114 STAT. 2763A-566 PUBLIC LAW 106-554—APPENDIX F SEC. 622. PROVIDING FOR ACCOUNTABILITY OF MEDICARE+CHOICE PLANS. (a) MANDATORY REVIEW OF ACR SUBMISSIONS BY THE CHIEF ACTUARY OF THE HEALTH CARE FINANCING ADMINISTRATION. — Section 1854(a)(5)(A) (42 U.S.C. 1395w-24(a)(5)(A)) is amended— (1) by striking "value" and inserting "values"; and (2) by adding at the end the following: "The Chief Actuary of the Health Care Financing Administration shall review the actuarial assumptions and data used by the Medicare+Choice organization with respect to such rates, amounts, and values so submitted to determine the appropriateness of such assumptions and data.". (b) EFFECTIVE DATE.— The amendments made by subsection (a) shall apply to submissions made on or after May 1, 2001. SEC. 623. INCREASED CIVIL MONEY PENALTY FOR MEDICARE+CHOICE ORGANIZATIONS THAT TERMINATE CONTRACTS MID- YEAR. (a) IN GENERAL. —Section 1857(g)(3) (42 U.S.C. 1395w-27(g)(3)) is amended by adding at the end the following new subparagraph: "(D) Civil monetary penalties of not more than $100,000, or such higher amount as the Secretary may establish by regulation, where the finding under subsection (c)(2)(A) is based on the organization's termination of its contract under this section other than at a time and in a manner provided for under subsection (a).". (b) EFFECTIVE DATE.— The amendment made by subsection (a) shall apply to terminations occurring after the date of the enactment of this Act. Subtitle C—Other Managed Care Reforms SEC. 631. ONE-YEAR EXTENSION OF SOCIAL HEALTH MAINTENANCE ORGANIZATION (SHMO) DEMONSTRATION PROJECT. Section 4018(b)(1) of the Omnibus Budget Reconciliation Act of 1987, as amended by section 531(a)(1) of BBRA (113 Stat. 150 lA- 388), is amended by striking "18 months" and inserting "30 months". SEC. 632. REVISED TERMS AND CONDITIONS FOR EXTENSION OF MEDI- CARE COMMUNITY NURSING ORGANIZATION (CNO) DEM- ONSTRATION PROJECT, (a) IN GENERAL.—Section 532 of BBRA (113 Stat. 1501A-388) is amended— (1) in subsection (a), by striking the second sentence; and (2) by striking subsection (b) and inserting the following new subsection: "(b) TERMS AND CONDITIONS.— "(1) JANUARY THROUGH SEPTEMBER 2000. —For the 9-month period beginning with January 2000, any such demonstration project shall be conducted under the same terms and conditions as applied to such demonstration during 1999. "(2) OCTOBER 2000 THROUGH DECEMBER 2001. —For the 15- month period beginning with October 2000, any such demonstration project shall be conducted under the same terms and conditions as applied to such demonstration during 1999, except that the following modifications shall apply:
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