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(F) 
Section 
1842(b)(3) 
(42 
U.S.C.
1395u(b)(3)) is amended in the matter preceding
subparagraph (A) by inserting ‘‘(as appropriate)’’
after ‘‘contract’’.
(G) 
Section 
1842(b)(7)(A) 
(42 
U.S.C.
1395u(b)(7)(A)) is amended in the matter preceding
clause (i) by striking ‘‘the carrier’’ and inserting ‘‘a
carrier’’.
(H) 
Section 
1842(b)(11)(A) 
(42 
U.S.C.
1395u(b)(11)(A)) is amended in the matter preced-
ing clause (i) by inserting ‘‘(as appropriate)’’ after
‘‘each carrier’’.
(I) Section 1842(h)(2) (42 U.S.C. 1395u(h)(2))
is amended in the first sentence by inserting ‘‘(as
appropriate)’’ after ‘‘shall’’.
(J) 
Section 
1842(h)(5)(A) 
(42 
U.S.C.
1395u(h)(5)(A)) is amended by inserting ‘‘(as ap-
propriate)’’ after ‘‘carriers’’.
(7)(A) 
Section 
1816(c)(2)(C) 
(42 
U.S.C.
1395h(c)(2)(C)) is amended by striking ‘‘hospital,
rural primary care hospital, skilled nursing facility,
home health agency, hospice program, comprehen-
sive outpatient rehabilitation facility, or rehabilita-
tion agency’’ and inserting ‘‘provider of services’’.
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(B) Section 1816(j) (42 U.S.C. 1395h)(j)) is
amended in the matter preceding paragraph (1) by
striking ‘‘for home health services, extended care
services, or post-hospital extended care services’’.
(8) Section 1842(a)(3) (42 U.S.C. 1395u(a)(3))
is amended by inserting ‘‘(to and from individuals
enrolled under this part and to and from physicians
and other entities that furnish items and services)’’
after ‘‘communication’’.
(c) ELIMINATION OF SPECIAL PROVISIONS FOR TER-
MINATIONS OF CONTRACTS.—
(1) Section 1816(b) (42 U.S.C. 1395h(b)) is
amended in the matter preceding paragraph (1) is
amended by striking ‘‘or renew’’.
(2) The last sentence of section 1816(c)(1) (42
U.S.C. 1395h(c)(1)) is amended by striking ‘‘or re-
newing’’.
(3) Section 1816(f)(1) (42 U.S.C. 1395h(f)(1))
is amended—
(A) by striking ‘‘, renew, or terminate’’,
and
(B) by striking ‘‘, whether the Secretary
should assign or reassign a provider of services
to an agency or organization,’’.
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(4) Section 1816(g) (42 U.S.C. 1395h(g)) is re-
pealed.
(5) The last sentence of section 1842(b)(2)(A)
(42 U.S.C. 1395u(b)(2)(A)) is amended by striking
‘‘or renewing’’.
(6) Section 1842(b) (42 U.S.C. 1395u(b)) is
amended by striking paragraph (5).
(d) REPEAL OF FISCAL INTERMEDIARY REQUIRE-
MENTS
THAT
ARE
NOT
COST-EFFECTIVE.—Section
1816(f)(2) (42 U.S.C. 1395h(f)(2)) is amended to read
as follows:
‘‘(2) The contract performance requirements
developed under paragraph (1) shall include, with
respect to claims for services furnished under this
part by any provider of services other than a hos-
pital, whether such agency or organization is able to
process 75 percent of reconsiderations within 60
days and 90 percent of reconsiderations within 90
days.’’.
(e) REPEAL OF COST REIMBURSEMENT REQUIRE-
MENTS.—
(1) The first sentence of section 1816(c)(1) (42
U.S.C. 1395h(c)(1)) is amended—
(A) by striking the comma after ‘‘appro-
priate’’ and inserting ‘‘and’’, and
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(B) by striking ‘‘subsection (a)’’ and all
that follows through the period and inserting
‘‘subsection (a).’’.
(2) Section 1816(c)(1) (42 U.S.C. 1395h(c)(1))
is further amended by striking the second and third
sentences.
(3) The first sentence of section 1842(c)(1) (42
U.S.C. 1395u(c)(1)) is amended—
(A) by striking ‘‘shall provide’’ the first
place it appears and inserting ‘‘may provide’’,
and
(B) by striking ‘‘this part’’ and all that fol-
lows through the period and inserting ‘‘this
part.’’.
(4) Section 1842(c)(1) (42 U.S.C. 1395u(c)(1))
is further amended by striking the second and third
sentences.
(5) Section 2326(a) of the Deficit Reduction
Act of 1984 is repealed.
(f) COMPETITION REQUIRED FOR NEW CONTRACTS
AND IN CASES OF POOR PERFORMANCE.—
(1) Section 1816(c) (42 U.S.C. 1395h(c)) is
amended by adding at the end the following new
paragraph: