ficiaries, including such standards and points 
with respect to the following: 
‘‘(i) Annual wellness visit. 
‘‘(ii) Tobacco cessation. 
‘‘(iii) Body Mass Index (BMI). 
‘‘(iv) Diabetes screening test. 
‘‘(v) Cardiovascular disease screening. 
‘‘(vi) Cholesterol level screening. 
‘‘(vii) Screening tests and specified 
vaccinations. 
‘‘(B) 
CONSULTATION.—In 
establishing 
standards and points for achieving such stand-
ards under this subsection, the Secretary— 
‘‘(i) shall consult with 1 or more na-
tionally recognized health care quality or-
ganizations, as determined appropriate by 
the Secretary; and 
‘‘(ii) may consult with physicians and 
other professionals experienced with well-
ness programs. 
‘‘(C) POINTS.—The number of points 
awarded for a year for achieving standards with 
respect to each of the targets described in 
clauses (i) through (vii) of subparagraph (A) 
shall not exceed 5. Such points may be awarded 
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on a sliding scale, based on standards estab-
lished under this subsection, as determined ap-
propriate by the Secretary. 
‘‘(2) MODIFICATION OF BETTER HEALTH TAR-
GET STANDARDS AND ASSIGNED POINTS.— 
‘‘(A) IN
GENERAL.—The Secretary may 
modify standards for measuring better health 
targets and, subject to paragraph (1)(C), points 
for achieving such standards for participating 
Medicare beneficiaries under this subsection. 
‘‘(B) 
CONSULTATION.—In 
modifying 
standards and points for achieving such stand-
ards under this paragraph, the Secretary— 
‘‘(i) shall consult with 1 or more na-
tionally recognized health care quality or-
ganizations, as determined appropriate by 
the Secretary; and 
‘‘(ii) may consult with physicians and 
other professionals experienced with well-
ness programs. 
‘‘(d) CONDUCT OF PROGRAM.— 
‘‘(1) DURATION.— 
‘‘(A) IN
GENERAL.—Subject to subpara-
graph (B), the Program shall be conducted for 
not less than a 3-year period. 
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‘‘(B) EXPANSION.—The Secretary shall ex-
pand the duration and scope of the Program, to 
the extent determined appropriate by the Sec-
retary, if— 
‘‘(i) the Secretary determines that 
such expansion is expected to— 
‘‘(I) reduce spending under this 
title without reducing the quality of 
care; or 
‘‘(II) improve the quality of care 
and reduce spending; 
‘‘(ii) the Chief Actuary of the Centers 
for Medicare & Medicaid Services certifies 
that such expansion would reduce program 
spending under this title; and 
‘‘(iii) the Secretary determines that 
such expansion would not deny or limit the 
coverage or provision of benefits under this 
title for individuals. 
‘‘(2) COLLECTION
AND
USE
OF
BASELINE 
DATA.—During the first year of the Program, a 
health professional shall establish and report to the 
Secretary baseline information for each participating 
Medicare beneficiary who is a patient of the health 
professional as part of that beneficiary’s first year 
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