Pub. L. 110-252, tit. VII, sec. 7002

Sec. 7002. (a) Medicare Improvement Fund.— Title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) is amended by adding at the end the following new section:“medicare improvement fund“Sec. 1898. (a) Establishment.—The Secretary shall establish under this title a Medicare Improvement Fund (in this section referred to as the ‘Fund’) which shall be available to the Secretary to make improvements under the original fee-for-service program under parts A and B for individuals entitled to, or enrolled for, benefits under part A or enrolled under part B.“(b) Funding.—“(1) In general.—There shall be available to the Fund, for expenditures from the Fund for services furnished during fiscal year 2014, $2,220,000,000.“(2) Payment from trust funds.—The amount specified under paragraph (1) shall be available to the Fund, as expenditures are made from the Fund, from the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical 122 STAT. 2395 Insurance Trust Fund in such proportion as the Secretary determines appropriate.“(3) Funding limitation.—Amounts in the Fund shall be available in advance of appropriations but only if the total amount obligated from the Fund does not exceed the amount available to the Fund under paragraph (1). The Secretary may obligate funds from the Fund only if the Secretary determines (and the Chief Actuary of the Centers for Medicare & Medicaid Services and the appropriate budget officer certify) that there are available in the Fund sufficient amounts to cover all such obligations incurred consistent with the previous sentence.” .(b) Medicaid Improvement Fund.— Title XIX of the Social Security Act (42 U.S.C. 1396 et seq.), as amended by section 7001(d), is further amended by adding at the end the following new section:“medicaid improvement fund“Sec. 1941. (a) Establishment.—The Secretary shall establish under this title a Medicaid Improvement Fund (in this section referred to as the ‘Fund’) which shall be available to the Secretary to improve the management of the Medicaid program by the Centers for Medicare & Medicaid Services, including oversight of contracts and contractors and evaluation of demonstration projects. Payments made for activities under this subsection shall be in addition to payments that would otherwise be made for such activities.“(b) Funding.—“(1) In general.—There shall be available to the Fund, for expenditures from the Fund—“(A) for fiscal year 2014, $100,000,000; and“(B) for fiscal years 2015 through 2018, $150,000,000.“(2) Funding limitation.—Amounts in the Fund shall be available in advance of appropriations but only if the total amount obligated from the Fund does not exceed the amount available to the Fund under paragraph (1). The Secretary may obligate funds from the Fund only if the Secretary determines (and the Chief Actuary of the Centers for Medicare & Medicaid Services and the appropriate budget officer certify) that there are available in the Fund sufficient amounts to cover all such obligations incurred consistent with the previous sentence.” .(c) Adjustment to PAQI Fund.—Section 1848(l)(2) of the Social Security Act (42 U.S.C. 1395w-4(l)(2)), as amended by section 101(a)(2) of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (Public Law 110-173), is amended—(1) in subparagraph (A)(i)—(A) in subclause (III), by striking “$4,960,000,000” and inserting “$4,670,000,000”; and(B) by adding at the end the following new subclause:“(IV) For expenditures during 2014, an amount equal to $290,000,000.”;(2) in subparagraph (A)(ii), by adding at the end the following new subclause:“(IV) 2014.—The amount available for expenditures during 2014 shall only be available for an adjustment to the update of the conversion factor under subsection (d) for that year.”; and(3) in subparagraph (B)—(A) in clause (ii), by striking “and” at the end;122 STAT. 2396(B) in clause (iii), by striking the period at the end and inserting “; and”; and(C) by adding at the end the following new clause:“(iv) 2014 for payment with respect to physicians’ services furnished during 2014.”.