PUBLIC LAW 108–173—DEC. 8, 2003
117 STAT. 2067
TITLE II—MEDICARE ADVANTAGE Subtitle A—Implementation of Medicare Advantage Program Sec. 201. Implementation of Medicare Advantage program. Subtitle B—Immediate Improvements Sec. 211. Immediate improvements. Subtitle C—Offering of Medicare Advantage (MA) Regional Plans; Medicare Advantage Competition Sec. 221. Establishment of MA regional plans. Sec. 222. Competition program beginning in 2006. Sec. 223. Effective date. Sec. Sec. Sec. Sec. Sec. Sec.
231. 232. 233. 234. 235. 236.
Sec. 237. Sec. 238.
Subtitle D—Additional Reforms Specialized MA plans for special needs individuals. Avoiding duplicative State regulation. Medicare MSAs. Extension of reasonable cost contracts. Two-year extension of municipal health service demonstration projects. Payment by PACE providers for medicare and medicaid services furnished by noncontract providers. Reimbursement for federally qualified health centers providing services under MA plans. Institute of Medicine evaluation and report on health care performance measures.
Subtitle E—Comparative Cost Adjustment (CCA) Program Sec. 241. Comparative Cost Adjustment (CCA) program. Sec. 301. Sec. 302. Sec. 303. Sec. 304. Sec. 305. Sec. 306. Sec. 307.
TITLE III—COMBATTING WASTE, FRAUD, AND ABUSE Medicare secondary payor (MSP) provisions. Payment for durable medical equipment; competitive acquisition of certain items and services. Payment reform for covered outpatient drugs and biologicals. Extension of application of payment reform for covered outpatient drugs and biologicals to other physician specialties. Payment for inhalation drugs. Demonstration project for use of recovery audit contractors. Pilot program for national and State background checks on direct patient access employees of long-term care facilities or providers. TITLE IV—RURAL PROVISIONS
Sec. Sec. Sec. Sec. Sec. Sec. Sec. Sec. Sec. Sec. Sec.
Subtitle A—Provisions Relating to Part A Only 401. Equalizing urban and rural standardized payment amounts under the medicare inpatient hospital prospective payment system. 402. Enhanced disproportionate share hospital (DSH) treatment for rural hospitals and urban hospitals with fewer than 100 beds. 403. Adjustment to the medicare inpatient hospital prospective payment system wage index to revise the labor-related share of such index. 404. More frequent update in weights used in hospital market basket. 405. Improvements to critical access hospital program. 406. Medicare inpatient hospital payment adjustment for low-volume hospitals. 407. Treatment of missing cost reporting periods for sole community hospitals. 408. Recognition of attending nurse practitioners as attending physicians to serve hospice patients. 409. Rural hospice demonstration project. 410. Exclusion of certain rural health clinic and federally qualified health center services from the prospective payment system for skilled nursing facilities. 410A. Rural community hospital demonstration program.
Subtitle B—Provisions Relating to Part B Only Sec. 411. Two-year extension of hold harmless provisions for small rural hospitals and sole community hospitals under the prospective payment system for hospital outpatient department services. Sec. 412. Establishment of floor on work geographic adjustment. Sec. 413. Medicare incentive payment program improvements for physician scarcity.
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