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SEC. 416. ADJUSTMENT TO THE MEDICARE INPATIENT HOS-
PITAL PPS WAGE INDEX TO REVISE THE 
LABOR-RELATED SHARE OF SUCH INDEX. 
(a) IN GENERAL.—Section 1886(d)(3)(E) (42 U.S.C. 
1395ww(d)(3)(E)) is amended—
(1) by striking ‘‘WAGE
LEVELS.—The Sec-
retary’’ and inserting ‘‘WAGE LEVELS.—
‘‘(i) IN GENERAL.—Except as provided in 
clause (ii), the Secretary’’; and 
(2) by adding at the end the following new 
clause: 
‘‘(ii) ALTERNATIVE
PROPORTION
TO
BE 
ADJUSTED BEGINNING IN FISCAL YEAR 2004.—
‘‘(I) IN
GENERAL.—Except as pro-
vided in subclause (II), for discharges oc-
curring on or after October 1, 2003, the 
Secretary shall substitute the ‘62 percent’ 
for the proportion described in the first 
sentence of clause (i). 
‘‘(II) HOLD HARMLESS FOR CERTAIN 
HOSPITALS.—If the application of sub-
clause (I) would result in lower payments 
to a hospital than would otherwise be 
made, then this subparagraph shall be ap-
plied as if this clause had not been en-
acted.’’.
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(b) 
WAIVING
BUDGET
NEUTRALITY.—Section 
1886(d)(3)(E) (42 U.S.C. 1395ww(d)(3)(E)), as amended 
by subsection (a), is amended by adding at the end of 
clause (i) the following new sentence: ‘‘The Secretary shall 
apply the previous sentence for any period as if the 
amendments made by section 402(a) of the Medicare Pre-
scription Drug and Modernization Act of 2003 had not 
been enacted.’’. 
SEC. 417. MEDICARE INCENTIVE PAYMENT PROGRAM IM-
PROVEMENTS FOR PHYSICIAN SCARCITY. 
(a) ADDITIONAL BONUS PAYMENT
FOR CERTAIN 
PHYSICIAN SCARCITY AREAS.—
(1) IN
GENERAL.—Section 1833 (42 U.S.C. 
1395l) is amended by adding at the end the fol-
lowing new subsection: 
‘‘(u) INCENTIVE PAYMENTS FOR PHYSICIAN SCAR-
CITY AREAS.—
‘‘(1) IN GENERAL.—In the case of physicians’ 
services furnished in a year—
‘‘(A) by a primary care physician in a pri-
mary care scarcity county (identified under 
paragraph (4)); or 
‘‘(B) by a physician who is not a primary 
care physician in a specialist care scarcity coun-
ty (as so identified),
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in addition to the amount of payment that would 
otherwise be made for such services under this part, 
there also shall be paid an amount equal to 5 per-
cent of the payment amount for the service under 
this part. 
‘‘(2) DETERMINATION
OF
RATIOS
OF
PHYSI-
CIANS
TO
MEDICARE
BENEFICIARIES
IN
AREA.—
Based upon available data, the Secretary shall peri-
odically determine, for each county or equivalent 
area in the United States, the following: 
‘‘(A) NUMBER OF PHYSICIANS PRACTICING 
IN THE AREA.—The number of physicians who 
furnish physicians’ services in the active prac-
tice of medicine or osteopathy in that county or 
area, other than physicians whose practice is 
exclusively for the Federal Government, physi-
cians who are retired, or physicians who only 
provide administrative services. Of such num-
ber, the number of such physicians who are—
‘‘(i) primary care physicians; or 
‘‘(ii) physicians who are not primary 
care physicians. 
‘‘(B) 
NUMBER
OF
MEDICARE
BENE-
FICIARIES RESIDING IN THE AREA.—The num-
ber of individuals who are residing in the coun-
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ty and are entitled to benefits under part A or 
enrolled under this part, or both. 
‘‘(C) DETERMINATION OF RATIOS.—
‘‘(i) PRIMARY CARE RATIO.—The ratio 
(in this paragraph referred to as the ‘pri-
mary care ratio’) of the number of primary 
care physicians (determined under sub-
paragraph (A)(i)), to number of medicare 
beneficiaries determined under subpara-
graph (B). 
‘‘(ii) SPECIALIST
CARE
RATIO.—The 
ratio (in this paragraph referred to as the 
‘specialist care ratio’) of the number of 
other physicians (determined under sub-
paragraph (A)(ii)), to number of medicare 
beneficiaries determined under subpara-
graph (B). 
‘‘(3) RANKING OF COUNTIES.—The Secretary 
shall rank each such county or area based separately 
on its primary care ratio and its specialist care ratio. 
‘‘(4) IDENTIFICATION OF COUNTIES.—The Sec-
retary shall identify—
‘‘(A) those counties and areas (in this 
paragraph referred to as ‘primary care scarcity 
counties’) with the lowest primary care ratios
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that represent, if each such county or area were 
weighted by the number of medicare bene-
ficiaries determined under paragraph (2)(B), an 
aggregate total of 20 percent of the total of the 
medicare beneficiaries determined under such 
paragraph; and 
‘‘(B) those counties and areas (in this sub-
section referred to as ‘specialist care scarcity 
counties’) with the lowest specialist care ratios 
that represent, if each such county or area were 
weighted by the number of medicare bene-
ficiaries determined under paragraph (2)(B), an 
aggregate total of 20 percent of the total of the 
medicare beneficiaries determined under such 
paragraph. 
There is no administrative or judicial review respect-
ing the identification of a county or area or the as-
signment of a specialty of any physician under this 
paragraph. 
‘‘(5) RURAL CENSUS TRACKS.—To the extent 
feasible, the Secretary shall treat a rural census 
tract of a metropolitan statistical area (as deter-
mined under the most recent modification of the 
Goldsmith Modification, originally published in the 
Federal Register on February 27, 1992 (57 Fed.
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Reg. 6725) as an equivalent area for purposes of 
qualifying as a primary care scarcity county or spe-
cialist care scarcity county under this subsection. 
‘‘(6) PHYSICIAN DEFINED.—For purposes of 
this paragraph, the term ‘physician’ means a physi-
cian described in section 1861(r)(1) and the term 
‘primary care physician’ means a physician who is 
identified in the available data as a general practi-
tioner, family practice practitioner, general internist, 
or obstetrician or gynecologist. 
‘‘(7) PUBLICATION OF LIST OF COUNTIES.—In 
carrying out this subsection for a year, the Secretary 
shall include, as part of the proposed and final rule 
to implement the physician fee schedule under sec-
tion 1848 for the year, a list of all areas which will 
qualify as a primary care scarcity county or spe-
cialist care scarcity county under this subsection for 
the year involved.’’. 
(2) EFFECTIVE DATE.—The amendments made 
by subsection (a) shall apply to physicians’ services 
furnished or after January 1, 2004. 
(b) IMPROVEMENT TO MEDICARE INCENTIVE PAY-
MENT PROGRAM.—
(1) IN GENERAL.—Section 1833(m) (42 U.S.C. 
1395l(m)) is amended—
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(A) by inserting ‘‘(1)’’ after ‘‘(m)’’; and 
(B) by adding at the end the following new 
paragraphs: 
‘‘(2) The Secretary shall establish procedures under 
which the Secretary, and not the physician furnishing the 
service, is responsible for determining when a payment is 
required to be made under paragraph (1). 
‘‘(3) In carrying out paragraph (1) for a year, the 
Secretary shall include, as part of the proposed and final 
rule to implement the physician fee schedule under section 
1848 for the year, a list of all areas which will qualify 
as a health professional shortage area under paragraph 
(1) for the year involved.’’. 
(2) EFFECTIVE DATE.—The amendments made 
by paragraph (1) shall apply to physicians’ services 
furnished or after January 1, 2004.
SEC. 418. RURAL HOSPICE DEMONSTRATION PROJECT. 
(a) IN GENERAL.—The Secretary shall conduct a 
demonstration project for the delivery of hospice care to 
medicare beneficiaries in rural areas. Under the project 
medicare beneficiaries who are unable to receive hospice 
care in the home for lack of an appropriate caregiver are 
provided such care in a facility of 20 or fewer beds which 
offers, within its walls, the full range of services provided
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by hospice programs under section 1861(dd) of the Social 
Security Act (42 U.S.C. 1395x(dd)). 
(b) SCOPE OF PROJECT.—The Secretary shall con-
duct the project under this section with respect to no more 
than 3 hospice programs over a period of not longer than 
5 years each. 
(c) COMPLIANCE
WITH CONDITIONS.—Under the 
demonstration project—
(1) the hospice program shall comply with oth-
erwise applicable requirements, except that it shall 
not be required to offer services outside of the home 
or 
to 
meet 
the 
requirements 
of 
section 
1861(dd)(2)(A)(iii) of the Social Security Act; and 
(2) payments for hospice care shall be made at 
the rates otherwise applicable to such care under 
title XVIII of such Act. 
The Secretary may require the program to comply with 
such additional quality assurance standards for its provi-
sion of services in its facility as the Secretary deems ap-
propriate. 
(d) REPORT.—Upon completion of the project, the 
Secretary shall submit a report to Congress on the project 
and shall include in the report recommendations regarding 
extension of such project to hospice programs serving 
rural areas.
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TITLE V—PROVISIONS 
RELATING TO PART A 
Subtitle A—Inpatient Hospital 
Services 
SEC. 501. REVISION OF ACUTE CARE HOSPITAL PAYMENT 
UPDATES. 
Section 
1886(b)(3)(B)(i) 
(42 
U.S.C. 
1395ww(b)(3)(B)(i)) is amended—
(1) by striking ‘‘and’’ at the end of subclause 
(XVIII); 
(2) by striking subclause (XIX); and 
(3) by inserting after subclause (XVIII) the fol-
lowing new subclauses: 
‘‘(XIX) for each of fiscal years 2004 through 
2006, the market basket percentage increase minus 
0.4 percentage points for hospitals in all areas; and 
‘‘(XX) for fiscal year 2007 and each subsequent 
fiscal year, the market basket percentage increase 
for hospitals in all areas.’’.
SEC. 502. RECOGNITION OF NEW MEDICAL TECHNOLOGIES 
UNDER INPATIENT HOSPITAL PPS. 
(a) IMPROVING TIMELINESS
OF DATA COLLEC-
TION.—Section 
1886(d)(5)(K) 
(42 
U.S.C. 
1395ww(d)(5)(K)) is amended by adding at the end the 
following new clause:
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‘‘(vii) Under the mechanism under this subpara-
graph, the Secretary shall provide for the addition of new 
diagnosis and procedure codes in April 1 of each year, but 
the addition of such codes shall not require the Secretary 
to adjust the payment (or diagnosis-related group classi-
fication) under this subsection until the fiscal year that 
begins after such date.’’. 
(b) ELIGIBILITY
STANDARD
FOR
TECHNOLOGY 
OUTLIERS.—
(1) MINIMUM
PERIOD
FOR
RECOGNITION
OF 
NEW
TECHNOLOGIES.—Section 
1886(d)(5)(K)(vi) 
(42 U.S.C. 1395ww(d)(5)(K)(vi)) is amended—
(A) by inserting ‘‘(I)’’ after ‘‘(vi)’’; and 
(B) by adding at the end the following new 
subclause: 
‘‘(II) Under such criteria, a service or technology 
shall not be denied treatment as a new service or tech-
nology on the basis of the period of time in which the serv-
ice or technology has been in use if such period ends before 
the end of the 2-to-3-year period that begins on the effec-
tive date of implementation of a code under ICD–9–CM 
(or a successor coding methodology) that enables the iden-
tification of specific discharges in which the service or 
technology has been used.’’.
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(2) ADJUSTMENT
OF
THRESHOLD.—Section 
1886(d)(5)(K)(ii)(I) 
(42 
U.S.C. 
1395ww(d)(5)(K)(ii)(I)) is amended by inserting 
‘‘(applying a threshold specified by the Secretary 
that is the lesser of 75 percent of the standardized 
amount (increased to reflect the difference between 
cost and charges) or 75 percent of one standard de-
viation for the diagnosis-related group involved)’’ 
after ‘‘is inadequate’’. 
(3) CRITERION
FOR
SUBSTANTIAL
IMPROVE-
MENT.—Section 
1886(d)(5)(K)(vi) 
(42 
U.S.C. 
1395ww(d)(5)(K)(vi)), as amended by paragraph 
(1), is further amended by adding at the end the fol-
lowing subclause: 
‘‘(III) The Secretary shall by regulation provide for 
further clarification of the criteria applied to determine 
whether a new service or technology represents an advance 
in medical technology that substantially improves the diag-
nosis or treatment of beneficiaries. Under such criteria, 
in determining whether a new service or technology rep-
resents an advance in medical technology that substan-
tially improves the diagnosis or treatment of beneficiaries, 
the Secretary shall deem a service or technology as meet-
ing such requirement if the service or technology is a drug 
or biological that is designated under section 506 of the
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Federal Food, Drug, and Cosmetic Act, approved under 
section 314.510 or 601.41 of title 21, Code of Federal 
Regulations, or designated for priority review when the 
marketing application for such drug or biological was filed 
or is a medical device for which an exemption has been 
granted under section 520(m) of such Act, or for which 
priority review has been provided under section 515(d)(5) 
of such Act. Nothing in this subclause shall be construed 
as effecting the authority of the Secretary to determine 
whether items and services are medically necessary and 
appropriate under section 1862(a)(1).’’. 
(4) PROCESS
FOR
PUBLIC
INPUT.—Section 
1886(d)(5)(K) (42 U.S.C. 1395ww(d)(5)(K)), as 
amended by paragraph (1), is amended—
(A) in clause (i), by adding at the end the 
following: ‘‘Such mechanism shall be modified 
to meet the requirements of clause (viii).’’; and 
(B) by adding at the end the following new 
clause: 
‘‘(viii) The mechanism established pursuant to clause 
(i) shall be adjusted to provide, before publication of a 
proposed rule, for public input regarding whether a new 
service or technology not described in the second sentence 
of clause (vi)(III) represents an advance in medical tech-
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nology that substantially improves the diagnosis or treat-
ment of beneficiaries as follows: 
‘‘(I) The Secretary shall make public and peri-
odically update a list of all the services and tech-
nologies for which an application for additional pay-
ment under this subparagraph is pending. 
‘‘(II) The Secretary shall accept comments, rec-
ommendations, and data from the public regarding 
whether the service or technology represents a sub-
stantial improvement. 
‘‘(III) The Secretary shall provide for a meeting 
at which organizations representing hospitals, physi-
cians, medicare beneficiaries, manufacturers, and 
any other interested party may present comments, 
recommendations, and data to the clinical staff of 
the Centers for Medicare & Medicaid Services before 
publication of a notice of proposed rulemaking re-
garding whether service or technology represents a 
substantial improvement.’’. 
(c) PREFERENCE FOR USE OF DRG ADJUSTMENT.—
Section 1886(d)(5)(K) (42 U.S.C. 1395ww(d)(5)(K)) is 
further amended by adding at the end the following new 
clause: 
‘‘(ix) Before establishing any add-on payment under 
this subparagraph with respect to a new technology, the
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Secretary shall seek to identify one or more diagnosis-re-
lated groups associated with such technology, based on 
similar clinical or anatomical characteristics and the cost 
of the technology. Within such groups the Secretary shall 
assign an eligible new technology into a diagnosis-related 
group where the average costs of care most closely approx-
imate the costs of care of using the new technology. No 
add-on payment under this subparagraph shall be made 
with respect to such new technology and this clause shall 
not affect the application of paragraph (4)(C)(iii).’’. 
(d) IMPROVEMENT IN PAYMENT FOR NEW TECH-
NOLOGY.—Section 
1886(d)(5)(K)(ii)(III) 
(42 
U.S.C. 
1395ww(d)(5)(K)(ii)(III)) is amended by inserting after 
‘‘the estimated average cost of such service or technology’’ 
the following: ‘‘(based on the marginal rate applied to 
costs under subparagraph (A))’’. 
(e) ESTABLISHMENT OF NEW FUNDING FOR HOS-
PITAL INPATIENT TECHNOLOGY.—
(1) 
IN
GENERAL.—Section 
1886(d)(5)(K)(ii)(III) 
(42 
U.S.C. 
1395ww(d)(5)(K)(ii)(III)) is amended by striking 
‘‘subject to paragraph (4)(C)(iii),’’. 
(2) NOT BUDGET NEUTRAL.—There shall be no 
reduction or other adjustment in payments under 
section 1886 of the Social Security Act because an
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additional payment is provided under subsection 
(d)(5)(K)(ii)(III) of such section. 
(f) EFFECTIVE DATE.—
(1) IN GENERAL.—The Secretary shall imple-
ment the amendments made by this section so that 
they apply to classification for fiscal years beginning 
with fiscal year 2005. 
(2) RECONSIDERATIONS OF APPLICATIONS FOR 
FISCAL YEAR 2004 THAT ARE DENIED.—In the case 
of an application for a classification of a medical 
service or technology as a new medical service or 
technology under section 1886(d)(5)(K) of the Social 
Security Act (42 U.S.C. 1395ww(d)(5)(K)) that was 
filed for fiscal year 2004 and that is denied—
(A) the Secretary shall automatically re-
consider the application as an application for 
fiscal year 2005 under the amendments made 
by this section; and 
(B) the maximum time period otherwise 
permitted for such classification of the service 
or technology shall be extended by 12 months. 
SEC. 503. INCREASE IN FEDERAL RATE FOR HOSPITALS IN 
PUERTO RICO. 
Section 1886(d)(9) (42 U.S.C. 1395ww(d)(9)) is 
amended—
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(1) in subparagraph (A)—
(A) in clause (i), by striking ‘‘for dis-
charges beginning on or after October 1, 1997, 
50 percent (and for discharges between October 
1, 1987, and September 30, 1997, 75 percent)’’ 
and inserting ‘‘the applicable Puerto Rico per-
centage (specified in subparagraph (E))’’; and 
(B) in clause (ii), by striking ‘‘for dis-
charges beginning in a fiscal year beginning on 
or after October 1, 1997, 50 percent (and for 
discharges between October 1, 1987, and Sep-
tember 30, 1997, 25 percent)’’ and inserting 
‘‘the applicable Federal percentage (specified in 
subparagraph (E))’’; and 
(2) by adding at the end the following new sub-
paragraph: 
‘‘(E) For purposes of subparagraph (A), for dis-
charges occurring—
‘‘(i) on or after October 1, 1987, and before Oc-
tober 1, 1997, the applicable Puerto Rico percentage 
is 75 percent and the applicable Federal percentage 
is 25 percent; 
‘‘(ii) on or after October 1, 1997, and before 
October 1, 2003, the applicable Puerto Rico percent-
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age is 50 percent and the applicable Federal per-
centage is 50 percent; 
‘‘(iii) during fiscal year 2004, the applicable 
Puerto Rico percentage is 41 percent and the appli-
cable Federal percentage is 59 percent; 
‘‘(iv) during fiscal year 2005, the applicable 
Puerto Rico percentage is 33 percent and the appli-
cable Federal percentage is 67 percent; and 
‘‘(v) on or after October 1, 2005, the applicable 
Puerto Rico percentage is 25 percent and the appli-
cable Federal percentage is 75 percent.’’. 
SEC. 504. WAGE INDEX ADJUSTMENT RECLASSIFICATION 
REFORM . 
(a) IN
GENERAL.—Section 1886(d) (42 U.S.C. 
1395ww(d)) is amended by adding at the end the fol-
lowing: 
‘‘(11)(A) In order to recognize commuting patterns 
among Metropolitan Statistical Areas and between such 
Areas and rural areas, the Secretary shall establish a proc-
ess, upon application of a subsection (d) hospital that es-
tablishes that it is a qualifying hospital described in sub-
paragraph (B), for an increase of the wage index applied 
under paragraph (3)(E) for the hospital in the amount 
computed under subparagraph (D).
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‘‘(B) A qualifying hospital described in this subpara-
graph is a subsection (d) hospital—
‘‘(i) the average wages of which exceed the av-
erage wages for the area in which the hospital is lo-
cated; and 
‘‘(ii) which has at least 10 percent of its em-
ployees who reside in one or more higher wage index 
areas. 
‘‘(C) For purposes of this paragraph, the term ‘high-
er wage index area’ means, with respect to a hospital, an 
area with a wage index that exceeds that of the area in 
which the hospital is located. 
‘‘(D) The increase in the wage index under subpara-
graph (A) for a hospital shall be equal to the percentage 
of the employees of the hospital that resides in any higher 
wage index area multiplied by the sum of the products, 
for each higher wage index area of—
‘‘(i) the difference between (I) the wage index 
for such area, and (II) the wage index of the area 
in which the hospital is located (before the applica-
tion of this paragraph); and 
‘‘(ii) the number of employees of the hospital 
that reside in such higher wage index area divided 
by the total number of such employees that reside in 
all high wage index areas.
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(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall first apply to the wage index for dis-
charges occurring on or after October 1, 2004. 
SEC. 505. MEDPAC REPORT ON SPECIALTY HOSPITALS. 
(a) MEDPAC STUDY.—The Medicare Payment Advi-
sory Commission shall conduct a study of specialty hos-
pitals compared with other similar general acute care hos-
pitals under the medicare program. Such study shall ex-
amine—
(1) whether there are excessive self-referrals; 
(2) quality of care furnished; 
(3) the impact of specialty hospitals on such 
general acute care hospitals; and 
(4) differences in the scope of services, medicaid 
utilization, and uncompensated care furnished. 
(b) REPORT.—Not later than 1 year after the date 
of the enactment of this Act, the Secretary shall submit 
to Congress a report on the study conducted under sub-
section (a), and shall include any recommendations for 
legislation or administrative change as the Secretary de-
termines appropriate.
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Subtitle B—Other Provisions 
SEC. 511. PAYMENT FOR COVERED SKILLED NURSING FA-
CILITY SERVICES. 
(a) ADJUSTMENT
TO
RUGS
FOR
AIDS RESI-
DENTS.—Paragraph (12) of section 1888(e) (42 U.S.C. 
1395yy(e)) is amended to read as follows: 
‘‘(12) ADJUSTMENT
FOR
RESIDENTS
WITH 
AIDS.—
‘‘(A) IN
GENERAL.—Subject to subpara-
graph (B), in the case of a resident of a skilled 
nursing facility who is afflicted with acquired 
immune deficiency syndrome (AIDS), the per 
diem amount of payment otherwise applicable 
shall be increased by 128 percent to reflect in-
creased costs associated with such residents. 
‘‘(B) SUNSET.—Subparagraph (A) shall 
not apply on and after such date as the Sec-
retary certifies that there is an appropriate ad-
justment in the case mix under paragraph 
(4)(G)(i) to compensate for the increased costs 
associated with residents described in such sub-
paragraph.’’. 
(b) EFFECTIVE DATE.—The amendment made by 
paragraph (1) shall apply to services furnished on or after 
October 1, 2003.
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SEC. 512. COVERAGE OF HOSPICE CONSULTATION SERV-
ICES. 
(a) COVERAGE OF HOSPICE CONSULTATION SERV-
ICES.—Section 1812(a) (42 U.S.C. 1395d(a)) is amend-
ed—
(1) by striking ‘‘and’’ at the end of paragraph 
(3); 
(2) by striking the period at the end of para-
graph (4) and inserting ‘‘; and’’; and 
(3) by inserting after paragraph (4) the fol-
lowing new paragraph: 
‘‘(5) for individuals who are terminally ill, have 
not made an election under subsection (d)(1), and 
have not previously received services under this 
paragraph, services that are furnished by a physi-
cian who is either the medical director or an em-
ployee of a hospice program and that consist of—
‘‘(A) an evaluation of the individual’s need 
for pain and symptom management; 
‘‘(B) counseling the individual with respect 
to end-of-life issues and care options; and 
‘‘(C) advising the individual regarding ad-
vanced care planning.’’. 
(b) PAYMENT.—Section 1814(i) (42 U.S.C. l395f(i)) 
is amended by adding at the end the following new para-
graph:
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‘‘(4) The amount paid to a hospice program with re-
spect to the services under section 1812(a)(5) for which 
payment may be made under this part shall be equal to 
an amount equivalent to the amount established for an 
office or other outpatient visit for evaluation and manage-
ment associated with presenting problems of moderate se-
verity under the fee schedule established under section 
1848(b), other than the portion of such amount attrib-
utable to the practice expense component.’’. 
(c) 
CONFORMING
AMENDMENT.—Section 
1861(dd)(2)(A)(i) (42 U.S.C. 1395x(dd)(2)(A)(i)) is 
amended by inserting before the comma at the end the 
following: ‘‘and services described in section 1812(a)(5)’’. 
(d) EFFECTIVE DATE.—The amendments made by 
this section shall apply to services provided by a hospice 
program on or after January 1, 2004.
SEC. 513. CORRECTION OF TRUST FUND HOLDINGS. 
(a) IN GENERAL.—Within 120 days after the effec-
tive date of this section, the Secretary of the Treasury 
shall take the actions described in subsection (b) with re-
spect to the Federal Hospital Insurance Trust Fund (in 
this section referred to as the ‘‘Trust Fund’’) with the goal 
being that, after the actions are taken, the holdings of the 
Trust Fund will replicate, to the extent practicable in the 
judgment of the Secretary of the Treasury, in consultation
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with the Secretary, the obligations that would have been 
held by the trust fund if the clerical error had not oc-
curred. 
(b) OBLIGATIONS ISSUED
AND REDEEMED.—The 
Secretary of the Treasury shall—
(1) issue to the Trust Fund obligations under 
chapter 31 of title 31, United States Code, that bear 
issue dates, interest rates, and maturity dates as the 
obligations that—
(A) would have been issued to the Trust 
Fund if the clerical error had not occurred; or 
(B) were issued to the Trust Fund and 
were redeemed by reason of the clerical error; 
and 
(2) redeem from the Trust Fund obligations 
that would have been redeemed from the Trust 
Fund if the clerical error had not occurred. 
(c) APPROPRIATION TO TRUST FUND.—Within 120 
days after the effective date of this section, there is hereby 
appropriated to the Trust Fund, out of any money in the 
Treasury not otherwise appropriated, an amount deter-
mined by the Secretary of the Treasury, in consultation 
with the Secretary of Health and Human Services, to be 
equal to the interest income lost by the trust fund through 
the date of credit by reason of the clerical error.
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(d) CLERICAL ERROR DEFINED.—For purposes of 
this section, the term ‘‘clerical error’’ means the failure 
to have transferred the correct amount from the general 
fund to the Trust Fund, which failure occurred on April 
15, 2001.
TITLE VI—PROVISIONS 
RELATING TO PART B 
Subtitle A—Physicians’ Services
SEC. 601. REVISION OF UPDATES FOR PHYSICIANS’ SERV-
ICES. 
(a) UPDATE FOR 2004 AND 2005.—
(1) IN GENERAL.—Section 1848(d) (42 U.S.C. 
1395w–4(d)) is amended by adding at the end the 
following new paragraph: 
‘‘(5) UPDATE FOR 2004 AND 2005.—The update 
to the single conversion factor established in para-
graph (1)(C) for each of 2004 and 2005 shall be not 
less than 1.5 percent.’’. 
(2) 
CONFORMING
AMENDMENT.—Paragraph 
(4)(B) of such section is amended, in the matter be-
fore clause (i), by inserting ‘‘and paragraph (5)’’ 
after ‘‘subparagraph (D)’’. 
(3) NOT TREATED AS CHANGE IN LAW AND 
REGULATION IN SUSTAINABLE GROWTH RATE DE-
TERMINATION.—The amendments made by this sub-
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section shall not be treated as a change in law for 
purposes of applying section 1848(f)(2)(D) of the 
Social Security Act (42 U.S.C. 1395w–4(f)(2)(D)). 
(b) USE OF 10-YEAR ROLLING AVERAGE IN COM-
PUTING GROSS DOMESTIC PRODUCT.—
(1) IN
GENERAL.—Section 1848(f)(2)(C) (42 
U.S.C. 1395w–4(f)(2)(C)) is amended—
(A) by striking ‘‘projected’’ and inserting 
‘‘annual average’’; and 
(B) by striking ‘‘from the previous applica-
ble period to the applicable period involved’’ 
and inserting ‘‘during the 10-year period ending 
with the applicable period involved’’.
(2) EFFECTIVE DATE.—The amendment made 
by paragraph (1) shall apply to computations of the 
sustainable growth rate for years beginning with 
2003. 
SEC. 602. STUDIES ON ACCESS TO PHYSICIANS’ SERVICES. 
(a) GAO STUDY ON BENEFICIARY ACCESS TO PHYSI-
CIANS’ SERVICES.—
(1) STUDY.—The Comptroller General of the 
United States shall conduct a study on access of 
medicare beneficiaries to physicians’ services under 
the medicare program. The study shall include—
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(A) an assessment of the use by bene-
ficiaries of such services through an analysis of 
claims submitted by physicians for such services 
under part B of the medicare program; 
(B) an examination of changes in the use 
by beneficiaries of physicians’ services over 
time; 
(C) an examination of the extent to which 
physicians are not accepting new medicare 
beneficiaries as patients. 
(2) REPORT.—Not later than 18 months after 
the date of the enactment of this Act, the Comp-
troller General shall submit to Congress a report on 
the study conducted under paragraph (1). The re-
port shall include a determination whether—
(A) data from claims submitted by physi-
cians under part B of the medicare program in-
dicate potential access problems for medicare 
beneficiaries in certain geographic areas; and 
(B) access by medicare beneficiaries to 
physicians’ services may have improved, re-
mained constant, or deteriorated over time.
(b) STUDY
AND REPORT
ON SUPPLY
OF PHYSI-
CIANS.—
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(1) STUDY.—The Secretary shall request the 
Institute of Medicine of the National Academy of 
Sciences to conduct a study on the adequacy of the 
supply of physicians (including specialists) in the 
United States and the factors that affect such sup-
ply. 
(2) REPORT TO CONGRESS.—Not later than 2 
years after the date of enactment of this section, the 
Secretary shall submit to Congress a report on the 
results of the study described in paragraph (1), in-
cluding any recommendations for legislation. 
(c) GAO STUDY OF MEDICARE PAYMENT FOR INHA-
LATION THERAPY.—
(1) STUDY.—The Comptroller General of the 
United States shall conduct a study to examine the 
adequacy of current reimbursements for inhalation 
therapy under the medicare program. 
(2) REPORT.—Not later than May 1, 2004, the 
Comptroller General shall submit to Congress a re-
port on the study conducted under paragraph (1). 
SEC. 603. MEDPAC REPORT ON PAYMENT FOR PHYSICIANS’ 
SERVICES. 
(a) PRACTICE EXPENSE COMPONENT.—Not later 
than 1 year after the date of the enactment of this Act, 
the Medicare Payment Advisory Commission shall submit
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to Congress a report on the effect of refinements to the 
practice expense component of payments for physicians’ 
services, after the transition to a full resource-based pay-
ment system in 2002, under section 1848 of the Social 
Security Act (42 U.S.C. 1395w–4). Such report shall ex-
amine the following matters by physician specialty: 
(1) The effect of such refinements on payment 
for physicians’ services. 
(2) The interaction of the practice expense com-
ponent with other components of and adjustments to 
payment for physicians’ services under such section. 
(3) The appropriateness of the amount of com-
pensation by reason of such refinements. 
(4) The effect of such refinements on access to 
care by medicare beneficiaries to physicians’ serv-
ices. 
(5) The effect of such refinements on physician 
participation under the medicare program. 
(b) VOLUME OF PHYSICIAN SERVICES.—The Medi-
care Payment Advisory Commission shall submit to Con-
gress a report on the extent to which increases in the vol-
ume of physicians’ services under part B of the medicare 
program are a result of care that improves the health and 
well-being of medicare beneficiaries. The study shall in-
clude the following:
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(1) An analysis of recent and historic growth in 
the components that the Secretary includes under 
the sustainable growth rate (under section 1848(f) 
of the Social Security Act). 
(2) An examination of the relative growth of 
volume in physician services between medicare bene-
ficiaries and other populations. 
(3) An analysis of the degree to which new 
technology, including coverage determinations of the 
Centers for Medicare & Medicaid Services, has af-
fected the volume of physicians’ services. 
(4) An examination of the impact on volume of 
demographic changes. 
(5) An examination of shifts in the site of serv-
ice of services that influence the number and inten-
sity of services furnished in physicians’ offices and 
the extent to which changes in reimbursement rates 
to other providers have affected these changes. 
(6) An evaluation of the extent to which the 
Centers for Medicare & Medicaid Services takes into 
account the impact of law and regulations on the 
sustainable growth rate.
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SEC. 604. INCLUSION OF PODIATRISTS AND DENTISTS 
UNDER PRIVATE CONTRACTING AUTHORITY. 
Section 1802(b)(5)(B) (42 U.S.C. 1395a(b)(5)(B)) is 
amended by striking ‘‘section 1861(r)(1)’’ and inserting 
‘‘paragraphs (1), (2), and (3) of section 1861(r)’’. 
SEC. 605. ESTABLISHMENT OF FLOOR ON WORK GEO-
GRAPHIC ADJUSTMENT. 
(a) MINIMUM
INDEX.—Section 1848(e)(1) (42 
U.S.C. 1395w–4(e)(1)) is amended by adding at the end 
the following new subparagraph: 
‘‘(E) FLOOR AT 1.0 ON WORK GEOGRAPHIC 
INDEX.—
‘‘(i) IN GENERAL.—Subject to clause 
(ii), after calculating the work geographic 
index in subparagraph (A)(iii), for pur-
poses of payment for services furnished on 
or after January 1, 2004, and before Jan-
uary 1, 2006, the Secretary shall increase 
the work geographic index to 1.00 for any 
locality for which such work geographic 
index is less than 1.00. 
‘‘(ii) 
SECRETARIAL
DISCRETION.—
Clause (i) shall have no force or effect in 
law if the Secretary determines, taking 
into account the report of the Comptroller 
General under section 605(b)(2) of the
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Medicare Prescription Drug and Mod-
ernization Act of 2003, that there is no 
sound economic rationale for the imple-
mentation of that clause.’’. 
(b) GAO REPORT.—
(1) EVALUATION.—As part of the study on geo-
graphic differences in payments for physicians’ serv-
ices conducted under section 413, the Comptroller 
General of the United States shall evaluate the fol-
lowing: 
(A) Whether there is a sound economic 
basis for the implementation of the adjustment 
of the work geographic index under section 
1848(e)(1) of the Social Security Act under 
subsection (a) in those areas in which the ad-
justment applies. 
(B) The effect of such adjustment on phy-
sician location and retention in areas affected 
by such adjustment, taking into account—
(i) differences in recruitment costs 
and retention rates for physicians, includ-
ing specialists, between large urban areas 
and other areas; and 
(ii) the mobility of physicians, includ-
ing specialists, over the last decade.
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(C) The appropriateness of establishing a 
floor of 1.0 for the work geographic index. 
(2) REPORT.—By not later than September 1, 
2004, the Comptroller General shall submit to Con-
gress and to the Secretary a report on the evaluation 
conducted under paragraph (1). 
Subtitle B—Preventive Services 
SEC. 611. COVERAGE OF AN INITIAL PREVENTIVE PHYS-
ICAL EXAMINATION. 
(a) COVERAGE.—Section 1861(s)(2) (42 U.S.C. 
1395x(s)(2)) is amended—
(1) in subparagraph (U), by striking ‘‘and’’ at 
the end; 
(2) in subparagraph (V), by inserting ‘‘and’’ at 
the end; and 
(3) by adding at the end the following new sub-
paragraph: 
‘‘(W) an initial preventive physical examination 
(as defined in subsection (ww));’’. 
(b) SERVICES DESCRIBED.—Section 1861 (42 U.S.C. 
1395x) is amended by adding at the end the following new 
subsection: 
‘‘Initial Preventive Physical Examination 
‘‘(ww) The term ‘initial preventive physical examina-
tion’ means physicians’ services consisting of a physical
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examination with the goal of health promotion and disease 
detection and includes items and services (excluding clin-
ical laboratory tests), as determined by the Secretary, con-
sistent with the recommendations of the United States 
Preventive Services Task Force.’’. 
(c) WAIVER OF DEDUCTIBLE AND COINSURANCE.—
(1) DEDUCTIBLE.—The first sentence of sec-
tion 1833(b) (42 U.S.C. 1395l(b)) is amended—
(A) by striking ‘‘and’’ before ‘‘(6)’’, and 
(B) by inserting before the period at the 
end the following: ‘‘, and (7) such deductible 
shall not apply with respect to an initial preven-
tive physical examination (as defined in section 
1861(ww))’’. 
(2) COINSURANCE.—Section 1833(a)(1) (42 
U.S.C. 1395l(a)(1)) is amended—
(A) in clause (N), by inserting ‘‘(or 100 
percent in the case of an initial preventive phys-
ical 
examination, 
as 
defined 
in 
section 
1861(ww))’’ after ‘‘80 percent’’; and 
(B) in clause (O), by inserting ‘‘(or 100 
percent in the case of an initial preventive phys-
ical 
examination, 
as 
defined 
in 
section 
1861(ww))’’ after ‘‘80 percent’’.
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(d) PAYMENT AS PHYSICIANS’ SERVICES.—Section 
1848(j)(3) (42 U.S.C. 1395w–4(j)(3)) is amended by in-
serting ‘‘(2)(W),’’ after ‘‘(2)(S),’’. 
(e) OTHER CONFORMING AMENDMENTS.—Section 
1862(a) (42 U.S.C. 1395y(a)) is amended—
(1) in paragraph (1)—
(A) by striking ‘‘and’’ at the end of sub-
paragraph (H); 
(B) by striking the semicolon at the end of 
subparagraph (I) and inserting ‘‘, and’’; and 
(C) by adding at the end the following new 
subparagraph: 
‘‘(J) in the case of an initial preventive physical 
examination, which is performed not later than 6 
months after the date the individual’s first coverage 
period begins under part B;’’; and 
(2) in paragraph (7), by striking ‘‘or (H)’’ and 
inserting ‘‘(H), or (J)’’. 
(f) EFFECTIVE DATE.—The amendments made by 
this section shall apply to services furnished on or after 
January 1, 2004, but only for individuals whose coverage 
period begins on or after such date.
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SEC. 612. COVERAGE OF CHOLESTEROL AND BLOOD LIPID 
SCREENING. 
(a) COVERAGE.—Section 1861(s)(2) (42 U.S.C. 
1395x(s)(2)), as amended by section 611(a), is amended—
(1) in subparagraph (V), by striking ‘‘and’’ at 
the end; 
(2) in subparagraph (W), by inserting ‘‘and’’ at 
the end; and 
(3) by adding at the end the following new sub-
paragraph: 
‘‘(X) cholesterol and other blood lipid 
screening tests (as defined in subsection 
(XX));’’. 
(b) SERVICES DESCRIBED.—Section 1861 (42 U.S.C. 
1395x), as amended by section 611(b), is amended by add-
ing at the end the following new subsection: 
‘‘Cholesterol and Other Blood Lipid Screening Test 
‘‘(xx)(1) The term ‘cholesterol and other blood lipid 
screening test’ means diagnostic testing of cholesterol and 
other lipid levels of the blood for the purpose of early de-
tection of abnormal cholesterol and other lipid levels. 
‘‘(2) The Secretary shall establish standards, in con-
sultation with appropriate organizations, regarding the 
frequency and type of cholesterol and other blood lipid 
screening tests, except that such frequency may not be 
more often than once every 2 years.’’.
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(c) FREQUENCY.—Section 1862(a)(1) (42 U.S.C. 
1395y(a)(1)), as amended by section 611(e), is amend-
ed—
(1) by striking ‘‘and’’ at the end of subpara-
graph (I); 
(2) by striking the semicolon at the end of sub-
paragraph (J) and inserting ‘‘; and’’; and 
(3) by adding at the end the following new sub-
paragraph: 
‘‘(K) in the case of a cholesterol and other 
blood lipid screening test (as defined in section 
1861(xx)(1)), which is performed more frequently 
than is covered under section 1861(xx)(2).’’. 
(d) EFFECTIVE DATE.—The amendments made by 
this section shall apply to tests furnished on or after Janu-
ary 1, 2005. 
SEC. 613. WAIVER OF DEDUCTIBLE FOR COLORECTAL CAN-
CER SCREENING TESTS. 
(a) IN GENERAL.—The first sentence of section 
1833(b) (42 U.S.C. 1395l(b)), as amended by section 
611(c)(1), is amended—
(1) by striking ‘‘and’’ before ‘‘(7)’’; and 
(2) by inserting before the period at the end the 
following: ‘‘, and (8) such deductible shall not apply
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with respect to colorectal cancer screening tests (as 
described in section 1861(pp)(1))’’. 
(b) 
CONFORMING
AMENDMENTS.—Paragraphs 
(2)(C)(ii) and (3)(C)(ii) of section 1834(d) (42 U.S.C. 
1395m(d)) are each amended—
(1) by striking ‘‘DEDUCTIBLE
AND’’ in the 
heading; and 
(2) in subclause (I), by striking ‘‘deductible or’’ 
each place it appears. 
(c) EFFECTIVE DATE.—The amendment made by 
this section shall apply to items and services furnished on 
or after Janaury 1, 2004.
SEC. 614. IMPROVED PAYMENT FOR CERTAIN MAMMOG-
RAPHY SERVICES. 
(a) EXCLUSION FROM OPD FEE SCHEDULE.—Sec-
tion 1833(t)(1)(B)(iv) (42 U.S.C. 1395l(t)(1)(B)(iv)) is 
amended by inserting before the period at the end the fol-
lowing: ‘‘and does not include screening mammography (as 
defined in section 1861(jj)) and unilateral and bilateral 
diagnostic mammography’’. 
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall apply to mammography performed on 
or after January 1, 2004.
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Subtitle C—Other Services 
SEC. 621. HOSPITAL OUTPATIENT DEPARTMENT (HOPD) 
PAYMENT REFORM. 
(a) PAYMENT FOR DRUGS.—
(1) MODIFICATION OF AMBULATORY PAYMENT 
CLASSIFICATION
(APC)
GROUPS.—Section 1833(t) 
(42 U.S.C. 1395l(t)) is amended—
(A) by redesignating paragraph (13) as 
paragraph (14); and 
(B) by inserting after paragraph (12) the 
following new paragraph: 
‘‘(13) DRUG APC PAYMENT RATES.—
‘‘(A) IN GENERAL.—With respect to pay-
ment for covered OPD services that includes a 
specified covered outpatient drug (defined in 
subparagraph (B)), the amount provided for 
payment for such drug under the payment sys-
tem under this subsection for services furnished 
in—
‘‘(i) 2004, 2005, or 2006, shall in no 
case—
‘‘(I) exceed 95 percent of the av-
erage wholesale price for the drug; or 
‘‘(II) be less than the transition 
percentage (under subparagraph (C))
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of the average wholesale price for the 
drug; or 
‘‘(ii) a subsequent year, shall be equal 
to the average price for the drug for that 
area and year established under the com-
petitive acquisition program under section 
1847A as calculated and applied by the 
Secretary for purposes of this paragraph. 
‘‘(B) SPECIFIED
COVERED
OUTPATIENT 
DRUG DEFINED.—
‘‘(i) IN GENERAL.—In this paragraph, 
the term ‘specified covered outpatient 
drug’ means, subject to clause (ii), a cov-
ered outpatient drug (as defined in 
1927(k)(2), that is—
‘‘(I) a radiopharmaceutical; or 
‘‘(II) a drug or biological for 
which payment was made under para-
graph (6) (relating to pass-through 
payments) on or before December 31, 
2002. 
‘‘(ii) EXCEPTION.—Such term does 
not include—
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‘‘(I) a drug for which payment is 
first made on or after January 1, 
2003, under paragraph (6); or 
‘‘(II) a drug for a which a tem-
porary HCPCS code has not been as-
signed. 
‘‘(C) TRANSITION
TOWARDS
HISTORICAL 
AVERAGE
ACQUISITION
COST.—The transition 
percentage under this subparagraph for drugs 
furnished in a year is determined in accordance 
with the following table:
For the year—
The transition percentage for—
Single source 
drugs are—
Innovator mul-
tiple source 
drugs are—
Generic drugs 
are—
2004 .............................
83% 
81.5%
46%
2005 .............................
77%
75%
46%
2006 .............................
71%
68%
46%
‘‘(D) PAYMENT
FOR
NEW
DRUGS
UNTIL 
TEMPORARY HCPCS CODE
ASSIGNED.—With 
respect to payment for covered OPD services 
that includes a covered outpatient drug (as de-
fined in 1927(k)) for a which a temporary 
HCPCS code has not been assigned, the 
amount provided for payment for such drug 
under the payment system under this sub-
section shall be equal to 95 percent of the aver-
age wholesale price for the drug.
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‘‘(E) CLASSES OF DRUGS.—For purposes 
of this paragraph, each of the following shall be 
treated as a separate class of drugs: 
‘‘(i) SOLE
SOURCE
DRUGS.—A sole 
source drug which for purposes of this 
paragraph means a drug or biological that 
is not a multiple source drug (as defined in 
subclauses 
(I) 
and 
(II) 
of 
section 
1927(k)(7)(A)(i)) and is not a drug ap-
proved under an abbreviated new drug ap-
plication under section 355(j) of the Fed-
eral Food, Drug, and Cosmetic Act. 
‘‘(ii) INNOVATOR
MULTIPLE
SOURCE 
DRUGS.—Innovator multiple source drugs 
(as defined in section 1927(k)(7)(A)(ii)). 
‘‘(iii) 
NONINNOVATOR
MULTIPLE 
SOURCE
DRUGS.—Noninnovator multiple 
source drugs (as defined in section 
1927(k)(7)(A)(iii)). 
‘‘(F) INAPPLICABILITY OF EXPENDITURES 
IN DETERMINING CONVERSION FACTORS.—Ad-
ditional expenditures resulting from this para-
graph and paragraph (14)(C) in a year shall 
not be taken into account in establishing the 
conversion factor for that year.’’.
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(2) REDUCTION IN THRESHOLD FOR SEPARATE 
APCS FOR DRUGS.—Section 1833(t)(14), as redesig-
nated by paragraph (1)(A), is amended by adding at 
the end the following new subparagraph: 
‘‘(B) THRESHOLD
FOR
ESTABLISHMENT 
OF
SEPARATE
APCS
FOR
DRUGS.—The Sec-
retary shall reduce the threshold for the estab-
lishment of separate ambulatory payment clas-
sification groups (APCs) with respect to drugs 
to $50 per administration.’’. 
(3) EXCLUSION OF SEPARATE DRUG APCS FROM 
OUTLIER PAYMENTS.—Section 1833(t)(5) is amend-
ed by adding at the end the following new subpara-
graph: 
‘‘(E) EXCLUSION
OF
SEPARATE
DRUG 
APCS
FROM
OUTLIER
PAYMENTS.—No addi-
tional payment shall be made under subpara-
graph (A) in the case of ambulatory procedure 
codes established separately for drugs.’’. 
(4) PAYMENT FOR PASS THROUGH DRUGS.—
Clause (i) of section 1833(t)(6)(D) (42 U.S.C. 
1395l(t)(6)(D)) is amended by inserting after 
‘‘under section 1842(o)’’ the following: ‘‘(or if the 
drug is covered under a competitive acquisition con-
tract under section 1847A for an area, an amount
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determined by the Secretary equal to the average 
price for the drug for that area and year established 
under such section as calculated and applied by the 
Secretary for purposes of this paragraph)’’. 
(5) EFFECTIVE DATE.—The amendments made 
by this subsection shall apply to services furnished 
on or after January 1, 2004. 
(b) SPECIAL PAYMENT FOR BRACHYTHERAPY.—
(1) IN GENERAL.—Section 1833(t)(14), as so 
redesignated and amended by subsection (a)(2), is 
amended by adding at the end the following new 
subparagraph: 
‘‘(C) 
PAYMENT
FOR
DEVICES
OF 
BRACHYTHERAPY
AT
CHARGES
ADJUSTED
TO 
COST.—Notwithstanding the preceding provi-
sions of this subsection, for a device of 
brachytherapy furnished on or after January 1, 
2004, and before January 1, 2007, the payment 
basis for the device under this subsection shall 
be equal to the hospital’s charges for each de-
vice furnished, adjusted to cost.’’. 
(2) 
SPECIFICATION
OF
GROUPS
FOR 
BRACHYTHERAPY DEVICES.—Section 1833(t)(2) (42 
U.S.C. 1395l(t)(2) is amended—
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(A) in subparagraph (F), by striking 
‘‘and’’ at the end; 
(B) in subparagraph (G), by striking the 
period at the end and inserting ‘‘; and’’; and 
(C) by adding at the end the following new 
subparagraph: 
‘‘(H) 
with 
respect 
to 
devices 
of 
brachytherapy, the Secretary shall create addi-
tional groups of covered OPD services that clas-
sify such devices separately from the other serv-
ices (or group of services) paid for under this 
subsection in a manner reflecting the number, 
isotope, and radioactive intensity of such de-
vices furnished, including separate groups for 
palladium-103 and iodine-125 devices.’’. 
(3) GAO REPORT.—The Comptroller General of 
the United States shall conduct a study to determine 
appropriate 
payment 
amounts 
under 
section 
1833(t)(13)(B) of the Social Security Act, as added 
by paragraph (1), for devices of brachytherapy. Not 
later than January 1, 2005, the Comptroller General 
shall submit to Congress and the Secretary a report 
on the study conducted under this paragraph, and 
shall include specific recommendations for appro-
priate payments for such devices.
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(c) APPLICATION
OF FUNCTIONAL EQUIVALENCE 
TEST.—
(1) IN
GENERAL.—Section 1833(t)(6) (42 
U.S.C. 1395l(t)(6)) is amended by adding at the end 
the following new subparagraph: 
‘‘(F) LIMITATION
ON
APPLICATION
OF 
FUNCTIONAL
EQUIVALENCE
STANDARD.—The 
Secretary may not apply a ‘functional equiva-
lence’ payment standard (including such stand-
ard promulgated on November 1, 2002) or any 
other similar standard in order to deem a par-
ticular product to be functionally equivalent (or 
a similar standard) unless the Commissioner of 
Food and Drugs establishes a functional 
equivalence standard and certifies, under such 
standards, that the two products are function-
ally equivalent. If the Commissioner makes such 
a certification with respect to two or more prod-
ucts, the Secretary may, after complying with 
applicable rulemaking requirements, implement 
such standard with respect to such products 
under this subsection.’’. 
(2) EFFECTIVE DATE.—The amendment made 
by paragraph (1) shall apply to the application of a 
functional equivalence standard to a drug or biologi-
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cal on or after the date of the enactment of this Act, 
unless such application was being made to such drug 
or biological prior to June 13, 2003. 
(d) HOSPITAL ACQUISITION COST STUDY.—
(1) IN GENERAL.—The Secretary shall conduct 
a study on the costs incurred by hospitals in acquir-
ing covered outpatient drugs for which payment is 
made under section 1833(t) of the Social Security 
Act (42 U.S.C. 1395l(t)). 
(2) DRUGS COVERED.—The study in paragraph 
(1) shall not include those drugs for which the ac-
quisition costs is less than $50 per administration. 
(3) 
REPRESENTATIVE
SAMPLE
OF
HOS-
PITALS.—In conducting the study under paragraph 
(1), the Secretary shall collect data from a statis-
tically valid sample of hospitals with an urban/rural 
stratification. 
(4) REPORT.—Not later than January 1, 2006, 
the Secretary shall submit to Congress a report on 
the study conducted under paragraph (1), and shall 
include recommendations with respect to the fol-
lowing: 
(A) Whether the study should be repeated, 
and if so, how frequently.
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(B) Whether the study produced useful 
data on hospital acquisition cost. 
(C) Whether data produced in the study is 
appropriate for use in making adjustments to 
payments for drugs and biologicals under sec-
tion 1847A of the Social Security Act. 
(D) Whether separate estimates can be 
made of overhead costs, including handing and 
administering costs for drugs.
SEC. 622. PAYMENT FOR AMBULANCE SERVICES. 
(a) PHASE-IN PROVIDING FLOOR USING BLEND OF 
FEE SCHEDULE AND REGIONAL FEE SCHEDULES.—Sec-
tion 1834(l) (42 U.S.C. 1395m(l)), as amended by section 
410(a), is amended—
(1) in paragraph (2)(E), by inserting ‘‘con-
sistent with paragraph (11)’’ after ‘‘in an efficient 
and fair manner’’; and 
(2) by adding at the end the following new 
paragraph: 
‘‘(11) PHASE-IN
PROVIDING
FLOOR
USING 
BLEND
OF
FEE
SCHEDULE
AND
REGIONAL
FEE 
SCHEDULES.—In carrying out the phase-in under 
paragraph (2)(E) for each level of service furnished 
in a year, the portion of the payment amount that 
is based on the fee schedule shall be the greater of
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the amount determined under such fee schedule 
(without regard to this paragraph) or the following 
blended rate of the fee schedule under paragraph (1) 
and of a regional fee schedule for the region in-
volved: 
‘‘(A) For 2004, the blended rate shall be 
based 20 percent on the fee schedule under 
paragraph (1) and 80 percent on the regional 
fee schedule. 
‘‘(B) For 2005, the blended rate shall be 
based 40 percent on the fee schedule under 
paragraph (1) and 60 percent on the regional 
fee schedule. 
‘‘(C) For 2006, the blended rate shall be 
based 60 percent on the fee schedule under 
paragraph (1) and 40 percent on the regional 
fee schedule. 
‘‘(D) For 2007, 2008, and 2009, the 
blended rate shall be based 80 percent on the 
fee schedule under paragraph (1) and 20 per-
cent on the regional fee schedule. 
‘‘(E) For 2010 and each succeeding year, 
the blended rate shall be based 100 percent on 
the fee schedule under paragraph (1).
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For purposes of this paragraph, the Secretary shall 
establish a regional fee schedule for each of the 9 
Census divisions using the methodology (used in es-
tablishing the fee schedule under paragraph (1)) to 
calculate a regional conversion factor and a regional 
mileage payment rate and using the same payment 
adjustments and the same relative value units as 
used in the fee schedule under such paragraph.’’. 
(b) ADJUSTMENT IN PAYMENT FOR CERTAIN LONG 
TRIPS.—Section 1834(l), as amended by subsection (a), 
is further amended by adding at the end the following new 
paragraph: 
‘‘(12) ADJUSTMENT IN PAYMENT FOR CERTAIN 
LONG
TRIPS.—In the case of ground ambulance 
services furnished on or after January 1, 2004, and 
before January 1, 2009, regardless of where the 
transportation originates, the fee schedule estab-
lished under this subsection shall provide that, with 
respect to the payment rate for mileage for a trip 
above 50 miles the per mile rate otherwise estab-
lished shall be increased by 1⁄4 of the payment per 
mile otherwise applicable to such miles.’’. 
(c) GAO REPORT ON COSTS AND ACCESS.—Not later 
than December 31, 2005, the Comptroller General of the 
United States shall submit to Congress an initial report
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on how costs differ among the types of ambulance pro-
viders and on access, supply, and quality of ambulance 
services in those regions and States that have a reduction 
in payment under the medicare ambulance fee schedule 
(under section 1834(l) of the Social Security Act, as 
amended by this section). Not later than December 31, 
2007, the Comptroller General shall submit to Congress 
a final report on such access and supply. 
(d) EFFECTIVE DATE.—The amendments made by 
this section shall apply to ambulance services furnished 
on or after January 1, 2004.
SEC. 623. RENAL DIALYSIS SERVICES. 
(a) DEMONSTRATION OF ALTERNATIVE DELIVERY 
MODELS.—
(1) USE OF ADVISORY BOARD.—In carrying out 
the demonstration project relating to improving care 
for people with end-stage renal disease through al-
ternative delivery models (as published in the Fed-
eral Register of June 4, 2003), the Secretary shall 
establish an advisory board comprised of representa-
tives described in paragraph (2) to provide advice 
and recommendations with respect to the establish-
ment and operation of such demonstration project.
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(2) REPRESENTATIVES.—Representatives re-
ferred to in paragraph (1) include representatives of 
the following: 
(A) Patient organizations. 
(B) Clinicians. 
(C) The medicare payment advisory com-
mission, established under section 1805 of the 
Social Security Act (42 U.S.C. 1395b–6). 
(D) The National Kidney Foundation. 
(E) The National Institute of Diabetes and 
Digestive and Kidney Diseases of National In-
stitutes of Health. 
(F) End-stage renal disease networks. 
(G) Medicare contractors to monitor qual-
ity of care. 
(I) providers of services and renal dialysis 
facilities furnishing end-stage renal disease 
services. 
(J) Economists. 
(K) Researchers. 
(b) RESTORING COMPOSITE RATE EXCEPTIONS FOR 
PEDIATRIC FACILITIES.—
(1) IN GENERAL.—Section 422(a)(2) of BIPA 
is amended—
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(A) in subparagraph (A), by striking ‘‘and 
(C)’’ and inserting ‘‘, (C), and (D)’’; 
(B) in subparagraph (B), by striking ‘‘In 
the case’’ and inserting ‘‘Subject to subpara-
graph (D), in the case’’; and 
(C) by adding at the end the following new 
subparagraph: 
‘‘(D) INAPPLICABILITY TO PEDIATRIC FA-
CILITIES.—Subparagraphs (A) and (B) shall 
not apply, as of October 1, 2002, to pediatric 
facilities that do not have an exception rate de-
scribed in subparagraph (C) in effect on such 
date. For purposes of this subparagraph, the 
term ‘pediatric facility’ means a renal facility at 
least 50 percent of whose patients are individ-
uals under 18 years of age.’’. 
(2) CONFORMING
AMENDMENT.—The fourth 
sentence 
of 
section 
1881(b)(7) 
(42 
U.S.C. 
1395rr(b)(7)), as amended by subsection (b), is fur-
ther amended by striking ‘‘Until’’ and inserting 
‘‘Subject to section 422(a)(2) of the Medicare, Med-
icaid, and SCHIP Benefits Improvement and Pro-
tection Act of 2000, and until’’. 
(c) INCREASE IN RENAL DIALYSIS COMPOSITE RATE 
FOR SERVICES FURNISHED IN 2004.—Notwithstanding
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any other provision of law, with respect to payment under 
part B of title XVIII of the Social Security Act for renal 
dialysis services furnished in 2004, the composite payment 
rate otherwise established under section 1881(b)(7) of 
such Act (42 U.S.C. 1395rr(b)(7)) shall be increased by 
1.6 percent. 
SEC. 624. ONE-YEAR MORATORIUM ON THERAPY CAPS; 
PROVISIONS RELATING TO REPORTS. 
(a) 1-YEAR MORATORIUM ON THERAPY CAPS.—Sec-
tion 1833(g)(4) (42 U.S.C. 1395l(g)(4)) is amended by 
striking ‘‘and 2002’’ and inserting ‘‘2002, and 2004’’. 
(b) PROMPT SUBMISSION OF OVERDUE REPORTS ON 
PAYMENT AND UTILIZATION OF OUTPATIENT THERAPY 
SERVICES.—Not later than December 31, 2003, the Sec-
retary shall submit to Congress the reports required under 
section 4541(d)(2) of the Balanced Budget Act of 1997 
(relating to alternatives to a single annual dollar cap on 
outpatient therapy) and under section 221(d) of the Medi-
care, Medicaid, and SCHIP Balanced Budget Refinement 
Act of 1999 (relating to utilization patterns for outpatient 
therapy).
(c) IDENTIFICATION OF CONDITIONS AND DISEASES 
JUSTIFYING WAIVER OF THERAPY CAP.—
(1) STUDY.—The Secretary shall request the 
Institute of Medicine of the National Academy of
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Sciences to identify conditions or diseases that 
should justify conducting an assessment of the need 
to waive the therapy caps under section 1833(g)(4) 
of the Social Security Act (42 U.S.C. 1395l(g)(4)). 
(2) REPORTS TO CONGRESS.—
(A) PRELIMINARY
REPORT.—Not later 
than July 1, 2004, the Secretary shall submit 
to Congress a preliminary report on the condi-
tions and diseases identified under paragraph 
(1). 
(B) FINAL REPORT.—Not later than Sep-
tember 1, 2004, the Secretary shall submit to 
Congress a final report on such conditions and 
diseases. 
(C) RECOMMENDATIONS.—Not later than 
October 1, 2004, the Secretary shall submit to 
Congress a recommendation of criteria, with re-
spect to such conditions and disease, under 
which a waiver of the therapy caps would apply. 
(d) GAO STUDY OF PATIENT ACCESS TO PHYSICAL 
THERAPIST SERVICES.—
(1) STUDY.—The Comptroller General of the 
United States shall conduct a study on access to 
physical therapist services in States authorizing such 
services without a physician referral and in States
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that require such a physician referral. The study 
shall—
(A) examine the use of and referral pat-
terns for physical therapist services for patients 
age 50 and older in States that authorize such 
services without a physician referral and in 
States that require such a physician referral; 
(B) examine the use of and referral pat-
terns for physical therapist services for patients 
who are medicare beneficiaries; 
(C) examine the potential effect of prohib-
iting a physician from referring patients to 
physical therapy services owned by the physi-
cian and provided in the physician’s office; 
(D) examine the delivery of physical thera-
pists’ services within the facilities of Depart-
ment of Defense; and 
(E) analyze the potential impact on medi-
care beneficiaries and on expenditures under 
the medicare program of eliminating the need 
for a physician referral and physician certifi-
cation for physical therapist services under the 
medicare program. 
(2) REPORT.—The Comptroller General shall 
submit to Congress a report on the study conducted
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under paragraph (1) by not later than 1 year after 
the date of the enactment of this Act. 
SEC. 625. ADJUSTMENT TO PAYMENTS FOR SERVICES FUR-
NISHED IN AMBULATORY SURGICAL CEN-
TERS. 
Section 1833(i)(2)(C) (42 U.S.C. 1395l(i)(2)(C)) is 
amended in the last sentence by inserting ‘‘and each of 
fiscal years 2004 through 2008’’ after ‘‘In each of the fis-
cal years 1998 through 2002’’. 
SEC. 626. PAYMENT FOR CERTAIN SHOES AND INSERTS 
UNDER THE FEE SCHEDULE FOR ORTHOTICS 
AND PROSTHETICS. 
(a) IN
GENERAL.—Section 1833(o) (42 U.S.C. 
1395l(o)) is amended—
(1) in paragraph (1), by striking ‘‘no more than 
the limits established under paragraph (2)’’ and in-
serting ‘‘no more than the amount of payment appli-
cable under paragraph (2)’’; and 
(2) in paragraph (2), to read as follows: 
‘‘(2)(A) Except as provided by the Secretary under 
subparagraphs (B) and (C), the amount of payment under 
this paragraph for custom molded shoes, extra depth 
shoes, and inserts shall be the amount determined for such 
items by the Secretary under section 1834(h).
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‘‘(B) The Secretary or a carrier may establish pay-
ment amounts for shoes and inserts that are lower than 
the amount established under section 1834(h) if the Sec-
retary finds that shoes and inserts of an appropriate qual-
ity are readily available at or below the amount established 
under such section. 
‘‘(C) In accordance with procedures established by 
the Secretary, an individual entitled to benefits with re-
spect to shoes described in section 1861(s)(12) may sub-
stitute modification of such shoes instead of obtaining one 
(or more, as specified by the Secretary) pair of inserts 
(other than the original pair of inserts with respect to such 
shoes). In such case, the Secretary shall substitute, for 
the payment amount established under section 1834(h), 
a payment amount that the Secretary estimates will assure 
that there is no net increase in expenditures under this 
subsection as a result of this subparagraph.’’. 
(b) 
CONFORMING
AMENDMENTS.—(1) 
Section 
1834(h)(4)(C) (42 U.S.C. 1395m(h)(4)(C)) is amended by 
inserting ‘‘(and includes shoes described in section 
1861(s)(12))’’ after ‘‘in section 1861(s)(9)’’. 
(2) Section 1842(s)(2) (42 U.S.C. 1395u(s)(2)) is 
amended by striking subparagraph (C).
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(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply to items furnished on or after Jan-
uary 1, 2004.
SEC. 627. WAIVER OF PART B LATE ENROLLMENT PENALTY 
FOR CERTAIN MILITARY RETIREES; SPECIAL 
ENROLLMENT PERIOD. 
(a) WAIVER OF PENALTY.—
(1) IN GENERAL.—Section 1839(b) (42 U.S.C. 
1395r(b)) is amended by adding at the end the fol-
lowing new sentence: ‘‘No increase in the premium 
shall be effected for a month in the case of an indi-
vidual who is 65 years of age or older, who enrolls 
under this part during 2001, 2002, 2003, or 2004 
and who demonstrates to the Secretary before De-
cember 31, 2004, that the individual is a covered 
beneficiary (as defined in section 1072(5) of title 10, 
United States Code). The Secretary of Health and 
Human Services shall consult with the Secretary of 
Defense in identifying individuals described in the 
previous sentence.’’. 
(2) EFFECTIVE DATE.—The amendment made 
by paragraph (1) shall apply to premiums for 
months beginning with January 2004. The Secretary 
of Health and Human Services shall establish a 
method for providing rebates of premium penalties
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paid for months on or after January 2004 for which 
a penalty does not apply under such amendment but 
for which a penalty was previously collected. 
(b) MEDICARE PART B SPECIAL ENROLLMENT PE-
RIOD.—
(1) IN GENERAL.—In the case of any individual 
who, as of the date of the enactment of this Act, is 
65 years of age or older, is eligible to enroll but is 
not enrolled under part B of title XVIII of the So-
cial Security Act, and is a covered beneficiary (as 
defined in section 1072(5) of title 10, United States 
Code), the Secretary of Health and Human Services 
shall provide for a special enrollment period during 
which the individual may enroll under such part. 
Such period shall begin as soon as possible after the 
date of the enactment of this Act and shall end on 
December 31, 2004. 
(2) COVERAGE PERIOD.—In the case of an indi-
vidual who enrolls during the special enrollment pe-
riod provided under paragraph (1), the coverage pe-
riod under part B of title XVIII of the Social Secu-
rity Act shall begin on the first day of the month 
following the month in which the individual enrolls. 
SEC. 628. PART B DEDUCTIBLE. 
Section 1833(b) (42 U.S.C. 1395l(b)) is amended—
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(1) by striking ‘‘1991 and’’ and inserting 
‘‘1991,’’; and 
(2) by striking ‘‘and subsequent years’’ and in-
serting ‘‘and each subsequent year through 2003, 
and for a subsequent year after 2003 the amount of 
such deductible for the previous year increased by 
the annual percentage increase in the monthly actu-
arial rate under section 1839(a)(1) ending with such 
subsequent year (rounded to the nearest $1)’’.
SEC. 629. EXTENSION OF COVERAGE OF INTRAVENOUS IM-
MUNE GLOBULIN (IVIG) FOR THE TREAT-
MENT OF PRIMARY IMMUNE DEFICIENCY DIS-
EASES IN THE HOME. 
(a) IN GENERAL.—Section 1861 (42 U.S.C. 1395x), 
as amended by sections 611(a) and 612(a) is amended—
(1) in subsection (s)(2)—
(A) by striking ‘‘and’’ at the end of sub-
paragraph (W); 
(B) by adding ‘‘and’’ at the end of sub-
paragraph (X); and 
(C) by adding at the end the following new 
subparagraph: 
‘‘(Y) intravenous immune globulin for the 
treatment of primary immune deficiency dis-
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eases in the home (as defined in subsection 
(yy));’’; and 
(2) by adding at the end the following new sub-
section: 
‘‘Intravenous Immune Globulin 
‘‘(yy) The term ‘intravenous immune globulin’ means 
an approved pooled plasma derivative for the treatment 
in the patient’s home of a patient with a diagnosed pri-
mary immune deficiency disease, but not including items 
or services related to the administration of the derivative, 
if a physician determines administration of the derivative 
in the patient’s home is medically appropriate.’’. 
(b) PAYMENT AS A DRUG OR BIOLOGICAL.—Section 
1833(a)(1)(S) (42 U.S.C. 1395l(a)(1)(S)) is amended by 
inserting ‘‘(including intravenous immune globulin (as de-
fined in section 1861(yy)))’’ after ‘‘with respect to drugs 
and biologicals’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply to items furnished administered 
on or after January 1, 2004. 
SEC. 630. MEDICARE COVERAGE OF DIABETES LABORA-
TORY DIAGNOSTIC TESTS. 
(a) COVERAGE.—Section 1861(s)(2) (42 U.S.C. 
1395x(s)(2)), as amended by sections 611 and 612, is 
amended—
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(1) in subparagraph (W), by striking ‘‘and’’ at 
the end; 
(2) in subparagraph (X), by adding ‘‘and’’ at 
the end; and 
(3) by adding at the end the following new sub-
paragraph: 
‘‘(Y) diabetes screening tests and services (as 
defined in subsection (yy));’’. 
(b) SERVICES DESCRIBED.—Section 1861 (42 U.S.C. 
1395x), as amended by sections 611 and 612, is further 
amended by adding at the end the following new sub-
section: 
‘‘Diabetes Screening Tests and Services 
‘‘(yy)(1) The term ‘diabetes screening tests’ means 
diagnostic testing furnished to an individual at risk for 
diabetes (as defined in paragraph (2)) for the purpose of 
early detection of diabetes, including—
‘‘(A) a fasting plasma glucose test; and 
‘‘(B) such other tests, and modifications to 
tests, as the Secretary determines appropriate, in 
consultation with appropriate organizations. 
‘‘(2) For purposes of paragraph (1), the term ‘indi-
vidual at risk for diabetes’ means an individual who has 
any, a combination of, or all of the following risk factors 
for diabetes:
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‘‘(A) A family history of diabetes. 
‘‘(B) Overweight defined as a body mass index 
greater than or equal to 25 kg/m2. 
‘‘(C) Habitual physical inactivity. 
‘‘(D) Belonging to a high-risk ethnic or racial 
group. 
‘‘(E) Previous identification of an elevated im-
paired fasting glucose. 
‘‘(F) Identification of impaired glucose toler-
ance. 
‘‘(G) Hypertension. 
‘‘(H) Dyslipidemia. 
‘‘(I) History of gestational diabetes mellitus or 
delivery of a baby weighing greater than 9 pounds. 
‘‘(J) Polycystic ovary syndrome. 
‘‘(3) The Secretary shall establish standards, in con-
sultation with appropriate organizations, regarding the 
frequency of diabetes screening tests, except that such fre-
quency may not be more often than twice within the 12-
month period following the date of the most recent diabe-
tes screening test of that individual.’’. 
(c) FREQUENCY.—Section 1862(a)(1) (42 U.S.C. 
1395y(a)(1)), as amended by sections 611 and 612, is 
amended—
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(1) by striking ‘‘and’’ at the end of subpara-
graph (J); 
(2) by striking the semicolon at the end of sub-
paragraph (K) and inserting ‘‘; and’’; and 
(3) by adding at the end the following new sub-
paragraph: 
‘‘(L) in the case of a diabetes screening tests or 
service (as defined in section 1861(yy)(1)), which is 
performed more frequently than is covered under 
section 1861(yy)(3).’’. 
(d) EFFECTIVE DATE.—The amendments made by 
this section shall apply to tests furnished on or after the 
date that is 90 days after the date of enactment of this 
Act.
SEC. 631. DEMONSTRATION PROJECT FOR COVERAGE OF 
CERTAIN PRESCRIPTION DRUGS AND BIO-
LOGICS. 
(a) DEMONSTRATION PROJECT.—The Secretary shall 
conduct a demonstration project under part B of title 
XVIII of the Social Security Act under which payment is 
made for drugs or biologics that are prescribed as replace-
ments for drugs and biologicals described in section 
1861(s)(2)(A) or 1861(s)(2)(Q) of such Act (42 U.S.C. 
1395x(s)(2)(A), 1395x(s)(2)(Q))), or both, for which pay-
ment is made under such part.
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(b) DEMONSTRATION PROJECT SITES.—The project 
established under this section shall be conducted in 3 
States selected by the Secretary. 
(c) DURATION.—The Secretary shall conduct the 
demonstration project for the 2-year period beginning on 
the date that is 90 days after the date of the enactment 
of this Act, but in no case may the project extend beyond 
December 31, 2005. 
(d) LIMITATION.—Under the demonstration project 
over the duration of the project, the Secretary may not 
provide—
(1) coverage for more than 10,000 patients; 
and 
(2) more than $100,000,000 in funding. 
(e) REPORT.—Not later than January 1, 2006, the 
Secretary shall submit to Congress a report on the project. 
The report shall include an evaluation of patient access 
to care and patient outcomes under the project, as well 
as an analysis of the cost effectiveness of the project, in-
cluding an evaluation of the costs savings (if any) to the 
medicare program attributable to reduced physicians’ 
services and hospital outpatient departments services for 
administration of the biological.
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TITLE VII—PROVISIONS 
RELATING TO PARTS A AND B 
Subtitle A—Home Health Services 
SEC. 701. UPDATE IN HOME HEALTH SERVICES. 
(a) CHANGE TO CALENDER YEAR UPDATE.—
(1) IN GENERAL.—Section 1895(b) (42 U.S.C. 
1395fff(b)(3)) is amended—
(A) in paragraph (3)(B)(i)—
(i) by striking ‘‘each fiscal year (be-
ginning with fiscal year 2002)’’ and insert-
ing ‘‘fiscal year 2002 and for fiscal year 
2003 and for each subsequent year (begin-
ning with 2004)’’; and 
(ii) by inserting ‘‘or year’’ after ‘‘the 
fiscal year’’; 
(B) in paragraph (3)(B)(ii)(II), by striking 
‘‘any subsequent fiscal year’’ and inserting 
‘‘2004 and any subsequent year’’; 
(C) in paragraph (3)(B)(iii), by inserting 
‘‘or year’’ after ‘‘fiscal year’’ each place it ap-
pears; 
(D) in paragraph (3)(B)(iv)—
(i) by inserting ‘‘or year’’ after ‘‘fiscal 
year’’ each place it appears; and
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(ii) by inserting ‘‘or years’’ after ‘‘fis-
cal years’’; and 
(E) in paragraph (5), by inserting ‘‘or 
year’’ after ‘‘fiscal year’’. 
(2) TRANSITION RULE.—The standard prospec-
tive payment amount (or amounts) under section 
1895(b)(3) of the Social Security Act for the cal-
endar quarter beginning on October 1, 2003, shall 
be such amount (or amounts) for the previous cal-
endar quarter. 
(b) CHANGES IN UPDATES FOR 2004, 2005, AND 
2006.—Section 
1895(b)(3)(B)(ii) 
(42 
U.S.C. 
1395fff(b)(3)(B)(ii)), as amended by subsection (a)(1)(B), 
is amended—
(1) by striking ‘‘or’’ at the end of subclause (I); 
(2) by redesignating subclause (II) as subclause 
(III); 
(3) in subclause (III), as so redesignated, by 
striking ‘‘2004’’ and inserting ‘‘2007’’; and 
(4) by inserting after subclause (I) the fol-
lowing new subclause: 
‘‘(II) each of 2004, 2005, and 
2006 the home health market basket 
percentage increase minus 0.4 per-
centage points; or’’.
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SEC. 702. ESTABLISHMENT OF REDUCED COPAYMENT FOR 
A HOME HEALTH SERVICE EPISODE OF CARE 
FOR CERTAIN BENEFICIARIES. 
(a) PART A.—
(1) IN GENERAL.—Section 1813(a) (42 U.S.C. 
1395e(a)) is amended by adding at the end the fol-
lowing new paragraph: 
‘‘(5)(A)(i) Subject to clause (ii), the amount payable 
for home health services furnished to the individual under 
this title for each episode of care beginning in a year (be-
ginning with 2004) shall be reduced by a copayment equal 
to the copayment amount specified in subparagraph 
(B)(ii) for such year. 
‘‘(ii) The copayment under clause (i) shall not 
apply—
‘‘(I) in the case of an individual who has been 
determined to be entitled to medical assistance 
under section 1902(a)(10)(A) or 1902(a)(10)(C) or 
to be a qualified medicare beneficiary (as defined in 
section 1905(p)(1)), a specified low-income medicare 
beneficiary described in section 1902(a)(10)(E)(iii), 
or a qualifying individual described in section 
1902(a)(10)(E)(iv)(I); and 
‘‘(II) in the case of an episode of care which 
consists of 4 or fewer visits.
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‘‘(B)(i) The Secretary shall estimate, before the be-
ginning of each year (beginning with 2004), the national 
average payment under this title per episode for home 
health services projected for the year involved. 
‘‘(ii) For each year the copayment amount under this 
clause is equal to 1.5 percent of the national average pay-
ment estimated for the year involved under clause (i). Any 
amount determined under the preceding sentence which 
is not a multiple of $5 shall be rounded to the nearest 
multiple of $5. 
‘‘(iii) There shall be no administrative or judicial re-
view under section 1869, 1878, or otherwise of the esti-
mation of average payment under clause (i).’’. 
(2) TIMELY
IMPLEMENTATION.—Unless the 
Secretary of Health and Human Services otherwise 
provides on a timely basis, the copayment amount 
specified under section 1813(a)(5)(B)(ii) of the So-
cial Security Act (as added by paragraph (1)) for 
2004 shall be deemed to be $40. 
(b) CONFORMING PROVISIONS.—
(1) 
Section 
1833(a)(2)(A) 
(42 
U.S.C. 
1395l(a)(2)(A)) is amended by inserting ‘‘less the 
copayment 
amount 
applicable 
under 
section 
1813(a)(5)’’ after ‘‘1895’’.
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(2) 
Section 
1866(a)(2)(A)(i) 
(42 
U.S.C. 
1395cc(a)(2)(A)(i)) is amended—
(A) by striking ‘‘or coinsurance’’ and in-
serting ‘‘, coinsurance, or copayment’’; and 
(B) by striking ‘‘or (a)(4)’’ and inserting 
‘‘(a)(4), or (a)(5)’’. 
SEC. 703. MEDPAC STUDY ON MEDICARE MARGINS OF 
HOME HEALTH AGENCIES. 
(a) STUDY.—The Medicare Payment Advisory Com-
mission shall conduct a study of payment margins of home 
health agencies under the home health prospective pay-
ment system under section 1895 of the Social Security Act 
(42 U.S.C. 1395fff). Such study shall examine whether 
systematic differences in payment margins are related to 
differences in case mix (as measured by home health re-
source groups (HHRGs)) among such agencies. The study 
shall use the partial or full-year cost reports filed by home 
health agencies. 
(b) REPORT.—Not later than 2 years after the date 
of the enactment of this Act, the Commission shall submit 
to Congress a report on the study under subsection (a). 
SEC. 704. DEMONSTRATION PROJECT TO CLARIFY THE 
DEFINITION OF HOMEBOUND. 
(a) DEMONSTRATION PROJECT.—Not later than 180 
days after the date of the enactment of this Act, the Sec-
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retary shall conduct a two-year demonstration project 
under part B of title XVIII of the Social Security Act 
under which medicare beneficiaries with chronic conditions 
described in subsection (b) are deemed to be homebound 
for purposes of receiving home health services under the 
medicare program. 
(b) MEDICARE BENEFICIARY DESCRIBED.—For pur-
poses of subsection (a), a medicare beneficiary is eligible 
to be deemed to be homebound, without regard to the pur-
pose, frequency, or duration of absences from the home, 
if—
(1) the beneficiary has been certified by one 
physician as an individual who has a permanent and 
severe condition that will not improve; 
(2) the beneficiary requires the individual to re-
ceive assistance from another individual with at least 
3 out of the 5 activities of daily living for the rest 
of the individual’s life; 
(3) the beneficiary requires skilled nursing serv-
ices on a permanent basis and the skilled nursing is 
more than medication management; 
(4) either (A) an attendant is needed during 
the day to monitor and treat the beneficiary’s med-
ical condition, or (B) the beneficiary needs daily
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skilled nursing on a permanent basis and the skilled 
nursing is more than medication management; and 
(5) the beneficiary requires technological assist-
ance or the assistance of another person to leave the 
home. 
(c) DEMONSTRATION PROJECT SITES.—The dem-
onstration project established under this section shall be 
conducted in 3 States selected by the Secretary to rep-
resent the Northeast, Midwest, and Western regions of the 
United States. 
(d) LIMITATION ON NUMBER OF PARTICIPANTS.—
The aggregate number of such beneficiaries that may par-
ticipate in the project may not exceed 15,000. 
(e) DATA.—The Secretary shall collect such data on 
the demonstration project with respect to the provision of 
home health services to medicare beneficiaries that relates 
to quality of care, patient outcomes, and additional costs, 
if any, to the medicare program. 
(f) REPORT TO CONGRESS.—Not later than 1 year 
after the date of the completion of the demonstration 
project under this section, the Secretary shall submit to 
Congress a report on the project using the data collected 
under subsection (e) and shall include—
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(1) an examination of whether the provision of 
home health services to medicare beneficiaries under 
the project—
(A) adversely effects the provision of home 
health services under the medicare program; or 
(B) directly causes an unreasonable in-
crease of expenditures under the medicare pro-
gram for the provision of such services that is 
directly attributable to such clarification; 
(2) the specific data evidencing the amount of 
any increase in expenditures that is a directly attrib-
utable to the demonstration project (expressed both 
in absolute dollar terms and as a percentage) above 
expenditures that would otherwise have been in-
curred for home health services under the medicare 
program; and 
(3) specific recommendations to exempt perma-
nently and severely disabled homebound beneficiaries 
from restrictions on the length, frequency and pur-
pose of their absences from the home to qualify for 
home health services without incurring additional 
unreasonable costs to the medicare program. 
(g) WAIVER AUTHORITY.—The Secretary shall waive 
compliance with the requirements of title XVIII of the So-
cial Security Act (42 U.S.C. 1395 et seq.) to such extent
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and for such period as the Secretary determines is nec-
essary to conduct demonstration projects. 
(h) CONSTRUCTION.—Nothing in this section shall be 
construed as waiving any applicable civil monetary pen-
alty, criminal penalty, or other remedy available to the 
Secretary under title XI or title XVIII of the Social Secu-
rity Act for acts prohibited under such titles, including 
penalties for false certifications for purposes of receipt of 
items or services under the medicare program. 
(i) AUTHORIZATION
OF
APPROPRIATIONS.—Pay-
ments for the costs of carrying out the demonstration 
project under this section shall be made from the Federal 
Supplementary Insurance Trust Fund under section 1841 
of such Act (42 U.S.C. 1395t). 
(j) DEFINITIONS.—In this section: 
(1) 
MEDICARE
BENEFICIARY.—The 
term 
‘‘medicare beneficiary’’ means an individual who is 
enrolled under part B of title XVIII of the Social 
Security Act. 
(2) HOME
HEALTH
SERVICES.—The term 
‘‘home health services’’ has the meaning given such 
term in section 1861(m) of the Social Security Act 
(42 U.S.C. 1395x(m)).
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(3) ACTIVITIES OF DAILY LIVING DEFINED.—
The term ‘‘activities of daily living’’ means eating, 
toileting, transferring, bathing, and dressing. 
(4) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Health and Human Services.
Subtitle B—Direct Graduate 
Medical Education 
SEC. 711. EXTENSION OF UPDATE LIMITATION ON HIGH 
COST PROGRAMS. 
Section 
1886(h)(2)(D)(iv) 
(42 
U.S.C. 
1395ww(h)(2)(D)(iv)) is amended—
(1) in subclause (I)—
(A) by inserting ‘‘AND
2004
THROUGH 
2013’’ after ‘‘AND 2002’’; and 
(B) by inserting ‘‘or during the period be-
ginning with fiscal year 2004 and ending with 
fiscal year 2013’’ after ‘‘during fiscal year 2001 
or fiscal year 2002’’; and 
(2) in subclause (II)—
(A) by striking ‘‘fiscal year 2004, or fiscal 
year 2005,’’ and 
(B) by striking ‘‘For a’’ and inserting 
‘‘For the’’.
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Subtitle C—Chronic Care 
Improvement 
SEC. 721. VOLUNTARY CHRONIC CARE IMPROVEMENT 
UNDER TRADITIONAL FEE-FOR-SERVICE. 
Title XVIII, as amended by section 105(a), is amend-
ed by inserting after section 1807 the following new sec-
tion: 
‘‘CHRONIC CARE IMPROVEMENT 
‘‘SEC. 1808. (a) IN GENERAL.—
‘‘(1) IN GENERAL.—The Secretary shall estab-
lish a process for providing chronic care improve-
ment programs in each CCIA region for medicare 
beneficiaries who are not enrolled under part C or 
E and who have certain chronic conditions, such as 
congestive heart failure, diabetes, chronic obstructive 
pulmonary disease (COPD), stroke, prostate and 
colon cancer, hypertension, or other disease as iden-
tified by the Secretary as appropriate for chronic 
care improvement. Such a process shall begin to be 
implemented no later than 1 year after the date of 
the enactment of this section. 
‘‘(2) TERMINOLOGY.—For purposes of this sec-
tion: 
‘‘(A) CCIA REGION.—The term ‘CCIA re-
gion’ means a chronic care improvement admin-
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istrative region delineated under subsection 
(b)(2). 
‘‘(B) CHRONIC CARE IMPROVEMENT PRO-
GRAM.—The terms ‘chronic care improvement 
program’ and ‘program’ means such a program 
provided by a contractor under this section. 
‘‘(C) CONTRACTOR.—The term ‘contractor’ 
means an entity with a contract to provide a 
chronic care improvement program in a CCIA 
region under this section. 
‘‘(D) INDIVIDUAL PLAN.—The term ‘indi-
vidual plan’ means a chronic care improvement 
plan established under subsection (c)(5) for an 
individual. 
‘‘(3) CONSTRUCTION.—Nothing in this section 
shall be construed as expanding the amount, dura-
tion, or scope of benefits under this title. 
‘‘(b) COMPETITIVE BIDDING PROCESS.—
‘‘(1) IN GENERAL.—Under this section the Sec-
retary shall award contracts to qualified entities for 
chronic care improvement programs for each CCIA 
region under this section through a competitive bid-
ding process. 
‘‘(2) PROCESS.—Under such process—
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‘‘(A) the Secretary shall delineate the 
United States into multiple chronic care im-
provement administrative regions; and 
‘‘(B) the Secretary shall select at least 2 
winning bidders in each CCIA region on the 
basis of the ability of each bidder to carry out 
a chronic care improvement program in accord-
ance with this section, in order to achieve im-
proved health and financial outcomes. 
‘‘(3) ELIGIBLE
CONTRACTOR.—A contractor 
may be a disease improvement organization, health 
insurer, provider organization, a group of physicians, 
or any other legal entity that the Secretary deter-
mines appropriate. 
‘‘(c) CHRONIC CARE IMPROVEMENT PROGRAMS.—
‘‘(1) IN GENERAL.—Each contract under this 
section shall provide for the operation of a chronic 
care improvement program by a contractor in a 
CCIA region consistent with this subsection. 
‘‘(2) IDENTIFICATION
OF
PROSPECTIVE
PRO-
GRAM PARTICIPANTS.—Each contractor shall have a 
method for identifying medicare beneficiaries in the 
region to whom it will offer services under its pro-
gram. The contractor shall identify such bene-
ficiaries through claims or other data and other
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means permitted consistent with applicable disclo-
sure provisions. 
‘‘(3) INITIAL
CONTACT
BY
SECRETARY.—The 
Secretary shall communicate with each beneficiary 
identified under paragraph (2) as a prospective par-
ticipant in one or more programs concerning partici-
pation in a program. Such communication may be 
made by the Secretary (or on behalf of the Sec-
retary) and shall include information on the fol-
lowing: 
‘‘(A) A description of the advantages to 
the beneficiary in participating in a program. 
‘‘(B) Notification that the contractor offer-
ing a program may contact the beneficiary di-
rectly concerning such participation. 
‘‘(C) Notification that participation in a 
program is voluntary. 
‘‘(D) A description of the method for the 
beneficiary to select the single program in 
which the beneficiary wishes to participate and 
for declining to participate and a method for 
obtaining additional information concerning 
such participation. 
‘‘(4) PARTICIPATION.—A medicare beneficiary 
may participate in only one program under this sec-
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tion and may terminate participation at any time in 
a manner specified by the Secretary. 
‘‘(5) INDIVIDUAL CHRONIC CARE IMPROVEMENT 
PLANS.—
‘‘(A) IN GENERAL.—For each beneficiary 
participating in a program of a contractor 
under this section, the contractor shall develop 
with the beneficiary an individualized, goal-ori-
ented chronic care improvement plan. 
‘‘(B) ELEMENTS OF INDIVIDUAL PLAN.—
Each individual plan developed under subpara-
graph (A) shall include a single point of contact 
to coordinate care and the following, as appro-
priate: 
‘‘(i) Self-improvement education for 
the beneficiary (such as education for dis-
ease management through medical nutri-
tion therapy) and support education for 
health care providers, primary caregivers, 
and family members. 
‘‘(ii) Coordination of health care serv-
ices, such as application of a prescription 
drug regimen and home health services.
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‘‘(iii) Collaboration with physicians 
and other providers to enhance commu-
nication of relevant clinical information. 
‘‘(iv) The use of monitoring tech-
nologies that enable patient guidance 
through the exchange of pertinent clinical 
information, such as vital signs, sympto-
matic information, and health self-assess-
ment. 
‘‘(v) The provision of information 
about hospice care, pain and palliative 
care, and end-of-life care. 
‘‘(C) CONTRACTOR RESPONSIBILITIES.—In 
establishing and carrying out individual plans 
under a program, a contractor shall, directly or 
through subcontractors—
‘‘(i) guide participants in managing 
their 
health, 
including 
all 
their 
co-
morbidities, and in performing activities as 
specified under the elements of the plan; 
‘‘(ii) use decision support tools such 
as evidence-based practice guidelines or 
other criteria as determined by the Sec-
retary; and
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‘‘(iii) develop a clinical information 
database to track and monitor each partic-
ipant across settings and to evaluate out-
comes. 
‘‘(6) ADDITIONAL
REQUIREMENTS.—The Sec-
retary may establish additional requirements for pro-
grams and contractors under this section. 
‘‘(7) ACCREDITATION.—The Secretary may pro-
vide that programs that are accredited by qualified 
organizations may be deemed to meet such require-
ments under this section as the Secretary may speci-
fy. 
‘‘(c) CONTRACT TERMS.—
‘‘(1) IN GENERAL.—A contract under this sec-
tion shall contain such terms and conditions as the 
Secretary may specify consistent with this section. 
The Secretary may not enter into a contract with an 
entity under this section unless the entity meets 
such clinical, quality improvement, financial, and 
other requirements as the Secretary deems to be ap-
propriate for the population to be served. 
‘‘(2) USE OF SUBCONTRACTORS PERMITTED.—
A contractor may carry out a program directly or 
through contracts with subcontractors.
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‘‘(3) BUDGET
NEUTRAL
PAYMENT
CONDI-
TION.—In entering into a contract with an entity 
under this subsection, the Secretary shall establish 
payment rates that assure that there will be no net 
aggregate increase in payments under this title over 
any period of 3 years or longer, as agreed to by the 
Secretary. Under this section, the Secretary shall as-
sure that medicare program outlays plus administra-
tive expenses (that would not have been paid under 
this title without implementation of this section), in-
cluding contractor fees, shall not exceed the expendi-
tures that would have been incurred under this title 
for a comparable population in the absence of the 
program under this section for the 3-year contract 
period. 
‘‘(4) AT RISK RELATIONSHIP.—For purposes of 
section 1128B(b)(3)(F), a contract under this sec-
tion shall be treated as a risk-sharing arrangement 
referred to in such section. 
‘‘(5) PERFORMANCE STANDARDS.—Payment to 
contractors under this section shall be subject to the 
contractor’s meeting of clinical and financial per-
formance standards set by the Secretary. 
‘‘(6) CONTRACTOR OUTCOMES REPORT.—Each 
contractor offering a program shall monitor and re-
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port to the Secretary, in a manner specified by the 
Secretary, the quality of care and efficacy of such 
program in terms of—
‘‘(A) process measures, such as reductions 
in errors of treatment and rehospitalization 
rates; 
‘‘(B) beneficiary and provider satisfaction; 
‘‘(C) health outcomes; and 
‘‘(D) financial outcomes. 
‘‘(7) PHASED
IN
IMPLEMENTATION.—Nothing 
in this section shall be construed as preventing the 
Secretary from phasing in the implementation of 
programs. 
‘‘(d) BIANNUAL OUTCOMES REPORTS.—The Sec-
retary shall submit to the Congress biannual reports on 
the implementation of this section. Each such report shall 
include information on—
‘‘(1) the scope of implementation (in terms of 
both regions and chronic conditions); 
‘‘(2) program design; and 
‘‘(3) improvements in health outcomes and fi-
nancial efficiencies that result from such implemen-
tation. 
‘‘(e) CLINICAL TRIALS.—The Secretary shall conduct 
randomized clinical trials, that compare program partici-
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pants with medicare beneficiaries who are offered, but de-
cline, to participate, in order to assess the potential of pro-
grams to—
‘‘(1) reduce costs under this title; and 
‘‘(2) improve health outcomes under this title. 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to the Secretary, in ap-
propriate part from the Hospital Insurance Trust Fund 
and the Supplementary Medical Insurance Trust Fund, 
such sums as may be necessary to provide for contracts 
with chronic care improvement programs under this sec-
tion. 
‘‘(g) LIMITATION ON FUNDING.—In no case shall the 
funding under this section exceed $100,000,000 over a pe-
riod of 3 years.’’. 
SEC. 722. CHRONIC CARE IMPROVEMENT UNDER MEDI-
CARE ADVANTAGE AND ENHANCED FEE-FOR-
SERVICE PROGRAMS. 
(a) UNDER MEDICARE ADVANTAGE PROGRAM.—Sec-
tion 1852 (42 U.S.C. 1395w–22) is amended—
(1) by amending subsection (e) to read as fol-
lows: 
‘‘(e) IMPLEMENTATION OF CHRONIC CARE IMPROVE-
MENT PROGRAMS FOR BENEFICIARIES WITH MULTIPLE 
OR SUFFICIENTLY SEVERE CHRONIC CONDITIONS.—
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‘‘(1) IN GENERAL.—Each Medicare Advantage 
organization with respect to each Medicare Advan-
tage plan it offers shall have in effect, for enrollees 
with multiple or sufficiently severe chronic condi-
tions, a chronic care improvement program that is 
designed to manage the needs of such enrollees and 
that meets the requirements of this subsection. 
‘‘(2) ENROLLEE
WITH
MULTIPLE
OR
SUFFI-
CIENTLY SEVERE CHRONIC CONDITIONS.—For pur-
poses of this subsection, the term ‘enrollee with mul-
tiple or sufficiently severe chronic conditions’ means, 
with respect to an enrollee in a Medicare Advantage 
plan of a Medicare Advantage organization, an en-
rollee in the plan who has one or more chronic con-
ditions, such as congestive heart failure, diabetes, 
COPD, stroke, prostate and colon cancer, hyper-
tension, or other disease as identified by the organi-
zation as appropriate for chronic care improvement. 
‘‘(3) GENERAL REQUIREMENTS.—
‘‘(A) IN GENERAL.—Each chronic care im-
provement program under this subsection shall 
be conducted consistent with this subsection. 
‘‘(B) IDENTIFICATION
OF
ENROLLEES.—
Each such program shall have a method for 
monitoring and identifying enrollees with mul-
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tiple or sufficiently severe chronic conditions 
that meet the organization’s criteria for partici-
pation under the program. 
‘‘(C) DEVELOPMENT OF PLANS.—For an 
enrollee identified under subparagraph (B) for 
participation in a program, the program shall 
develop, with the enrollee’s consent, an individ-
ualized, goal-oriented chronic care improvement 
plan for chronic care improvement. 
‘‘(D) ELEMENTS OF PLANS.—Each chronic 
care improvement plan developed under sub-
paragraph (C) shall include a single point of 
contact to coordinate care and the following, as 
appropriate: 
‘‘(i) Self-improvement education for 
the enrollee (such as education for disease 
management through medical nutrition 
therapy) and support education for health 
care providers, primary caregivers, and 
family members. 
‘‘(ii) Coordination of health care serv-
ices, such as application of a prescription 
drug regimen and home health services.
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‘‘(iii) Collaboration with physicians 
and other providers to enhance commu-
nication of relevant clinical information. 
‘‘(iv) The use of monitoring tech-
nologies that enable patient guidance 
through the exchange of pertinent clinical 
information, such as vital signs, sympto-
matic information, and health self-assess-
ment. 
‘‘(v) The provision of information 
about hospice care, pain and palliative 
care, and end-of-life care. 
‘‘(E) ORGANIZATION RESPONSIBILITIES.—
In establishing and carrying out chronic care 
improvement plans for participants under this 
paragraph, a Medicare Advantage organization 
shall, directly or through subcontractors—
‘‘(i) guide participants in managing 
their 
health, 
including 
all 
their 
co-
morbidities, and in performing the activi-
ties as specified under the elements of the 
plan; 
‘‘(ii) use decision support tools such 
as evidence-based practice guidelines or
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other criteria as determined by the Sec-
retary; and 
‘‘(iii) develop a clinical information 
database to track and monitor each partic-
ipant across settings and to evaluate out-
comes. 
‘‘(3) ADDITIONAL
REQUIREMENTS.—The Sec-
retary may establish additional requirements for 
chronic care improvement programs under this sec-
tion. 
‘‘(4) ACCREDITATION.—The Secretary may pro-
vide that chronic care improvement programs that 
are accredited by qualified organizations may be 
deemed to meet such requirements under this sub-
section as the Secretary may specify. 
‘‘(5) OUTCOMES REPORT.—Each Medicare Ad-
vantage organization with respect to its chronic care 
improvement program under this subsection shall 
monitor and report to the Secretary information on 
the quality of care and efficacy of such program as 
the Secretary may require.’’; and 
(2) by amending subparagraph (I) of subsection 
(c)(1) to read as follows: 
‘‘(I) CHRONIC
CARE
IMPROVEMENT
PRO-
GRAM.—A description of the organization’s
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chronic care improvement program under sub-
section (e).’’. 
(b) APPLICATION
UNDER
ENHANCED
FEE-FOR-
SERVICE PROGRAM.—Section 1860E–2(c)(3), as inserted 
by section 201(a), is amended by inserting ‘‘, including 
subsection (e) (relating to implementation of chronic care 
improvement programs)’’ after ‘‘The provisions of section 
1852’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply for contract years beginning on 
or after 1 year after the date of the enactment of this 
Act. 
SEC. 723. INSTITUTE OF MEDICINE REPORT. 
(a) STUDY.—
(1) IN GENERAL.—The Secretary of Health and 
Human Services shall contract with the Institute of 
Medicine of the National Academy of Sciences to 
conduct a study of the barriers to effective inte-
grated care improvement for medicare beneficiaries 
with multiple or severe chronic conditions across set-
tings and over time and to submit a report under 
subsection (b). 
(2) SPECIFIC ITEMS.—The study shall examine 
the statutory and regulatory barriers to coordinating 
care across settings for medicare beneficiaries in
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transition from one setting to another (such as be-
tween hospital, nursing facility, home health, hos-
pice, and home). The study shall specifically identify 
the following: 
(A) Clinical, financial, or administrative re-
quirements in the medicare program that 
present barriers to effective, seamless transi-
tions across care settings. 
(B) Policies that impede the establishment 
of administrative and clinical information sys-
tems to track health status, utilization, cost, 
and quality data across settings. 
(C) State-level requirements that may 
present barriers to better care for medicare 
beneficiaries. 
(3) CONSULTATION.—The study under this 
subsection shall be conducted in consultation with 
experts in the field of chronic care, consumers, and 
family caregivers, working to integrate care delivery 
and create more seamless transitions across settings 
and over time. 
(b) REPORT.—The report under this subsection shall 
be submitted to the Secretary and Congress not later than 
18 months after the date of the enactment of this Act.
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SEC. 724. MEDPAC REPORT. 
(a) EVALUATION.—shall conduct an evaluation that 
includes a description of the status of the implementation 
of chronic care improvement programs under section 1808 
of the Social Security Act, the quality of health care serv-
ices provided to individuals in such program, the health 
status of the participants of such program, and the cost 
savings attributed to implementation of such program. 
(b) REPORT.—Not later than 2 years after the date 
of implementation of such chronic care improvement pro-
grams, the Commission shall submit a report on such eval-
uation.
Subtitle D—Other Provisions 
SEC. 731. MODIFICATIONS TO MEDICARE PAYMENT ADVI-
SORY COMMISSION (MEDPAC). 
(a) EXAMINATION OF BUDGET CONSEQUENCES.—
Section 1805(b) (42 U.S.C. 1395b–6(b)) is amended by 
adding at the end the following new paragraph: 
‘‘(8) 
EXAMINATION
OF
BUDGET
CON-
SEQUENCES.—Before making any recommendations, 
the Commission shall examine the budget con-
sequences of such recommendations, directly or 
through consultation with appropriate expert enti-
ties.’’. 
(b) CONSIDERATION OF EFFICIENT PROVISION OF 
SERVICES.—Section 1805(b)(2)(B)(i) (42 U.S.C. 1395b–
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6(b)(2)(B)(i)) is amended by inserting ‘‘the efficient provi-
sion of’’ after ‘‘expenditures for’’. 
(c) 
APPLICATION
OF
DISCLOSURE
REQUIRE-
MENTS.—
(1) IN GENERAL.—Section 1805(c)(2)(D) (42 
U.S.C. 1395b–6(c)(2)(D)) is amended by adding at 
the end the following: ‘‘Members of the Commission 
shall be treated as employees of the Congress for 
purposes of applying title I of the Ethics in Govern-
ment Act of 1978 (Public Law 95-521).’’. 
(2) EFFECTIVE DATE.—The amendment made 
by paragraph (1) shall take effect on January 1, 
2004. 
(d) ADDITIONAL REPORTS.—
(1) DATA NEEDS AND SOURCES.—The Medicare 
Payment Advisory Commission shall conduct a 
study, and submit a report to Congress by not later 
than June 1, 2004, on the need for current data, 
and sources of current data available, to determine 
the solvency and financial circumstances of hospitals 
and other medicare providers of services. The Com-
mission shall examine data on uncompensated care, 
as well as the share of uncompensated care ac-
counted for by the expenses for treating illegal 
aliens.
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(2) USE
OF
TAX-RELATED
RETURNS.—Using 
return information provided under Form 990 of the 
Internal Revenue Service, the Commission shall sub-
mit to Congress, by not later than June 1, 2004, a 
report on the following: 
(A) Investments, endowments, and fund-
raising of hospitals participating under the 
medicare program and related foundations. 
(B) Access to capital financing for private 
and for not-for-profit hospitals. 
SEC. 732. DEMONSTRATION PROJECT FOR MEDICAL ADULT 
DAY CARE SERVICES. 
(a) ESTABLISHMENT.—Subject to the succeeding 
provisions of this section, the Secretary of Health and 
Human Services shall establish a demonstration project 
(in this section referred to as the ‘‘demonstration project’’) 
under which the Secretary shall, as part of a plan of an 
episode of care for home health services established for 
a medicare beneficiary, permit a home health agency, di-
rectly or under arrangements with a medical adult day 
care facility, to provide medical adult day care services as 
a substitute for a portion of home health services that 
would otherwise be provided in the beneficiary’s home. 
(b) PAYMENT.—
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(1) IN GENERAL.—The amount of payment for 
an episode of care for home health services, a por-
tion of which consists of substitute medical adult 
day care services, under the demonstration project 
shall be made at a rate equal to 95 percent of the 
amount that would otherwise apply for such home 
health services under section 1895 of the Social Se-
curity Act (42 u.s.c. 1395fff). In no case may a 
home health agency, or a medical adult day care fa-
cility under arrangements with a home health agen-
cy, separately charge a beneficiary for medical adult 
day care services furnished under the plan of care. 
(2) BUDGET
NEUTRALITY
FOR
DEMONSTRA-
TION PROJECT.—Notwithstanding any other provi-
sion of law, the Secretary shall provide for an appro-
priate reduction in the aggregate amount of addi-
tional payments made under section 1895 of the So-
cial Security Act (42 U.S.C. 1395fff) to reflect any 
increase in amounts expended from the Trust Funds 
as a result of the demonstration project conducted 
under this section. 
(c) DEMONSTRATION PROJECT SITES.—The project 
established under this section shall be conducted in not 
more than 5 States selected by the Secretary that license
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or certify providers of services that furnish medical adult 
day care services. 
(d) DURATION.—The Secretary shall conduct the 
demonstration project for a period of 3 years. 
(e) VOLUNTARY PARTICIPATION.—Participation of 
medicare beneficiaries in the demonstration project shall 
be voluntary. The total number of such beneficiaries that 
may participate in the project at any given time may not 
exceed 15,000. 
(f) PREFERENCE IN SELECTING AGENCIES.—In se-
lecting home health agencies to participate under the dem-
onstration project, the Secretary shall give preference to 
those agencies that are currently licensed or certified 
through common ownership and control to furnish medical 
adult day care services. 
(g) WAIVER AUTHORITY.—The Secretary may waive 
such requirements of title XVIII of the Social Security Act 
as may be necessary for the purposes of carrying out the 
demonstration project, other than waiving the requirement 
that an individual be homebound in order to be eligible 
for benefits for home health services. 
(h) EVALUATION AND REPORT.—The Secretary shall 
conduct an evaluation of the clinical and cost effectiveness 
of the demonstration project. Not later 30 months after 
the commencement of the project, the Secretary shall sub-
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mit to Congress a report on the evaluation, and shall in-
clude in the report the following: 
(1) An analysis of the patient outcomes and 
costs of furnishing care to the medicare beneficiaries 
participating in the project as compared to such out-
comes and costs to beneficiaries receiving only home 
health services for the same health conditions. 
(2) Such recommendations regarding the exten-
sion, expansion, or termination of the project as the 
Secretary determines appropriate. 
(i) DEFINITIONS.—In this section: 
(1) HOME HEALTH AGENCY.—The term ‘‘home 
health agency’’ has the meaning given such term in 
section 1861(o) of the Social Security Act (42 
U.S.C. 1395x(o)). 
(2) MEDICAL ADULT DAY CARE FACILITY.—The 
term ‘‘medical adult day care facility’’ means a facil-
ity that—
(A) has been licensed or certified by a 
State to furnish medical adult day care services 
in the State for a continuous 2-year period; 
(B) is engaged in providing skilled nursing 
services and other therapeutic services directly 
or under arrangement with a home health agen-
cy;
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(C) meets such standards established by 
the Secretary to assure quality of care and such 
other requirements as the Secretary finds nec-
essary in the interest of the health and safety 
of individuals who are furnished services in the 
facility; and 
(D) provides medical adult day care serv-
ices. 
(3) MEDICAL
ADULT
DAY
CARE
SERVICES.—
The term ‘‘medical adult day care services’’ means—
(A) home health service items and services 
described in paragraphs (1) through (7) of sec-
tion 1861(m) furnished in a medical adult day 
care facility; 
(B) a program of supervised activities fur-
nished in a group setting in the facility that—
(i) meet such criteria as the Secretary 
determines appropriate; and 
(ii) is designed to promote physical 
and mental health of the individuals; and 
(C) such other services as the Secretary 
may specify. 
(4) 
MEDICARE
BENEFICIARY.—The 
term 
‘‘medicare beneficiary’’ means an individual entitled
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to benefits under part A of this title, enrolled under 
part B of this title, or both. 
SEC. 733. IMPROVEMENTS IN NATIONAL AND LOCAL COV-
ERAGE DETERMINATION PROCESS TO RE-
SPOND TO CHANGES IN TECHNOLOGY. 
(a) NATIONAL AND LOCAL COVERAGE DETERMINA-
TION PROCESS.—
(1) IN
GENERAL.—Section 1862 (42 U.S.C. 
1395y) is amended—
(A) in the third sentence of subsection (a) 
by inserting ‘‘consistent with subsection (k)’’ 
after ‘‘the Secretary shall ensure’’; and 
(B) by adding at the end the following new 
subsection: 
‘‘(k) NATIONAL AND LOCAL COVERAGE DETERMINA-
TION PROCESS.—
‘‘(1) FACTORS AND EVIDENCE USED IN MAKING 
NATIONAL COVERAGE DETERMINATIONS.—The Sec-
retary shall make available to the public the factors 
considered in making national coverage determina-
tions of whether an item or service is reasonable and 
necessary. The Secretary shall develop guidance doc-
uments to carry out this paragraph in a manner 
similar to the development of guidance documents
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under section 701(h) of the Federal Food, Drug, 
and Cosmetic Act (21 U.S.C. 371(h)). 
‘‘(2) TIMEFRAME FOR DECISIONS ON REQUESTS 
FOR
NATIONAL
COVERAGE
DETERMINATIONS.—In 
the case of a request for a national coverage deter-
mination that—
‘‘(A) does not require a technology assess-
ment from an outside entity or deliberation 
from the Medicare Coverage Advisory Com-
mittee, the decision on the request shall be 
made not later than 6 months after the date of 
the request; or 
‘‘(B) requires such an assessment or delib-
eration and in which a clinical trial is not re-
quested, the decision on the request shall be 
made not later than 9 months after the date of 
the request. 
‘‘(3) PROCESS FOR PUBLIC COMMENT IN NA-
TIONAL COVERAGE DETERMINATIONS.—At the end 
of the 6-month period (or 9-month period for re-
quests described in paragraph (2)(B)) that begins on 
the date a request for a national coverage deter-
mination is made, the Secretary shall—
‘‘(A) make a draft of proposed decision on 
the request available to the public through the
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Medicare Internet site of the Department of 
Health and Human Services or other appro-
priate means; 
‘‘(B) provide a 30-day period for public 
comment on such draft; 
‘‘(C) make a final decision on the request 
within 60 days of the conclusion of the 30-day 
period referred to under subparagraph (B); 
‘‘(D) include in such final decision sum-
maries of the public comments received and re-
sponses thereto; 
‘‘(E) make available to the public the clin-
ical evidence and other data used in making 
such a decision when the decision differs from 
the recommendations of the Medicare Coverage 
Advisory Committee; and 
‘‘(F) in the case of a decision to grant the 
coverage determination, assign a temporary or 
permanent code and implement the coding 
change. 
‘‘(4) CONSULTATION WITH OUTSIDE EXPERTS 
IN
CERTAIN
NATIONAL
COVERAGE
DETERMINA-
TIONS.—With respect to a request for a national 
coverage determination for which there is not a re-
view by the Medicare Coverage Advisory Committee,
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the Secretary shall consult with appropriate outside 
clinical experts. 
‘‘(5) LOCAL COVERAGE DETERMINATION PROC-
ESS.—With respect to local coverage determinations 
made on or after January 1, 2004—
‘‘(A) PLAN TO PROMOTE CONSISTENCY OF 
COVERAGE
DETERMINATIONS.—The Secretary 
shall develop a plan to evaluate new local cov-
erage determinations to determine which deter-
minations should be adopted nationally and to 
what extent greater consistency can be achieved 
among local coverage determinations. 
‘‘(B) 
CONSULTATION.—The 
Secretary 
shall require the fiscal intermediaries or car-
riers providing services within the same area to 
consult on all new local coverage determinations 
within the area. 
‘‘(C) DISSEMINATION OF INFORMATION.—
The Secretary should serve as a center to dis-
seminate information on local coverage deter-
minations among fiscal intermediaries and car-
riers to reduce duplication of effort. 
‘‘(6) NATIONAL AND LOCAL COVERAGE DETER-
MINATION
DEFINED.—For purposes of this sub-
section, the terms ‘national coverage determination’
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and ‘local coverage determination’ have the meaning 
given such terms in paragraphs (1)(B) and (2)(B), 
respectively, of section 1869(f).’’. 
(2) EFFECTIVE DATE.—The amendments made 
by paragraph (1) shall apply to national and local 
coverage determinations as of January 1, 2004. 
(b) MEDICARE COVERAGE OF ROUTINE COSTS ASSO-
CIATED WITH CERTAIN CLINICAL TRIALS.—
(1) IN GENERAL.—With respect to the coverage 
of routine costs of care for beneficiaries participating 
in a qualifying clinical trial, as set forth on the date 
of the enactment of this Act in National Coverage 
Determination 30-1 of the Medicare Coverage Issues 
Manual, the Secretary shall deem clinical trials con-
ducted in accordance with an investigational device 
exemption approved under section 520(g) of the 
Federal Food, Drug, and Cosmetic Act (42 U.S.C. 
360j(g)) to be automatically qualified for such cov-
erage. 
(2) RULE OF CONSTRUCTION.—Nothing in this 
subsection shall be construed as authorizing or re-
quiring the Secretary to modify the regulations set 
forth on the date of the enactment of this Act at 
subpart B of part 405 of title 42, Code of Federal 
Regulations, or subpart A of part 411 of such title,
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relating to coverage of, and payment for, a medical 
device that is the subject of an investigational device 
exemption by the Food and Drug Administration 
(except as may be necessary to implement paragraph 
(1)). 
(3) EFFECTIVE
DATE.—This subsection shall 
apply to clinical trials begun before, on, or after the 
date of the enactment of this Act and to items and 
services furnished on or after such date. 
(c) ISSUANCE OF TEMPORARY NATIONAL CODES.—
Not later than January 1, 2004, the Secretary shall imple-
ment revised procedures for the issuance of temporary na-
tional HCPCS codes under part B of title XVIII of the 
Social Security Act. 
SEC. 734. TREATMENT OF CERTAIN PHYSICIAN PATHOLOGY 
SERVICES. 
(a) IN
GENERAL.—Section 1848(i) (42 U.S.C. 
1395w–4(i)) is amended by adding at the end the fol-
lowing new paragraph: 
‘‘(4) TREATMENT OF CERTAIN INPATIENT PHY-
SICIAN PATHOLOGY SERVICES.—
‘‘(A) IN GENERAL.—With respect to serv-
ices furnished on or after January 1, 2004, and 
before January 1, 2009, if an independent lab-
oratory furnishes the technical component of a
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physician pathology service to a fee-for-service 
medicare beneficiary who is an inpatient or out-
patient of a covered hospital, the Secretary 
shall treat such component as a service for 
which payment shall be made to the laboratory 
under this section and not as an inpatient hos-
pital service for which payment is made to the 
hospital under section 1886(d) or as a hospital 
outpatient service for which payment is made to 
the hospital under section 1833(t). 
‘‘(B) DEFINITIONS.—In this paragraph: 
‘‘(i) COVERED HOSPITAL.—
‘‘(I) IN
GENERAL.—The term 
‘covered hospital’ means, with respect 
to an inpatient or outpatient, a hos-
pital that had an arrangement with 
an independent laboratory that was in 
effect as of July 22, 1999, under 
which a laboratory furnished the tech-
nical component of physician pathol-
ogy services to fee-for-service medi-
care beneficiaries who were hospital 
inpatients or outpatients, respectively, 
and submitted claims for payment for 
such component to a carrier with a
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contract under section 1842 and not 
to the hospital. 
‘‘(II) CHANGE
IN
OWNERSHIP 
DOES
NOT
AFFECT
DETERMINA-
TION.—A change in ownership with 
respect to a hospital on or after the 
date referred to in subclause (I) shall 
not affect the determination of wheth-
er such hospital is a covered hospital 
for purposes of such subclause. 
‘‘(ii) 
FEE-FOR-SERVICE
MEDICARE 
BENEFICIARY.—The term ‘fee-for-service 
medicare beneficiary’ means an individual 
who is entitled to benefits under part A, or 
enrolled under this part, or both, but is not 
enrolled in any of the following: 
‘‘(I) A Medicare+Choice plan 
under part C. 
‘‘(II) A plan offered by an eligi-
ble organization under section 1876. 
‘‘(III) A program of all-inclusive 
care for the elderly (PACE) under 
section 1894. 
‘‘(IV) A social health mainte-
nance organization (SHMO) dem-
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onstration project established under 
section 4018(b) of the Omnibus 
Budget Reconciliation Act of 1987 
(Public Law 100–203).’’. 
(b) CONFORMING AMENDMENT.—Section 542 of the 
Medicare, Medicaid, and SCHIP Benefits Improvement 
and Protection Act of 2000 (114 Stat. 2763A–550), as 
enacted into law by section 1(a)(6) of Public Law 106–
554, is repealed. 
(c) EFFECTIVE DATES.—The amendments made by 
this section shall take effect as if included in the enact-
ment of the Medicare, Medicaid, and SCHIP Benefits Im-
provement and Protection Act of 2000 (Appendix F, 114 
Stat. 2763A–463), as enacted into law by section 1(a)(6) 
of Public Law 106–554. 
SEC. 735. CLINICAL INVESTIGATION OF MEDICARE PAN-
CREATIC ISLET CELL TRANSPLANTS. 
The Secretary shall authorize payment under title 
XVIII of the Social Security Act for the routine costs for 
items and services for medicare beneficiaries received as 
part of a clinical investigation of pancreatic islet cell trans-
plants conducted by the National Institutes of Health.
SEC. 736. DEMONSTRATION PROJECT FOR CONSUMER-DI-
RECTED CHRONIC OUTPATIENT SERVICES. 
(a) ESTABLISHMENT.—
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(1) IN
GENERAL.—Subject to the succeeding 
provisions of this section, the Secretary shall estab-
lish demonstration projects (in this section referred 
to as ‘‘demonstration projects’’) under which the 
Secretary shall evaluate methods that improve the 
quality of care provided to medicare beneficiaries 
with chronic conditions and that reduce expenditures 
that would otherwise be made under the medicare 
program on behalf of such individuals for such 
chronic conditions, such methods to include permit-
ting those beneficiaries to direct their own health 
care needs and services. 
(2) MEDICARE BENEFICIARIES WITH CHRONIC 
CONDITIONS
DEFINED.—In this section, the term 
‘‘medicare beneficiaries with chronic conditions’’ 
means an individual entitled to benefits under part 
A of title XVIII of the Social Security Act, and en-
rolled under part B of such title, but who is not en-
rolled under part C of such title who is diagnosed 
as having one or more chronic conditions (as defined 
by the Secretary), such as diabetes. 
(b) DESIGN OF PROJECTS.—
(1) IN
GENERAL.—In establishing the dem-
onstration projects under this section, the Secretary 
shall evaluate practices employed by group health
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plans and practices under State plans for medical 
assistance under the medicaid program under title 
XIX of the Social Security Act that permit patients 
to self-direct the provision of personal care services. 
(2) SCOPE OF SERVICES.—The Secretary shall 
determine the appropriate scope of personal care 
services that would apply under the demonstration 
projects. 
(c) VOLUNTARY PARTICIPATION.—Participation of 
medicare beneficiaries in the demonstration projects shall 
be voluntary. 
(d) DEMONSTRATION PROJECTS SITES.—Not later 
than 2 years after the date of the enactment of this Act, 
the Secretary shall conduct no fewer than 3 demonstration 
projects established under this section. Of those dem-
onstration projects, the Secretary shall conduct at least 
one in each of the following areas: 
(1) An urban area. 
(2) A rural area. 
(3) An area that the Secretary determines has 
a medicare population with rate of incidence of dia-
betes that significantly exceeds the national average 
rate of all areas. 
(e) EVALUATION AND REPORT.—
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(1) EVALUATIONS.—The Secretary shall con-
duct evaluations of the clinical and cost effectiveness 
of the demonstration projects. 
(2) REPORTS.—Not later than 2 years after the 
commencement of the demonstration projects, and 
biannually thereafter, the Secretary shall submit to 
Congress a report on the evaluation, and shall in-
clude in the report the following: 
(A) An analysis of the patient outcomes 
and costs of furnishing care to the medicare 
beneficiaries participating in the projects as 
compared to such outcomes and costs to other 
beneficiaries for the same health conditions. 
(B) Evaluation of patient satisfaction 
under the demonstration projects. 
(C) Such recommendations regarding the 
extension, expansion, or termination of the 
projects as the Secretary determines appro-
priate.
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TITLE VIII—MEDICARE 
BENEFITS ADMINISTRATION
SEC. 801. ESTABLISHMENT OF MEDICARE BENEFITS AD-
MINISTRATION. 
(a) IN GENERAL.—Title XVIII (42 U.S.C. 1395 et 
seq.), as amended by sections 105 and 721, is amended 
by inserting after 1808 the following new section: 
‘‘MEDICARE BENEFITS ADMINISTRATION 
‘‘SEC. 1809. (a) ESTABLISHMENT.—There is estab-
lished within the Department of Health and Human Serv-
ices an agency to be known as the Medicare Benefits Ad-
ministration. 
‘‘(b) ADMINISTRATOR; DEPUTY
ADMINISTRATOR; 
CHIEF ACTUARY.—
‘‘(1) ADMINISTRATOR.—
‘‘(A) IN GENERAL.—The Medicare Bene-
fits Administration shall be headed by an ad-
ministrator to be known as the ‘Medicare Bene-
fits Administrator’ (in this section referred to 
as the ‘Administrator’) who shall be appointed 
by the President, by and with the advice and 
consent of the Senate. The Administrator shall 
be in direct line of authority to the Secretary. 
‘‘(B) COMPENSATION.—The Administrator 
shall be paid at the rate of basic pay payable
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for level III of the Executive Schedule under 
section 5314 of title 5, United States Code. 
‘‘(C) TERM
OF
OFFICE.—The Adminis-
trator shall be appointed for a term of 4 years. 
In any case in which a successor does not take 
office at the end of an Administrator’s term of 
office, that Administrator may continue in of-
fice until the entry upon office of such a suc-
cessor. An Administrator appointed to a term of 
office after the commencement of such term 
may serve under such appointment only for the 
remainder of such term. 
‘‘(D) GENERAL AUTHORITY.—The Admin-
istrator shall be responsible for the exercise of 
all powers and the discharge of all duties of the 
Administration, and shall have authority and 
control over all personnel and activities thereof. 
‘‘(E) RULEMAKING AUTHORITY.—The Ad-
ministrator may prescribe such rules and regu-
lations as the Administrator determines nec-
essary or appropriate to carry out the functions 
of the Administration. The regulations pre-
scribed by the Administrator shall be subject to 
the rulemaking procedures established under 
section 553 of title 5, United States Code. The
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Administrator shall provide for the issuance of 
new regulations to carry out parts C, D, and E. 
‘‘(F) AUTHORITY TO ESTABLISH ORGANI-
ZATIONAL UNITS.—The Administrator may es-
tablish, alter, consolidate, or discontinue such 
organizational units or components within the 
Administration as the Administrator considers 
necessary or appropriate, except as specified in 
this section. 
‘‘(G) AUTHORITY TO DELEGATE.—The Ad-
ministrator may assign duties, and delegate, or 
authorize successive redelegations of, authority 
to act and to render decisions, to such officers 
and employees of the Administration as the Ad-
ministrator may find necessary. Within the lim-
itations of such delegations, redelegations, or 
assignments, all official acts and decisions of 
such officers and employees shall have the same 
force and effect as though performed or ren-
dered by the Administrator. 
‘‘(2) DEPUTY ADMINISTRATOR.—
‘‘(A) IN GENERAL.—There shall be a Dep-
uty Administrator of the Medicare Benefits Ad-
ministration who shall be appointed by the
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President, by and with the advice and consent 
of the Senate. 
‘‘(B) COMPENSATION.—The Deputy Ad-
ministrator shall be paid at the rate of basic 
pay payable for level IV of the Executive Sched-
ule under section 5315 of title 5, United States 
Code. 
‘‘(C) TERM OF OFFICE.—The Deputy Ad-
ministrator shall be appointed for a term of 4 
years. In any case in which a successor does not 
take office at the end of a Deputy Administra-
tor’s term of office, such Deputy Administrator 
may continue in office until the entry upon of-
fice of such a successor. A Deputy Adminis-
trator appointed to a term of office after the 
commencement of such term may serve under 
such appointment only for the remainder of 
such term. 
‘‘(D) DUTIES.—The Deputy Administrator 
shall perform such duties and exercise such 
powers as the Administrator shall from time to 
time assign or delegate. The Deputy Adminis-
trator shall be Acting Administrator of the Ad-
ministration during the absence or disability of 
the Administrator and, unless the President
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designates another officer of the Government as 
Acting Administrator, in the event of a vacancy 
in the office of the Administrator. 
‘‘(3) CHIEF ACTUARY.—
‘‘(A) IN GENERAL.—There is established in 
the Administration the position of Chief Actu-
ary. The Chief Actuary shall be appointed by, 
and in direct line of authority to, the Adminis-
trator of such Administration. The Chief Actu-
ary shall be appointed from among individuals 
who have demonstrated, by their education and 
experience, superior expertise in the actuarial 
sciences. The Chief Actuary may be removed 
only for cause. 
‘‘(B) COMPENSATION.—The Chief Actuary 
shall be compensated at the highest rate of 
basic pay for the Senior Executive Service 
under section 5382(b) of title 5, United States 
Code. 
‘‘(C) DUTIES.—The Chief Actuary shall 
exercise such duties as are appropriate for the 
office of the Chief Actuary and in accordance 
with professional standards of actuarial inde-
pendence.
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‘‘(4) SECRETARIAL COORDINATION OF PROGRAM 
ADMINISTRATION.—The Secretary shall ensure ap-
propriate coordination between the Administrator 
and the Administrator of the Centers for Medicare 
& Medicaid Services in carrying out the programs 
under this title. 
‘‘(c) DUTIES; ADMINISTRATIVE PROVISIONS.—
‘‘(1) DUTIES.—
‘‘(A) GENERAL
DUTIES.—The Adminis-
trator shall carry out parts C, D, and E, in-
cluding—
‘‘(i) negotiating, entering into, and en-
forcing, contracts with plans for the offer-
ing of Medicare Advantage plans under 
part C and EFFS plans under part E, in-
cluding the offering of qualified prescrip-
tion drug coverage under such plans; and 
‘‘(ii) negotiating, entering into, and 
enforcing, contracts with PDP sponsors for 
the offering of prescription drug plans 
under part D. 
‘‘(B) OTHER DUTIES.—The Administrator 
shall carry out any duty provided for under 
part C, part D, or part E, including demonstra-
tion projects carried out in part or in whole
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under such parts, the programs of all-inclusive 
care for the elderly (PACE program) under sec-
tion 1894, the social health maintenance orga-
nization (SHMO) demonstration projects (re-
ferred to in section 4104(c) of the Balanced 
Budget Act of 1997), medicare cost contractors 
under section 1876(h), and through a Medicare 
Advantage project that demonstrates the appli-
cation of capitation payment rates for frail el-
derly medicare beneficiaries through the use of 
a interdisciplinary team and through the provi-
sion of primary care services to such bene-
ficiaries by means of such a team at the nurs-
ing facility involved). 
‘‘(C) PRESCRIPTION
DRUG
CARD.—The 
Administrator shall carry out section 1807 (re-
lating to the medicare prescription drug dis-
count card endorsement program). 
‘‘(D) 
NONINTERFERENCE.—In 
carrying 
out its duties with respect to the provision of 
qualified prescription drug coverage to bene-
ficiaries under this title, the Administrator may 
not—
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‘‘(i) require a particular formulary or 
institute a price structure for the reim-
bursement of covered outpatient drugs; 
‘‘(ii) interfere in any way with nego-
tiations between PDP sponsors and Medi-
care Advantage organizations and EFFS 
organizations and drug manufacturers, 
wholesalers, or other suppliers of covered 
outpatient drugs; and 
‘‘(iii) otherwise interfere with the 
competitive nature of providing such cov-
erage through such sponsors and organiza-
tions. 
‘‘(E) ANNUAL REPORTS.—Not later March 
31 of each year, the Administrator shall submit 
to Congress and the President a report on the 
administration of parts C, D, and E during the 
previous fiscal year. 
‘‘(2) STAFF.—
‘‘(A) IN
GENERAL.—The Administrator, 
with the approval of the Secretary, may employ, 
without regard to chapter 31 of title 5, United 
States Code, other than sections 3102 through 
3108, 3110 through 3113, 3136m and 3151, 
such officers and employees as are necessary to
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administer the activities to be carried out 
through the Medicare Benefits Administration. 
The Administrator shall employ staff with ap-
propriate and necessary expertise in negotiating 
contracts in the private sector. 
‘‘(B) FLEXIBILITY WITH RESPECT TO COM-
PENSATION.—
‘‘(i) IN GENERAL.—The staff of the 
Medicare Benefits Administration shall, 
subject to clause (ii), be paid without re-
gard to the provisions of chapter 51 (other 
than section 5101) and chapter 53 (other 
than section 5301) of such title (relating to 
classification and schedule pay rates). 
‘‘(ii) MAXIMUM
RATE.—In no case 
may the rate of compensation determined 
under clause (i) exceed the rate of basic 
pay payable for level IV of the Executive 
Schedule under section 5315 of title 5, 
United States Code. 
‘‘(C) LIMITATION ON FULL-TIME EQUIVA-
LENT STAFFING FOR CURRENT CMS FUNCTIONS 
BEING TRANSFERRED.—The Administrator may 
not employ under this paragraph a number of 
full-time equivalent employees, to carry out
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functions that were previously conducted by the 
Centers for Medicare & Medicaid Services and 
that are conducted by the Administrator by rea-
son of this section, that exceeds the number of 
such full-time equivalent employees authorized 
to be employed by the Centers for Medicare & 
Medicaid Services to conduct such functions as 
of the date of the enactment of this Act. 
‘‘(3) REDELEGATION OF CERTAIN FUNCTIONS 
OF THE CENTERS FOR MEDICARE & MEDICAID SERV-
ICES.—
‘‘(A) IN
GENERAL.—The Secretary, the 
Administrator, and the Administrator of the 
Centers for Medicare & Medicaid Services shall 
establish an appropriate transition of responsi-
bility in order to redelegate the administration 
of part C from the Secretary and the Adminis-
trator of the Centers for Medicare & Medicaid 
Services to the Administrator as is appropriate 
to carry out the purposes of this section. 
‘‘(B) TRANSFER OF DATA AND INFORMA-
TION.—The Secretary shall ensure that the Ad-
ministrator of the Centers for Medicare & Med-
icaid Services transfers to the Administrator of 
the Medicare Benefits Administration such in-
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formation and data in the possession of the Ad-
ministrator of the Centers for Medicare & Med-
icaid Services as the Administrator of the Medi-
care Benefits Administration requires to carry 
out the duties described in paragraph (1). 
‘‘(C) CONSTRUCTION.—Insofar as a re-
sponsibility of the Secretary or the Adminis-
trator of the Centers for Medicare & Medicaid 
Services is redelegated to the Administrator 
under this section, any reference to the Sec-
retary or the Administrator of the Centers for 
Medicare & Medicaid Services in this title or 
title XI with respect to such responsibility is 
deemed to be a reference to the Administrator.
‘‘(d) OFFICE OF BENEFICIARY ASSISTANCE.—
‘‘(1) ESTABLISHMENT.—The Secretary shall es-
tablish within the Medicare Benefits Administration 
an Office of Beneficiary Assistance to coordinate 
functions relating to outreach and education of 
medicare beneficiaries under this title, including the 
functions described in paragraph (2). The Office 
shall be separate operating division within the Ad-
ministration. 
‘‘(2) DISSEMINATION
OF
INFORMATION
ON 
BENEFITS AND APPEALS RIGHTS.—
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appropriate. Each such report may contain such 
recommendations as the Board determines ap-
propriate 
for 
legislative 
or 
administrative 
changes to improve the administration of such 
parts, including the topics described in subpara-
graph (B). Each such report shall be published 
in the Federal Register. 
‘‘(B) TOPICS
DESCRIBED.—Reports re-
quired under subparagraph (A) may include the 
following topics: 
‘‘(i) FOSTERING COMPETITION.—Rec-
ommendations or proposals to increase 
competition under parts C, D, and E for 
services 
furnished 
to 
medicare 
bene-
ficiaries. 
‘‘(ii) 
EDUCATION
AND
ENROLL-
MENT.—Recommendations for the im-
provement to efforts to provide medicare 
beneficiaries information and education on 
the program under this title, and specifi-
cally parts C, D, and E, and the program 
for enrollment under the title. 
‘‘(iii) IMPLEMENTATION OF RISK-AD-
JUSTMENT.—Evaluation of the implemen-
tation under section 1853(a)(3)(C) of the
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risk adjustment methodology to payment 
rates under that section to Medicare Ad-
vantage organizations offering Medicare 
Advantage plans (and the corresponding 
payment provisions under part E) that ac-
counts for variations in per capita costs 
based on health status, geography, and 
other demographic factors. 
‘‘(iv) RURAL ACCESS.—Recommenda-
tions to improve competition and access to 
plans under parts C, D, and E in rural 
areas. 
‘‘(C) MAINTAINING
INDEPENDENCE
OF 
BOARD.—The Board shall directly submit to 
Congress reports required under subparagraph 
(A). No officer or agency of the United States 
may require the Board to submit to any officer 
or agency of the United States for approval, 
comments, or review, prior to the submission to 
Congress of such reports. 
‘‘(3) DUTY OF ADMINISTRATOR OF MEDICARE 
BENEFITS ADMINISTRATION.—With respect to any 
report submitted by the Board under paragraph 
(2)(A), not later than 90 days after the report is 
submitted, the Administrator of the Medicare Bene-
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fits Administration shall submit to Congress and the 
President an analysis of recommendations made by 
the Board in such report. Each such analysis shall 
be published in the Federal Register. 
‘‘(4) MEMBERSHIP.—
‘‘(A) APPOINTMENT.—Subject to the suc-
ceeding provisions of this paragraph, the Board 
shall consist of seven members to be appointed 
as follows: 
‘‘(i) Three members shall be ap-
pointed by the President. 
‘‘(ii) Two members shall be appointed 
by the Speaker of the House of Represent-
atives, with the advice of the chairmen and 
the ranking minority members of the Com-
mittees on Ways and Means and on En-
ergy and Commerce of the House of Rep-
resentatives. 
‘‘(iii) Two members shall be appointed 
by the President pro tempore of the Senate 
with the advice of the chairman and the 
ranking minority member of the Senate 
Committee on Finance. 
‘‘(B) 
QUALIFICATIONS.—The 
members 
shall be chosen on the basis of their integrity,
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impartiality, and good judgment, and shall be 
individuals who are, by reason of their edu-
cation and experience in health care benefits 
management, exceptionally qualified to perform 
the duties of members of the Board. 
‘‘(C) PROHIBITION ON INCLUSION OF FED-
ERAL EMPLOYEES.—No officer or employee of 
the United States may serve as a member of 
the Board. 
‘‘(5) COMPENSATION.—Members of the Board 
shall receive, for each day (including travel time) 
they are engaged in the performance of the functions 
of the board, compensation at rates not to exceed 
the daily equivalent to the annual rate in effect for 
level IV of the Executive Schedule under section 
5315 of title 5, United States Code. 
‘‘(6) TERMS OF OFFICE.—
‘‘(A) IN GENERAL.—The term of office of 
members of the Board shall be 3 years. 
‘‘(B) TERMS OF INITIAL APPOINTEES.—As 
designated by the President at the time of ap-
pointment, of the members first appointed—
‘‘(i) one shall be appointed for a term 
of 1 year;
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‘‘(ii) three shall be appointed for 
terms of 2 years; and 
‘‘(iii) three shall be appointed for 
terms of 3 years. 
‘‘(C) REAPPOINTMENTS.—Any person ap-
pointed as a member of the Board may not 
serve for more than 8 years. 
‘‘(D) VACANCY.—Any member appointed 
to fill a vacancy occurring before the expiration 
of the term for which the member’s predecessor 
was appointed shall be appointed only for the 
remainder of that term. A member may serve 
after the expiration of that member’s term until 
a successor has taken office. A vacancy in the 
Board shall be filled in the manner in which the 
original appointment was made. 
‘‘(7) CHAIR.—The Chair of the Board shall be 
elected by the members. The term of office of the 
Chair shall be 3 years. 
‘‘(8) MEETINGS.—The Board shall meet at the 
call of the Chair, but in no event less than three 
times during each fiscal year. 
‘‘(9) DIRECTOR AND STAFF.—
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‘‘(A) APPOINTMENT
OF
DIRECTOR.—The 
Board shall have a Director who shall be ap-
pointed by the Chair. 
‘‘(B) IN GENERAL.—With the approval of 
the Board, the Director may appoint, without 
regard to chapter 31 of title 5, United States 
Code, such additional personnel as the Director 
considers appropriate. 
‘‘(C) FLEXIBILITY WITH RESPECT TO COM-
PENSATION.—
‘‘(i) IN GENERAL.—The Director and 
staff of the Board shall, subject to clause 
(ii), be paid without regard to the provi-
sions of chapter 51 and chapter 53 of such 
title (relating to classification and schedule 
pay rates). 
‘‘(ii) MAXIMUM
RATE.—In no case 
may the rate of compensation determined 
under clause (i) exceed the rate of basic 
pay payable for level IV of the Executive 
Schedule under section 5315 of title 5, 
United States Code. 
‘‘(D) ASSISTANCE
FROM
THE
ADMINIS-
TRATOR OF THE MEDICARE BENEFITS ADMINIS-
TRATION.—The Administrator of the Medicare