Sec. 403. Health and human services report
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Not later than 90 days after the date of enactment of this Act, the Secretary of Health and Human Services shall submit to the Committee on Finance and the Committee on Energy and Natural Resources of the Senate, the Committee on Ways and Means and the Committee on Natural Resources of the House of Representatives, and to the Resident Commissioner of the Commonwealth, recommendations that specify the manner in which the Federal Government should more equitably allocate resources across the territories— without— adding to the Federal debt; or significantly decreasing the solvency of the Federal Old-Age and Survivors Insurance Trust Fund and the Federal Disability Insurance Trust Fund under section 201 of the Social Security Act ( 42 U.S.C. 401 ), the Federal Hospital Insurance Trust Fund under section 1817 of such Act ( 42 U.S.C. 1395i ), and the Federal Supplementary Medical Insurance Trust Fund under section 1841 of such Act ( 42 U.S.C. 1395t ); and to promote— horizontal equity across territories; and inter-temporal horizontal equity across States and territories to account for relative Federal income tax burdens and needs.
Not later than 90 days after the date on which the recommendations are submitted under subsection (a), the Office of the Actuary of the Centers for Medicare & Medicaid Services shall provide to the Secretary of Health and Human Services and to the Committee on Finance and the Committee on Energy and Natural Resources of the Senate and the Committee on Ways and Means and the Committee on Natural Resources of the House of Representatives an estimate of the effects that such recommendations would have on the Federal Hospital Insurance Trust Fund under section 1817 of the Social Security Act ( 42 U.S.C. 1395i ).
Not later than 90 days after the date on which the recommendations are submitted under subsection (a), the Office of the Actuary of the Centers for Medicare & Medicaid Services shall provide to the Secretary of Health and Human Services, the Committee on Finance and the Committee on Energy and Natural Resources of the Senate, the Committee on Ways and Means and the Committee on Natural Resources of the House of Representatives, and to the Resident Commissioner of the Commonwealth an economic impact analysis of the benefits and costs of such recommendations, including an executive summary detailing the results of the analysis in nontechnical terminology.
Not later than 90 days after the date on which the estimate and analysis are provided under subsections
(b)and (c), the Secretary of Health and Human Services, acting through the Medicare Payment Advisory Commission and the Medicaid and CHIP Access Commission, shall review such estimates and analyses and provide to the Committee on Finance and the Committee on Energy and Natural Resources of the Senate, the Committee on Ways and Means and the Committee on Natural Resources of the House of Representatives, and to the Resident Commissioner of the Commonwealth a report containing a final assessment and recommendations based on such estimates and analyses to provide equitable treatment to territories and do so in a fiscally responsible way, both intra- and inter-temporally.
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