United States. Congress

“ Application based on service categories.—The allowed expenditures and actual expenditures shall be the allowed and actual expenditures for the service category, as determined under subparagraph (B) . `` (II) Application of category specific target growth rate.—The growth rate applied under clause (ii) (II) of such paragraph shall be the target growth rate for the service category involved under subsection (f) (5) . ”

“ If the ratio of the second-highest MSA’s GAF to the weighted-average of the remaining lower cost MSAs is 1.05 or greater, the second-highest MSA becomes a separate fee schedule area. The iterative process continues until the ratio of the GAF of the highest-cost remaining MSA to the weighted-average of the remaining lower-cost MSAs is less than 1.05, and the remaining group of lower cost MSAs form a single fee schedule area, If two MSAs have identical GAFs, they shall be combined in the iterative comparison. ”

“ The collection of health data to identify deficiencies in the quality and coordination of care for individuals eligible for benefits under this part. `` (C) Such other activities as specified by the Secretary. ́ ́.
(d) Extension of Incentive Payments.— Section 1848 (m) (1) of such Act (42 U.S.C. 1395w–4 (m) (1) ) is amended— (1) in subparagraph (A) , by striking ``2010 ́ ́ and inserting ``2012 ́ ́; and (2) in subparagraph (B) (ii) , by striking ``2009 and 2010 ́ ́ and inserting ``for each of the years 2009 through 2012 ́ ́.
Sec. 1125. Adjustment to Medicare Payment Localities. ”

“ Application of Separate Target Growth Rates for Each Category.— (A) In General.— Section 1848 (f) of the Social Security Act (42 U.S.C. 1395w–4 (f) ) is amended by adding at the end the following new paragraph ”