12 2 STA T . 2 589PUBLIC LA W 11 0– 2 7 5 —J UL Y 15 , 2008 Suchrepo r ts h al l in clu d e reco m mendations on impro v in g compli - ance w ith CLA S Standards and recommendations on improving en f orcement of CLAS Standards .(b)IMPLE ME NTA T IO N. —N ot later than one y ear after the date of publication of the report under subsection (a) , the D epartment of H ealth and Human Services shall implement changes responsive to any deficiencies identified in the report. SEC.18 8. M E DI C AR EIM P R OV EME NTFU NDIN G . (a) M E D I C A R E IMPRO V EMENT FU ND.— ( 1 )IN G ENERAL.—Sub j ect to paragraph ( 2 ), title XV III of the Social Security Act ( 4 2 U .S.C. 1 395 et se q .) is amended by adding at the end the following new section
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‘MEDICARE IMPROVEMENT F UND ‘‘SEC. 1 8 98. (a) ES TA B LIS H MENT.— ‘‘ T he Secretary shall establish under this title a Medicare Improvement Fund (in this section referred to as the ‘Fund ’ ) which shall be available to the Secretary to ma k e improvements under the original fee-for-service program under parts A and B for individuals entitled to, or enrolled for, benefits under part A or enrolled under part B. ‘‘(b) FUNDING.— ‘‘(1) IN GENERAL.—There shall be available to the Fund, for e x penditures from the Fund for services furnished during fiscal years 2 0 14 through 201 7 , $ 19,900,000,000. ‘‘(2) P A Y MENT FROM TRUST FUNDS.—The amount specified under paragraph (1) shall be available to the Fund, as expendi- tures are made from the Fund, from the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund in such proportion as the Secretary determines appropriate. ‘‘(3) FUNDING LIMITATION.—Amounts in the Fund shall be available in advance of appropriations but only if the total amount obligated from the Fund does not exceed the amount available to the Fund under paragraph (1). The Secretary may obligate funds from the Fund only if the Secretary determines (and the Chief Actuary of the Centers for Medicare & Medicaid Services and the appropriate budget officer certify) that there are available in the Fund sufficient amounts to cover all such obligations incurred consistent with the previous sentence.’’. (2) CONTINGENCY.— (A) IN GENERAL.—If there is enacted, before, on, or after the date of the enactment of this Act, a Supplemental Appropriations Act, 2008 that includes a provision pro- viding for a Medicare Improvement Fund under a section 1898 of the Social Security Act, the alternative amendment described in subparagraph (B)— (i) shall apply instead of the amendment made by paragraph (1)
and (ii) shall be executed after such provision in such Supplemental Appropriations Act. (B) ALTERNATIVE AMENDMENT DESCRIBED.—The alter- native amendment described in this subparagraph is as follows: Section 1898(b)(1) of the Social Security Act, as added by the Supplemental Appropriations Act, 2008, is amended by inserting before the period at the end the 42USC1395i ii .Ap p l i cab ili ty . C er ti f icati on . D ea d line.
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