114 STAT. 2763A-480 PUBLIC LAW 106-554—APPENDIX F (2) Focus. —In conducting the study under paragraph (1), the Commission shall focus on the appropriate— (A) qualifying diagnoses required for coverage of cardiac and pulmonary rehabilitation therapy services; (B) level of physician direct involvement and supervision in furnishing such services; and (C) level of reimbursement for such services. (b) REPORT.— Not later than 18 months after the date of the enactment of this Act, the Commission shall submit to Congress a report on the study conducted under subsection (a) together with such recommendations for legislation and administrative action as the Commission determines appropriate. SEC. 128. LIFESTYLE MODIFICATION PROGRAM DEMONSTRATION. (a) IN GENERAL. —The Secretary of Health and Human Services shall carry out the demonstration project known as the Lifestyle Modification Program Demonstration, as described in the Health Care Financing Administration Memorandum of Understanding entered into on November 13, 2000, and as subsequently modified, (in this section referred to as the "project") in accordance with the following requirements: (1) The project shall include no fewer than 1,800 medicare beneficiaries who complete under the project the entire course of treatment under the Lifestyle Modification Program. (2) The project shall be conducted over a course of 4 years. (b) STUDY ON COST-EFFECTIVENESS. — (1) STUDY. — The Secretary shall conduct a study on the cost-effectiveness of the Lifestyle Modification Program as conducted under the project. In determining whether such Program is cost-effective, the Secretary shall determine (using a control group under a matched paired experimental design) whether expenditures incurred for medicare beneficiaries enrolled under the project exceed expenditures for the control group of medicare beneficiaries with similar health conditions who are not enrolled under the project. (2) REPORTS. — (A) INITIAL REPORT.—Not later that 1 year after the date on which 900 medicare beneficiaries have completed the entire course of treatment under the Lifestyle Modification Program under the project, the Secretary shall submit to Congress an initial report on the study conducted under paragraph (1). (B) FINAL REPORT. —Not later that 1 year after the date on which 1,800 medicare beneficiaries have completed the entire course of treatment under such Program under the project, the Secretary shall submit to Congress a final report on the study conducted under paragraph (1).
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