148 
(3) The types of language services provided (such 
as provision of services directly in non-English lan-
guage by a bilingual health care provider or use of an 
interpreter). 
(4) Type of interpretation (such as in-person, 
telephonic, or video interpretation). 
(5) The methods of providing language services 
(such as staff or contract with external independent 
contractors or agencies). 
(6) The length of time for each interpretation en-
counter. 
(7) The costs of providing language services 
(which may be actual or estimated, as determined by 
the Secretary). 
(f) NO COST SHARING.—LEP Beneficiaries shall not 
have to pay cost-sharing or co-pays for language services 
provided through this demonstration program. 
(g) EVALUATION AND REPORT,.—The Secretary shall 
conduct an evaluation of the demonstration program under 
this section and shall submit to the appropriate committees 
of Congress a report not later than 1 year after the comple-
tion of the program. The report shall include the following: 
(1) An analysis of the patient outcomes and costs 
of furnishing care to the LEP Medicare beneficiaries 
participating in the project as compared to such out-
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comes and costs for limited English proficient Medi-
care beneficiaries not participating. 
(2) The effect of delivering culturally and lin-
guistically appropriate services on beneficiary access 
to care, utilization of services, efficiency and cost-ef-
fectiveness of health care delivery, patient satisfaction, 
and select health outcomes. 
(3) Recommendations regarding the extension of 
such project to the entire Medicare program. 
(h) GENERAL PROVISIONS.—Nothing in this section 
shall be construed to limit otherwise existing obligations of 
recipients of Federal financial assistance under title VI of 
the Civil Rights Act of 1964 (42 U.S.C. 2000(d) et. seq.) 
or any other statute. 
(i) AUTHORIZATION OF APPROPRIATIONS.—There are 
authorized to be appropriated to carry out this section 
$10,000,000 for each fiscal year of the demonstration. 
SEC. 234. DEMONSTRATION TO IMPROVE CARE TO PRE-
VIOUSLY UNINSURED. 
(a) ESTABLISHMENT.—Within one year after the date 
of enactment of this Act, the Secretary shall establish a dem-
onstration project to determine the greatest needs and most 
effective methods of outreach to medicare beneficiaries who 
were previously uninsured. 
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(b) SCOPE.—The demonstration shall be in no fewer 
than 10 sites, and shall include state health insurance as-
sistance programs, community health centers, community- 
based organizations, community health workers, and other 
service providers under parts A, B, and C of title XVIII 
of the Social Security Act. Grantees that are plans oper-
ating under part C shall document that enrollees who were 
previously uninsured receive the ‘‘Welcome to Medicare’’ 
physical exam. 
(c) DURATION.—The Secretary shall conduct the dem-
onstration project for a period of 2 years. 
(d) REPORT AND EVALUATION.—The Secretary shall 
conduct an evaluation of the demonstration and not later 
than 1 year after the completion of the project shall submit 
to Congress a report including the following: 
(1) An analysis of the effectiveness of outreach 
activities targeting beneficiaries who were previously 
uninsured, such as revising outreach and enrollment 
materials (including the potential for use of video in-
formation), providing one-on-one counseling, working 
with community health workers, and amending the 
Medicare and You handbook. 
(2) The effect of such outreach on beneficiary ac-
cess to care, utilization of services, efficiency and cost- 
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