180
(i) in the matter before sub-
paragraph (A), by striking ‘‘Each 
such contract shall provide that 
the carrier’’ and inserting ‘‘The 
Secretary’’; 
(ii) by striking ‘‘will’’ the first 
place it appears in each of sub-
paragraphs (A), (B), (F), (G), (H), 
and (L) and inserting ‘‘shall’’; 
(iii) in subparagraph (B), in 
the matter before clause (i), by 
striking ‘‘to the policyholders and 
subscribers of the carrier’’ and in-
serting ‘‘to the policyholders and 
subscribers of the medicare ad-
ministrative contractor’’; 
(iv) by striking subparagraphs 
(C), (D), and (E); 
(v) in subparagraph (H)—
(I) by striking ‘‘if it makes 
determinations or payments 
with respect to physicians’ 
services,’’ in the matter pre-
ceding clause (i); and
181
(II) by striking ‘‘carrier’’ 
and inserting ‘‘medicare ad-
ministrative 
contractor’’ 
in 
clause (i); 
(vi) by striking subparagraph 
(I); 
(vii) in subparagraph (L), by 
striking the semicolon and insert-
ing a period; 
(viii) in the first sentence, 
after subparagraph (L), by strik-
ing ‘‘and shall contain’’ and all 
that follows through the period; 
and 
(ix) in the seventh sentence, 
by inserting ‘‘medicare adminis-
trative contractor,’’ after ‘‘car-
rier,’’; and 
(D) by striking paragraph (5); 
(E) in paragraph (6)(D)(iv), by 
striking 
‘‘carrier’’ 
and 
inserting 
‘‘medicare administrative contractor’’; 
and
182
(F) in paragraph (7), by striking 
‘‘the carrier’’ and inserting ‘‘the Sec-
retary’’ each place it appears. 
(4) Subsection (c) is amended—
(A) by striking paragraph (1); 
(B) in paragraph (2)(A), by strik-
ing 
‘‘contract 
under 
this 
section 
which provides for the disbursement 
of funds, as described in subsection 
(a)(1)(B),’’ 
and 
inserting 
‘‘contract 
under section 1874A that provides for 
making payments under this part’’; 
(C) in paragraph (3)(A), by strik-
ing ‘‘subsection (a)(1)(B)’’ and insert-
ing ‘‘section 1874A(a)(3)(B)’’; 
(D) in paragraph (4), in the mat-
ter preceding subparagraph (A), by 
striking 
‘‘carrier’’ 
and 
inserting 
‘‘medicare administrative contractor’’; 
and 
(E) by striking paragraphs (5) and 
(6). 
(5) Subsections (d), (e), and (f) are re-
pealed.
183
(6) Subsection (g) is amended by 
striking ‘‘carrier or carriers’’ and insert-
ing ‘‘medicare administrative contractor 
or contractors’’. 
(7) Subsection (h) is amended—
(A) in paragraph (2)—
(i) by striking ‘‘Each carrier 
having an agreement with the 
Secretary under subsection (a)’’ 
and inserting ‘‘The Secretary’’; 
and 
(ii) by striking ‘‘Each such 
carrier’’ and inserting ‘‘The Sec-
retary’’; 
(B) in paragraph (3)(A)—
(i) by striking ‘‘a carrier hav-
ing an agreement with the Sec-
retary under subsection (a)’’ and 
inserting ‘‘medicare administra-
tive contractor having a contract 
under section 1874A that provides 
for making payments under this 
part’’; and 
(ii) by striking ‘‘such carrier’’ 
and inserting ‘‘such contractor’’;
184
(C) in paragraph (3)(B)—
(i) by striking ‘‘a carrier’’ and 
inserting ‘‘a medicare administra-
tive contractor’’ each place it ap-
pears; and 
(ii) by striking ‘‘the carrier’’ 
and inserting ‘‘the contractor’’ 
each place it appears; and 
(D) 
in 
paragraphs 
(5)(A) 
and 
(5)(B)(iii), by striking ‘‘carriers’’ and 
inserting 
‘‘medicare 
administrative 
contractors’’ each place it appears. 
(8) Subsection (l) is amended—
(A) in paragraph (1)(A)(iii), by 
striking 
‘‘carrier’’ 
and 
inserting 
‘‘medicare administrative contractor’’; 
and 
(B) in paragraph (2), by striking 
‘‘carrier’’ and inserting ‘‘medicare ad-
ministrative contractor’’. 
(9) Subsection (p)(3)(A) is amended by 
striking ‘‘carrier’’ and inserting ‘‘medi-
care administrative contractor’’. 
(10) Subsection (q)(1)(A) is amended 
by striking ‘‘carrier’’.