CERTAIN MEDICAID EXTENSIONS FOR TERRITORIES.

SEC. 201. CERTAIN MEDICAID EXTENSIONS FOR TERRITORIES. (a) Extending Increased FMAP.—Section 1905(ff) of the Social Security Act (42 U.S.C. 1396d(ff)) is amended— (1) in paragraph (2), by inserting “and for the period beginning January 1, 2022, and ending December 13, 2022” after “and ending December 3, 2021,” and (2) in paragraph (3), by striking “March 11, 2022” and inserting “December 13, 2022”. (b) Extending Additional Increase for Puerto Rico.—Section 1108(g) of the Social Security Act (42 U.S.C. 1308(g)) is amended by adding at the end the following new paragraph: “(10) Additional increase for puerto rico for fiscal year 2022.— “(A) In general.—Notwithstanding the preceding provisions of this subsection, the total amount certified for Puerto Rico for fiscal year 2022 under this subsection shall be increased by $200,000,000 if the Secretary certifies that, with respect to such fiscal year, Puerto Rico’s State plan under title XIX (or a waiver of such plan) establishes a reimbursement floor, implemented through a directed payment arrangement plan, for physician services that are covered under the Medicare part B fee schedule in the Puerto Rico locality established under section 1848(b) that is not less than 70 percent of the payment that would apply to such services if they were furnished under part B of title XVIII during such fiscal year. “(B) Application to managed care.—In certifying whether Puerto Rico has established a reimbursement floor under a directed payment arrangement plan that satisfies the requirements of subparagraph (A) for fiscal year 2022, the Secretary shall— “(i) disregard payments made under sub-capitated arrangements for services such as primary care case management; and “(ii) if the reimbursement floor for physician services applicable under a managed care contract satisfies the requirements of subparagraph (A) for the fiscal year in which the contract is entered into or renewed, such reimbursement floor shall be deemed to satisfy such requirements for the subsequent fiscal year.” . (c) Puerto Rico Report on Procurement Processes and Standards Used for Contracting Under the Medicaid Program.— (1) Report required.—Not later than December 1, 2022, the agency responsible for administering Puerto Rico’s Medicaid program under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) shall submit to Congress a report on the procurement processes and standards used for selecting contracts under Puerto Rico’s Medicaid program. (2) Information in report.—The report required under paragraph (1) shall include the following: (A) A detailed description of the procurement processes and standards used for selecting contracts under Puerto Rico’s Medicaid program under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.), for contracts in effect as of the date of the enactment of this subsection. (B) The number of contracts, and a description of such contracts, for an amount greater than $150,000 as of the date of the enactment of this subsection. (C) Differences between the procurement processes and standards for selecting contracts in place as of the date of the enactment of this subsection, and the Federal procurement standards (as described in sections 75.327, 75.328, and 75.329 of title 45, Code of Federal Regulations) as of such date.