EXTENSION OF FUNDING FOR QUALITY MEASURE ENDORSEMENT, INPUT, AND SELECTION.

SEC. 102. EXTENSION OF FUNDING FOR QUALITY MEASURE ENDORSEMENT, INPUT, AND SELECTION. (a) Extension.—Section 1890(d)(2) of the Social Security Act (42 U.S.C. 1395aaa(d)(2)), as amended by section 1103 of the Further Continuing Appropriations Act, 2021, and Other Extensions Act, is amended— (1) in the first sentence, by striking “and for the period beginning on October 1, 2020, and ending on December 18, 2020, the amount equal to the pro rata portion of the amount appropriated for such period for fiscal year 2020” and inserting “ $26,000,000 for fiscal year 2021, $20,000,000 for fiscal year 2022, and $20,000,000 for fiscal year 2023”; and (2) in the third sentence, by striking “and 2020, and for the period beginning on October 1, 2020, and ending on December 18, 2020” and inserting “2020, 2021, 2022, and 2023”. (b) Additional Reporting Requirements.—Section 1890 of the Social Security Act (42 U.S.C. 1395aaa) is amended— (1) in subsection (e)— (A) by redesignating paragraphs (1) through (6) as subparagraphs (A) through (F), respectively; (B) by striking “Congress.—By not later than” and inserting“ Congress.— “(1) In general.—By not later than” ; (C) in subparagraph (A), as redesignated by this paragraph, by striking the last sentence; (D) in subparagraph (D), as so redesignated, by striking “A description” and inserting “Subject to paragraph (2)(B), a description”; (E) in subparagraph (E), as so redesignated, by striking “The amount” and inserting “Subject to paragraph (2)(B), the amount”; (F) in subparagraph (F), as so redesignated, by striking “Estimates” and inserting “Subject to paragraph (2)(B), estimates”; and (G) by adding at the end the following new paragraph: “(2) Additional requirements for reports.— “(A) Addressing gao report.—Each of the annual reports submitted in 2021 and 2022 pursuant to paragraph (1) shall also include the following: “(i) A comprehensive analysis detailing the ways in which the Centers for Medicare & Medicaid Services has addressed each of the recommendations set forth in the report by the Government Accountability Office (GAO-19-628) issued on September 19, 2019, and titled ‘Health Care Quality: CMS Could More Effectively Ensure Its Quality Measurement Activities Promote Its Objectives’. “(ii) A detailed description of— “(I) any additional steps that the Centers for Medicare & Medicaid Services expects to take to address the findings and recommendations set forth in such report; and “(II) the anticipated timing for such steps. “(B) Ensuring detailed information.— “(i) In general.—In the case of an annual report submitted in 2021 or a subsequent year pursuant to paragraph (1), the information required under— “(I) paragraph (1)(D) shall also include detailed information on each of the activities described in clause (ii); “(II) paragraph (1)(E) shall also include detailed information on the specific amounts obligated or expended on each of the activities described in clause (ii); and “(III) paragraph (1)(F) shall also include detailed information on the specific quality measurement activities required and future funding needed for each of the activities described in clause (ii). “(ii) Activities described.—The activities described in this clause are the following: “(I) Measure selection activities. “(II) Measure development activities. “(III) Public reporting activities. “(IV) Education and outreach activities.” ; and (2) by adding at the end the following new subsection: “(f) Additional Reporting by the Secretary to Congress.— “(1) In general.—By not later than September 30 of each year (beginning with 2021), the Secretary shall submit to Congress a report on the amount of unobligated balances for appropriations relating to quality measurement. Such report shall include detailed plans on how the Secretary expects to expend such unobligated balances in the upcoming fiscal years. “(2) Separate report.—The annual report required under paragraph (1) shall be separate from the annual report required under subsection (e).” . (c) Input for Removal of Measures.—Section 1890(b) of the Social Security Act (42 U.S.C. 1395aaa(b)) is amended by inserting after paragraph (3) the following new paragraph: “(4) Removal of measures.—The entity may provide input to the Secretary on quality and efficiency measures described in paragraph (7)(B) that could be considered for removal.” . (d) Prioritization of Measure Endorsement.—Section 1890(b) of the Social Security Act (42 U.S.C. 1395aaa(b)) is amended by adding at the end the following new paragraph: “(9) Prioritization of measure endorsement.—The Secretary— “(A) during the period beginning on the date of the enactment of this paragraph and ending on December 31, 2023, shall prioritize the endorsement of measures relating to maternal morbidity and mortality by the entity with a contract under subsection (a) in connection with endorsement of measures described in paragraph (2); and “(B) on and after January 1, 2024, may prioritize the endorsement of such measures by such entity.” .