(1) provide healthcare services to individuals 
who voluntarily enroll to receive such services for 
multi-year periods from the HIZ; and 
(2) provide comprehensive healthcare services, 
as described in subsection (f). 
(f) COMPREHENSIVE HEALTHCARE SERVICES.—The 
comprehensive healthcare services referred to in sub-
section (e)(2) shall consist of hospital care, physician serv-
ices, post-acute care, preventive care, education, tertiary 
and quaternary care, and palliative care, and shall include 
the following: 
(1) For a primary care practice, contractual 
agreements with practices that deliver both primary 
and preventive care. 
(2) For a teaching hospital or other hospital, 
arrangements with teaching and nonteaching hos-
pitals and arrangements with community hospitals. 
(3) For a network of outpatient facilities, ar-
rangements with outpatient facilities, including Fed-
erally Qualified Health Centers and community 
health providers. 
(4) For a network of post-acute care providers, 
arrangements with post-acute care providers for re-
habilitation services, home health services, hospice 
services, skilled nursing services, and such other 
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post-acute care services as the Secretary determines 
to be appropriate. 
(5) For a network of community services, ar-
rangements for the provision of ambulance services 
and community outreach service. 
(6) Arrangements for the provision such addi-
tional services as the Secretary may require. 
(g) PAYMENT.—The Secretary may determine the 
payments that are required to be made for receipt of 
healthcare services provided under a model plan imple-
mented with a grant under this section. The Secretary 
shall determine those amounts based on the methodology 
options submitted through the grant program established 
under section 3. 
(h) ASSUMPTION OF FINANCIAL RISK FOR COSTS 
ABOVE HIZ PAYMENT AMOUNTS.—An HIZ established 
under this section shall assume the full financial risk for 
the costs of healthcare services delivered to an individual 
receiving services from the HIZ that are in excess of any 
payments made to the HIZ and must have sufficient re-
serves to accommodate any such additional costs. 
(i) WAIVER OF RIGHTS TO PAYMENT UNDER PRI-
VATE OR PUBLIC PROGRAMS.—An HIZ established with 
amounts provided under this section shall waive any right 
to additional reimbursement under any Federal healthcare 
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entitlement program, including under titles XVIII and 
XIX of the Social Security Act (42 U.S.C. 1395 et seq.; 
42 U.S.C. 1396 et seq.), and under any group health plan 
or from any health insurance issuer offering group or indi-
vidual health insurance coverage for healthcare services 
furnished to an individual receiving healthcare services 
from the HIZ and for which payment is made under this 
subsection for such services. 
(j) SCORING COST SAVINGS.—The Secretary shall 
collaborate with the Government Accountability Office in 
scoring the healthcare costs and savings associated with 
implementing HIZs on a nationwide basis. 
(k) WAIVER.—Any requirements under titles XI and 
XVIII of the Social Security Act (42 U.S.C. 1301 et seq.; 
42 U.S.C. 1395 et seq.), or under any other provision of 
law that would preclude the establishment or operation of 
an HIZ under this section, shall not apply with respect 
to such establishment or operation. 
(l) REPORTS.— 
(1) HIZ REPORT.—An entity that establishes 
an HIZ under this section shall submit to the Sec-
retary a report that describes and evaluates the ac-
tivities of the HIZ. 
(2) SECRETARY REPORT.—The Secretary shall 
submit to Congress an evaluation of the current sta-
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tus of the demonstration program within 6 months 
after the end of the first year of the demonstration 
program, and every 6 months thereafter until the 
end of the demonstration program. 
Æ 
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