiver; 
or 
‘‘(iii) an individual who meets the criteria of both 
clauses (i) and (ii). 
‘‘(B) APPLICABLE
TITLE.—The term ‘applicable title’ 
means title XVIII, title XIX, or both.
H. R. 3590—272 
‘‘(b) TESTING OF MODELS (PHASE I).— 
‘‘(1) IN GENERAL.—The CMI shall test payment and service 
delivery models in accordance with selection criteria under 
paragraph (2) to determine the effect of applying such models 
under the applicable title (as defined in subsection (a)(4)(B)) 
on program expenditures under such titles and the quality 
of care received by individuals receiving benefits under such 
title. 
‘‘(2) SELECTION OF MODELS TO BE TESTED.— 
‘‘(A) IN GENERAL.—The Secretary shall select models 
to be tested from models where the Secretary determines 
that there is evidence that the model addresses a defined 
population for which there are deficits in care leading 
to poor clinical outcomes or potentially avoidable expendi-
tures. The models selected under the preceding sentence 
may include the models described in subparagraph (B). 
‘‘(B) OPPORTUNITIES.—The models described in this 
subparagraph are the following models: 
‘‘(i) Promoting broad payment and practice reform 
in primary care, including patient-centered medical 
home models for high-need applicable individuals, med-
ical homes that address women’s unique health care 
needs, and models that transition primary care prac-
tices away from fee-for-service based reimbursement 
and toward comprehensive payment or salary-based 
payment. 
‘‘(ii) Contracting directly with groups of providers 
of services and suppliers to promote innovative care 
delivery models, such as through risk-based com-
prehensive payment or salary-based payment. 
‘‘(iii) Utilizing geriatric assessments and com-
prehensive care plans to coordinate the care (including 
through interdisciplinary teams) of applicable individ-
uals with multiple chronic conditions and at least one 
of the following: 
‘‘(I) An inability to perform 2 or more activities 
of daily living. 
‘‘(II) 
Cognitive 
impairment, 
including 
dementia. 
‘‘(iv) Promote care coordination between providers 
of services and suppliers that transition health care 
providers away from fee-for-service based reimburse-
ment and toward salary-based payment. 
‘‘(v) Supporting care coordination for chronically- 
ill applicable individuals at high risk of hospitalization 
through a health information technology-enabled pro-
vider network that includes care coordinators, a chronic 
disease registry, and home tele-health technology. 
‘‘(vi) Varying payment to physicians who order 
advanced diagnostic imaging services (as defined in 
section 1834(e)(1)(B)) according to the physician’s 
adherence to appropriateness criteria for the ordering 
of such services, as determined in consultation with 
physician specialty groups and other relevant stake-
holders.