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-EMERGENT
AMBULANCE
TRANS-
PORTS.— 
‘‘(A) IN GENERAL.—Beginning January 1, 
2017, if the expansion to all States of the 
model of prior authorization described in para-
graph (2) of section 18(a) of the Protecting the 
Integrity of Medicare Act of 2015 meets the re-
quirements described in paragraphs (1) through 
(3) of section 1115A(c), then the Secretary 
shall expand such model to all States. 
‘‘(B) FUNDING.—The Secretary shall use 
funds made available under section 1893(h)(10) 
to carry out this paragraph. 
‘‘(C) CLARIFICATION REGARDING BUDGET 
NEUTRALITY.—Nothing in this paragraph may 
be construed to limit or modify the application 
of section 1115A(b)(3)(B) to models described 
in such section, including with respect to the 
model described in subparagraph (A) and ex-
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panded beginning on January 1, 2017, under 
such subparagraph.’’. 
SEC. 18. 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.’’. 
(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. 19. 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 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) 
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(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 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. 20. REMOVING FUNDS FOR MEDICARE IMPROVEMENT 
FUND ADDED BY IMPACT ACT OF 2014. 
Section 1898(b)(1) of the Social Security Act (42 
U.S.C. 1395iii(b)(1)), as amended by section 3(e)(3) of 
the IMPACT Act of 2014 (Public Law 113–185), is 
amended by striking ‘‘$195,000,000’’ and inserting ‘‘$0’’. 
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-
ment rulemaking in the implementation of the provisions 
of, and the amendments made by, this Act. 
Æ 
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