an initial capitated rate with appro-
priate risk adjustment. 
‘‘(VII) Plans for the PACE pro-
vider and the State Medicaid agency 
to review and adjust the Medicaid 
capitated rate on a biennial basis, as 
needed. 
‘‘(VIII) Any other information 
required by the Secretary. 
‘‘(v) TECHNICAL
ASSISTANCE.—The 
Secretary shall provide, or designate an en-
tity to provide, technical assistance to par-
ticipating PACE providers as they apply 
for and implement the model. 
‘‘(vi) 
ACCOUNTING
FOR
UNCER-
TAINTY.—In 
order 
for 
implementing 
PACE providers to receive unanticipated 
additional resources needed to implement 
the model, the Secretary shall establish 
procedures for the implementing PACE 
providers to submit to the Secretary a re-
quest for additional resources. 
‘‘(vii) MONITORING OUTCOMES.—The 
Secretary, in conjunction with PACE pro-
viders and in consultation with States that 
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have elected to expand PACE program eli-
gibility under section 1934(l), shall develop 
a plan to— 
‘‘(I) annually monitor outcomes 
under the model, which may include 
financial, quality, access, and utiliza-
tion outcomes; 
‘‘(II) annually monitor the health 
outcomes of the PACE provider’s ex-
panded population; and 
‘‘(III) any other outcomes as de-
termined by the Secretary. 
‘‘(viii) REPORT
TO
CONGRESS.—Not 
less frequently than every 3 years (for the 
duration of the implementation of the 
model under this subparagraph), the Sec-
retary shall submit to Congress a report on 
the implementation of the model under this 
subparagraph. The report shall include de-
mographic information on the populations 
served under the demonstration, best prac-
tices for future implementation efforts and 
any other information the Secretary deter-
mines appropriate together with rec-
ommendations for such legislation and ad-
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ministrative action as the Secretary deter-
mines appropriate. 
‘‘(ix) FUNDING.—The Secretary shall 
allocate funds made available under sub-
section (f)(1) to design, implement, evalu-
ate, and report on the model described in 
clause (ii) in accordance with this subpara-
graph.’’. 
SEC. 5. COORDINATION WITH THE FEDERAL COORDINATED 
HEALTH CARE OFFICE. 
Section 1934 of the Social Security Act (42 U.S.C. 
1396u–4), as amended by sections 2 and 3, is further 
amended by adding at the end the following new sub-
section: 
‘‘(m) COORDINATION WITH THE FEDERAL COORDI-
NATED HEALTH CARE OFFICE.— 
‘‘(1) STATE COORDINATION WITH FCHCO.—The 
Director of the Federal Coordinated Health Care Of-
fice established under section 2602 of the Patient 
Protection and Affordable Care Act shall serve as a 
point of contact between State administering agen-
cies and the Federal Government for purposes of im-
plementing and operating a PACE program in a 
State, and shall coordinate with other relevant of-
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fices and staff of the Centers for Medicare & Med-
icaid Services involved in carrying out this section. 
‘‘(2) ANNUAL REPORT.—Not later than Janu-
ary 1, 2025, and annually thereafter, the Director of 
the Federal Coordinated Health Care Office shall 
submit to Congress a report on the demographics of 
the populations served by PACE programs operated 
under this section and section 1894.’’. 
SEC. 6. EVALUATION OF EFFECTIVENESS OF PACE PRO-
GRAM IN RURAL AND UNDERSERVED AREAS. 
(a) IN GENERAL.—The Assistant Secretary for Plan-
ning and Evaluation of the Department of Health and 
Human Services (referred to in this section as the ‘‘Assist-
ant Secretary’’) shall conduct an evaluation of the effec-
tiveness of the program for all-inclusive care for the elder-
ly under sections 1894 and 1934 of the Social Security 
Act (42 U.S.C. 1395eee, 1396u–4) in rural and under-
served areas, including with respect to the following fac-
tors: 
(1) Reductions in hospitalizations and re-hos-
pitalizations among program beneficiaries. 
(2) Reductions in emergency department use 
among program beneficiaries. 
(3) Reductions in long-term nursing facility use 
among program beneficiaries. 
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(4) Reductions in mortality among program 
beneficiaries. 
(5) Achieving lower rates of functional decline, 
and improvements in reported health status and 
quality of life among program beneficiaries. 
(6) Reductions in the total cost of care among 
program beneficiaries. 
(7) The effect of activities supported under the 
program on the local area serviced by the program, 
including on the health and well-being of unpaid and 
family caregivers of program beneficiaries. 
(8) Improvements in quality of life among pro-
gram beneficiaries. 
(b) REPORT.—Not later than 60 months after the 
date of enactment of this Act, the Assistant Secretary 
shall submit a report containing the results of the evalua-
tion required under subsection (a), an analysis of which 
elements of the program for all-inclusive care for the elder-
ly under sections 1894 and 1934 of the Social Security 
Act (42 U.S.C. 1395eee, 1396u–4) should be replicated 
and scaled by governmental or non-governmental entities, 
and such recommendations for legislation and administra-
tive action as the Assistant Secretary determines appro-
priate to the chairs and ranking members of the following 
committees: 
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(1) The Special Committee on Aging of the 
Senate. 
(2) The Committee on Finance of the Senate. 
(3) The Committee on Health, Education, 
Labor, and Pensions of the Senate. 
(4) The Committee on Ways and Means of the 
House of Representatives. 
(5) The Committee on Energy and Commerce 
of the House of Representatives. 
(c) PARTNERS.—In conducting the evaluation and 
completing the report required under this section, the As-
sistant Secretary shall provide an opportunity for partners 
and persons that have participated in the program for all- 
inclusive care for the elderly under sections 1894 and 
1934 of the Social Security Act (42 U.S.C. 1395eee, 
1396u–4) on every level, especially individuals who receive 
care through the program and their unpaid or family care-
givers, to have an opportunity to contribute their expertise 
to evaluating the strategy and outcomes of the program. 
Æ 
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