SEC. 193. OTHER LAWS.
(a) Nothing in this title shall be deemed to alter or
amend in any way the provisions of existing law (including
the Reform Act) relating to the program of annuities,
other retirement benefits, or medical benefits for members
and officers, retired members and officers, and survivors
thereof, of the United States Park Police force, the United
States Secret Service, or the United States Secret Service
Uniformed Division.
(b) This title supersedes any provision of the Reform
Act inconsistent with this title and the regulations there-
under.
(c) Notwithstanding section 144 of the Reform Act,
no Federal payment is authorized to be appropriated to
the Retirement Fund after fiscal year 1997.
SEC. 194. COMPTROLLER GENERAL.
(a) The Comptroller General of the United States is
authorized to conduct evaluations of the administration of
this title to ensure that the Retirement Trust and Federal
Supplemental Fund are being properly administered and
shall report the findings of such evaluations to the Sec-
retary and the Congress.
(b) For the purpose of evaluations and reviews under
subsection (a) the Comptroller General, subject to section
6103 of the Code, shall have access to and the right to
copy any books, accounts, records, correspondence or
other pertinent documents that are in the possession of
the Secretary or the Trustee, or any contractor or sub-
contractor of the Secretary or the Trustee.
TITLE II—ASSISTANCE UNDER
MEDICAID PROGRAM
SEC. 201. FINDINGS.
Congress finds the following:
(1) The District of Columbia has a high Medic-
aid eligibility rate.
(2) As an urban jurisdiction with a high pov-
erty rate and a segment of very high income popu-
lation, the District of Columbia per capita income
provides a misleading basis on which to set medical
assistance rates, as the District lacks the rural and
suburban populations that all states have and which
tend to offset high urban Medicaid eligible popu-
lations.
(3) The current medical assistance rate of 50
percent unfairly treats the District of Columbia as
if it were a state when it does not possess the req-
uisite attributes of the states under the formula used
to determine assistance rates.
(4) The size and growth of the Medicaid pro-
gram severely impacts the District government’s fis-
cal and financial situation, threatening both the fis-
cal stability of the District government and the wel-
fare of District residents.
(5) The District of Columbia has historically
underperformed its duties and responsibilities to ad-
minister its Medicaid program efficiently and effec-
tively.
(6) The District of Columbia must significantly
improve its management and administration of the
Medicaid program.
(7) If the District of Columbia government has
designed a management improvement program and
is successfully implementing it to the best of its abil-
ity as certified by the Secretary of Health and
Human Services, the District should be eligible for
an increased medical assistance rate.
SEC. 202. INCREASE IN FEDERAL MEDICAL ASSISTANCE
PERCENTAGE UNDER MEDICAID.
(a) IN GENERAL.—Section 1905 of the Social Secu-
rity Act (42 U.S.C. 1396d) is amended by adding at the
end the following new subsection:
‘‘(t)(1) Notwithstanding subsection (b), the Federal
medical assistance percentage applied under this title for
medical assistance provided by the District of Columbia
shall be increased to 70 percent for calendar quarters in
any fiscal year for which there is in effect a certification
by the Secretary that the District of Columbia has devel-
oped and is implementing satisfactorily a plan to accom-
plish each of the following goals:
‘‘(A) To have in effect an effective system for
the identification and collection of amounts owed by
third parties for medical care and services furnished
under the State plan under this title (in this sub-
section referred to as the ‘DC medicaid plan’).
‘‘(B) To ensure the timely audit and settlement
of cost reports of institutional providers (including
hospitals, nursing facilities, and intermediate care
facilities for the mentally retarded) under the DC
medicaid plan, including prompt elimination of the
backlog of such audits and settlements.
‘‘(C) To develop and implement, directly or
under contract, a comprehensive health care man-
agement information system for the DC medicaid
plan that—
‘‘(i) standardizes data base development
and management,
‘‘(ii) integrates health care delivery with a
public health data system,
‘‘(iii) has the capacity to do all of the fol-
lowing:
‘‘(I) To assist with eligibility verifica-
tion.
‘‘(II) To create utilization and finan-
cial profiles of providers.
‘‘(III) To identify services (including
preventive services) received by bene-
ficiaries.
‘‘(IV) To monitor the claims process-
ing and other operations of fiscal agents.
‘‘(V) To monitor the quality of care
provided under managed care contracts.
‘‘(VI) To coordinate information man-
agement with other public health programs
and functions of the District of Columbia.
‘‘(D) To develop a comprehensive behavioral
managed health care system with respect to medical
assistance under the DC medicaid plan for mental
health services, substance abuse treatment services,
and other behavioral services which is integrated
with other substance abuse and mental health grant
programs of the District of Columbia, and which in-
cludes the development of a pilot project for better
evaluation of inpatient acute psychiatric patient ad-
missions and the use (through managed care con-
tracts or otherwise) of a comprehensive risk-based
system for managed care of behavioral health which
covers all eligible populations and services.
‘‘(2) Upon first issuing a certification under para-
graph (1) that the District of Columbia has developed and
is implementing satisfactorily a plan described in such
paragraph, the Secretary shall submit a report to Con-
gress describing the process by which the Secretary made
the certification (including the specific assurances made
by the District of Columbia), and shall thereafter submit
a report to Congress on a semiannual basis describing the
actions taken by the District of Columbia to comply with
each of the requirements of the plan.’’.
(b) EFFECTIVE DATE.—The amendments made by
subsection (a) shall apply to medical assistance in calendar
quarters beginning on or after the later of—
(1) October 1, 1997; or
(2) the first day of the first calendar quarter
beginning after the date on which the Secretary of
Health and Human Services first issues a certifi-
cation under section 1905(t)(1) of the Social Secu-
rity Act (as added by subsection (a)).