Sec. 2123. Extension of funding for quality measure endorsement, input, and selection; reporting requirements
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Section 1890(d) of the Social Security Act ( 42 U.S.C. 1395aaa(d) ) is amended— in paragraph (2), by adding at the end the following new sentence: Any of such amounts remaining available as of the date of the enactment of the SUSTAIN Care Act of 2018 shall be used only for purposes under this section that are purposes other than funding a contract entered into under subsection (a). ; and by adding at the end the following new paragraph: For purposes of carrying out this section, the Secretary shall provide for the transfer, from the Federal Hospital Insurance Trust Fund under section 1817 and the Federal Supplemental Medical Insurance Trust Fund under 1841, in such proportion as Secretary deems appropriate, to the Centers for Medicare & Medicaid Services Program Management Account of $7,500,000 for each of fiscal years 2018 and 2019.
Of the amount transferred under the previous sentence for a fiscal year, there shall be used for the purpose of funding a contract entered into under subsection
(a)with respect to carrying out section 1890A (other than subsections
(e)and (f)) for such fiscal year an amount that is not less than the amount used for such purpose for fiscal year 2017. . Section 1890 of the Social Security Act ( 42 U.S.C. 1395aaa ) is amended by adding at the end the following new subsection: By not later than March 1 of each year (beginning with 2018), the Secretary shall submit to Congress a report containing the following: A comprehensive plan that identifies the quality measurement needs of programs and initiatives of the Secretary and provides a strategy for using the work performed by the entity with a contract under subsection
(a)and the work of any other entity the Secretary has contracted with to perform work associated with this section or section 1890A to help meet those needs, specifically with respect to the programs under this title and title XIX. The amount of mandatory funding provided under subsection
(d)for purposes of carrying out this section and section 1890A that has been obligated by the Secretary, the amount of funding provided that has been expended, and the amount of funding provided that remains unobligated. A description of how the funds provided that are obligated have been allocated, including how much of that funding has been allocated for work performed by the Secretary, the entity with a contract under subsection (a), and any other entity the Secretary has contracted with to perform work related to this section or section 1890A, respectively. A description of the activities for which the obligated funds have been or will be used, including any activities performed by the Secretary, task orders, specific projects, and activities assigned to the entity with a contract under subsection (a), and task orders, specific projects, and activities assigned to any other entity the Secretary has contracted with to perform work related to carrying out this section or section 1890A. The amount of funding allocated to each of the activities described in paragraph (4). Estimates for, and descriptions of, obligations and expenditures that the Secretary anticipates will be needed in the succeeding two year period to carry out each of the quality measurement activities required under this section and section 1890A, including any obligations that will require funds to be expended in a future year. . Section 1890(b)(5)(A) of the Social Security Act ( 42 U.S.C. 1395aaa(b)(5)(A) ) is amended— by redesignating clauses
(i)through
(vi)as subclauses
(I)through (VI), respectively, and moving the margins accordingly; in the matter preceding subclause (I), as redesignated by clause (i), by striking containing a description of— and inserting “containing the following: A description of— ; and by adding at the end the following new clauses: An itemization of financial information for the fiscal year ending September 30 of the preceding year, including— annual revenues of the entity (including any government funding, private sector contributions, grants, membership revenues, and investment revenue); annual expenses of the entity (including grants paid, benefits paid, salaries or other compensation, fundraising expenses, and overhead costs); and a breakdown of the amount awarded per contracted task order and the specific projects funded in each task order assigned to the entity. Any updates or modifications of internal policies and procedures of the entity as they relate to the duties of the entity under this section, including— specifically identifying any modifications to the disclosure of interests and conflicts of interests for committees, work groups, task forces, and advisory panels of the entity; and information on external stakeholder participation in the duties of the entity under this section (including complete rosters for all committees, work groups, task forces, and advisory panels funded through government contracts, descriptions of relevant interests and any conflicts of interest for members of all committees, work groups, task forces, and advisory panels, and the total percentage by health care sector of all convened committees, work groups, task forces, and advisory panels. . The amendments made by this subsection shall apply to reports submitted for years beginning with 2018. The Comptroller General of the United States shall conduct a study on health care quality measurement efforts funded under sections 1890 and 1890A of the Social Security Act ( 42 U.S.C. 1395aaa ; 1395aaa–1). Such study shall include an examination of the following: The extent to which the Secretary of Health and Human Services (in this subsection referred to as the Secretary ) has set and prioritized objectives to be achieved for each of the quality measurement activities required under such sections 1890 and 1890A. The efforts that the Secretary has undertaken to meet quality measurement objectives associated with such sections 1890 and 1890A, including division of responsibilities for those efforts within the Department of Health and Human Services and through contracts with a consensus-based entity under subsection
(a)of such section 1890 (in this subsection referred to as the consensus-based entity ) and other entities, and the extent of any overlap among the work performed by the Secretary, the consensus-based entity, the Measure Application Partnership
(MAP)convened by such entity to provide input to the Secretary on the selection of quality and efficiency measures, and any other entities the Secretary has contracted with to perform work related to carrying out such sections 1890 and 1890A. The total amount of mandatory funding provided to the Secretary for purposes of carrying out such sections 1890 and 1890A, the amount of such funding that has been obligated by the Secretary, and the amount of such funding that remains unobligated. How the obligated funds have been allocated, including how much of the obligated funding has been allocated for work performed by the Secretary, the consensus-based entity, and any other entity the Secretary has contracted with to perform work related to carrying out such sections 1890 and 1890A, respectively, and descriptions of such work. The extent to which the Secretary has developed a comprehensive and long-term plan to ensure that it can achieve quality measurement objectives related to carrying out such sections 1890 and 1890A in a timely manner and with efficient use of available resources, including the roles of the consensus-based entity, the Measure Application Partnership (MAP), and any other entity the Secretary has contracted with to perform work related to such sections 1890 and 1890A in helping the Secretary achieve those objectives. Not later than 18 months after the date of enactment of this Act, the Comptroller General of the United States shall submit to Congress a report containing the results of the study conducted under paragraph (1), together with recommendations for such legislation and administrative action as the Comptroller General determines appropriate.
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Sec. 2123
Extension of funding for quality measure endorsement, input, and selection; reporting requirements
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