Centers for Medicare and Medicaid Services

Centers for Medicare and Medicaid Services Grants to States for Medicaid For carrying out, except as otherwise provided, titles XI and XIX of the Social Security Act, $112,090,218,000, to remain available until expended. For making, after May 31, 2003, payments to States under title XIX of the Social Security Act for the last quarter of fiscal year 2003 for unanticipated costs, incurred for the current fiscal year, such sums as may be necessary. For making payments to States or in the case of section 1928 on behalf of States under title XIX of the Social Security Act for the first quarter of fiscal year 2004, $51,861,386,000, to remain available until expended. Payment under title XIX may be made for any quarter with respect to a State plan or plan amendment in effect during such quarter, if submitted in or prior to such quarter and approved in that or any subsequent quarter.117 STAT. 316 Payments to Health Care Trust Funds For payment to the Federal Hospital Insurance and the Federal Supplementary Medical Insurance Trust Funds, as provided under section 1844 of the Social Security Act, sections 103(c) and 111(d) of the Social Security Amendments of 1965, section 278(d) of Public Law 97–248, and for administrative expenses incurred pursuant to section 201(g) of the Social Security Act, $81,462,700,000. Program Management For carrying out, except as otherwise provided, titles XI, XVIII, XIX, and XXI of the Social Security Act, titles XIII and XXVII of the Public Health Service Act, and the Clinical Laboratory Improvement Amendments of 1988, not to exceed $2,581,672,000, to be transferred from the Federal Hospital Insurance and the Federal Supplementary Medical Insurance Trust Funds, as authorized by section 201(g) of the Social Security Act; together with all funds collected in accordance with section 353 of the Public Health Service Act and section 1857(e)(2) of the Social Security Act, and such sums as may be collected from authorized user fees and the sale of data, which shall remain available until expended, and together with administrative fees collected relative to Medicare overpayment recovery activities, which shall remain available until expended: Provided, That all funds derived in accordance with 31 U.S.C. 9701 from organizations established under title XIII of the Public Health Service Act shall be credited to and available for carrying out the purposes of this appropriation: Provided further, That from amounts appropriated under this heading, $3,000,000 for the managed care system redesign shall remain available until expended: Provided further, That $51,000,000, to remain available until September 30, 2004, is for contract costs for the Healthcare Integrated General Ledger Accounting System: Provided further, That of the amounts made available for research, demonstration and evaluation, $1,500,000 is available for AIDS Healthcare Foundation in Los Angeles for a demonstration of residential and outpatient treatment facilities, $500,000 is available for Bucks County Health Improvement Project, Langhorne, Pennsylvania, $464,000 is available for Children’s Hospice International demonstration program to provide a continuum of care for children with life-threatening conditions and their families, $350,000 is available for Children’s Hospitals and Clinics of Minneapolis/St. Paul, in partnership with the National Hospice and Palliative Care Organization, for a demonstration project to provide pediatric palliative care education and consultation services, $100,000 is available for Community Catalyst Inc., in Boston, MA, to expand a benefits management program to improve the delivery of healthcare benefits to low-income individuals, $75,000 is available for Cook County Illinois Bureau of Health Services to improve the management of the vulnerable patients with poorly controlled diabetes, $700,000 is available for the County of Sacramento, California, for implementation of the SacAdvantage pilot program to increase availability of health insurance for uninsured workers and their dependents through premium subsidies and purchasing pools, $200,000 is available for Equip for Equality in Chicago, Illinois, for a demonstration project to document the impact of an independent investigative unit to examine deaths and serious 117 STAT. 317 allegations of abuse and neglect of people with disabilities at facilities in Illinois, $300,000 is available for Hamot Medical Center, Erie, PA, for a demonstration project for the evaluation of advanced illness coordinated care for Medicare beneficiaries, $100,000 is available for Hope House Day Care Center in Memphis, Tennessee, for a demonstration project on improving the overall well-being of HIV positive children, $500,000 is available for the Hospice of Metro Denver in Denver, Colorado, to establish a clinical and training affiliation with the University of Colorado’s Health Science Center and to develop cutting-edge palliative care practices, $350,000 is available for Illinois Primary Health Care Association, in Springfield, Illinois, to implement the Shared Integrated Management Information System, $100,000 is available for Jefferson Area Board for Aging, Charlottesville, Virginia, for continuation of the recruitment, retention, training, and support of nursing assistants, $100,000 is available for Johns Hopkins School of Medicine, Baltimore, MD, for an advanced respiratory medicine project to study in-home, self-administered high frequency chest wall oscillation therapy, $130,000 is available for Medical Care for Children Partnership, Fairfax, Virginia, to provide outreach to increase access to medical and dental care for children, and $325,000 is available for The Breast Cancer Fund in San Francisco, California (in collaboration with Shanti) for the “Lifelines” project to increase access to breast cancer treatment for medically underserved women: Provided further, That to the extent Medicare claims volume is projected by the Centers for Medicare and Medicaid Services (CMS) to exceed 223,500,000 Part A claims and/or 870,000,000 Part B claims, an additional $46,800,000 shall be available for obligation for every 50,000,000 increase in Medicare claims volume (including a pro rata amount for any increment less than 50,000,000) from the Federal Hospital Insurance and the Federal Supplementary Medical Insurance Trust Fund: Provided further, That the Secretary of Health and Human Services is directed to collect fees in fiscal year 2003 from Medicare+Choice organizations pursuant to section 1857(e)(2) of the Social Security Act and from eligible organizations with risk-sharing contracts under section 1876 of that Act pursuant to section 1876(k)(4)(D) of that Act. Health Maintenance Organization Loan and Loan Guarantee Fund For carrying out subsections (d) and (e) of section 1308 of the Public Health Service Act, any amounts received by the Secretary in connection with loans and loan guarantees under title XIII of the Public Health Service Act, to be available without fiscal year limitation for the payment of outstanding obligations. During fiscal year 2003, no commitments for direct loans or loan guarantees shall be made.