United States. Congress

“ Use appropriate risk-adjustment in determining the amount of the per beneficiary per month payment under this paragraph in a manner that ensures that higher payments are made for higher risk beneficiaries. `` (4) Encouraging participation of variety of practices.—The pilot program under this subsection shall be designed to include the participation of physicians in practices with fewer than 10 full-time equivalent physicians, as well as physicians in larger practices, particularly in underserved and rural areas, as well as federally qualified community health centers, and rural health centers. ”

“ The term ‘marriage and family therapist’ means an individual who— `` (A) possesses a master’s or doctoral degree which qualifies for licensure or certification as a marriage and family therapist pursuant to State law; `` (B) after obtaining such degree has performed at least 2 years of clinical supervised experience in marriage and family therapy; and `` (C) is licensed or certified as a marriage and family therapist in the State in which marriage and family therapist services are performed. ”

“ Transition.—For purposes of extension of an agreement with a qualifying ACO under subsection (g) (2) , the Secretary shall treat receipt of an incentive payment for a year by an organization under the physician group practice demonstration pursuant to section 1866A as a year for which an incentive payment is made under such subsection, as long as such practice group practice organization meets the criteria under subsection (b) (2) . ”

“ The group provides notice to applicable beneficiaries regarding the pilot program (as determined appropriate by the Secretary) . `` (F) The group contributes to a best practices network or website, that shall be maintained by the Secretary for the purpose of sharing strategies on quality improvement, care coordination, and efficiency that the groups believe are effective. `` (G) The group utilizes patient-centered processes of care, including those that emphasize patient and caregiver involvement in planning and monitoring of ongoing care management plan. ”

“ Funding.— `` (1) Operational costs.—For purposes of administering and carrying out the pilot program (including the design, implementation, technical assistance for and evaluation of such program) , in addition to funds otherwise available, there shall be transferred from the Federal Supplementary Medical Insurance Trust Fund under section 1841 to the Secretary for the Centers for Medicare & Medicaid Services Program Management Account $6,000,000 for each of fiscal years 2010 through 2014. Amounts appropriated under this paragraph for a fiscal year shall be available until expended. ”

“ Conforming Amendment.— Section 1861 (hh) (2) of the Social Security Act (42 U.S.C. 1395x (hh) (2) ) is amended by striking ``and other than services furnished to an inpatient of a skilled nursing facility which the facility is required to provide as a requirement for participation ́ ́. ”

“ Ultrasound screening for abdominal aortic aneurysm for certain individuals (as described in described in subsection (s) (2) (AA) ) . `` (J) Pneumococcal and influenza vaccines and their administration (as described in subsection (s) (10) (A) ) and hepatitis B vaccine and its administration for certain individuals (as described in subsection (s) (10) (B) ) . `` (K) Screening mammography (as defined in subsection (jj) ) . `` (L) Screening pap smear and screening pelvic exam (as defined in subsection (nn) ) . `` (M) Bone mass measurement (as defined in subsection (rr) ) . ”