Page:United States Statutes at Large Volume 124.djvu/1079

124 STAT. 1053 PUBLIC LAW 111–152—MAR. 30, 2010 ‘‘(jj) PRIMARY CARE SERVICES DEFINED.—For purposes of sub- section (a)(13)(C), the term ‘primary care services’ means— ‘‘(1) evaluation and management services that are proce- dure codes (for services covered under title XVIII) for services in the category designated Evaluation and Management in the Healthcare Common Procedure Coding System (established by the Secretary under section 1848(c)(5) as of December 31, 2009, and as subsequently modified); and ‘‘(2) services related to immunization administration for vaccines and toxoids for which CPT codes 90465, 90466, 90467, 90468, 90471, 90472, 90473, or 90474 (as subsequently modi- fied) apply under such System.’’. (2) UNDER MEDICAID MANAGED CARE PLANS.—Section 1932(f) of such Act (42 U.S.C. 1396u–2(f)) is amended— (A) in the heading, by adding at the end the following: ‘‘; ADEQUACY OF PAYMENT FOR PRIMARY CARE SERVICES’’; and (B) by inserting before the period at the end the fol- lowing: ‘‘and, in the case of primary care services described in section 1902(a)(13)(C), consistent with the minimum pay- ment rates specified in such section (regardless of the manner in which such payments are made, including in the form of capitation or partial capitation)’’. (b) INCREASE IN PAYMENT USING INCREASED FMAP.—Section 1905 of the Social Security Act, as amended by section 1004(b) of this Act and section 10201(c)(6) of the Patient Protection and Affordable Care Act, is amended by adding at the end the following new subsection: ‘‘(dd) INCREASED FMAP FOR ADDITIONAL EXPENDITURES FOR PRIMARY CARE SERVICES.—Notwithstanding subsection (b), with respect to the portion of the amounts expended for medical assist- ance for services described in section 1902(a)(13)(C) furnished on or after January 1, 2013, and before January 1, 2015, that is attributable to the amount by which the minimum payment rate required under such section (or, by application, section 1932(f)) exceeds the payment rate applicable to such services under the State plan as of July 1, 2009, the Federal medical assistance percentage for a State that is one of the 50 States or the District of Columbia shall be equal to 100 percent. The preceding sentence does not prohibit the payment of Federal financial participation based on the Federal medical assistance percentage for amounts in excess of those specified in such sentence.’’. SEC. 1203. DISPROPORTIONATE SHARE HOSPITAL PAYMENTS. (a) IN GENERAL.—Section 1923(f) of the Social Security Act (42 U.S.C. 1396r–4(f)), as amended by sections 2551(a)(4) and 10201(e)(1) of the Patient Protection and Affordable Care Act, is amended— (1) in paragraph (6)(B)(iii), in the matter preceding sub- clause (I), by striking ‘‘or paragraph (7)’’; and (2) by striking paragraph (7) and inserting the following: ‘‘(7) MEDICAID DSH REDUCTIONS.— ‘‘(A) REDUCTIONS.— ‘‘(i) IN GENERAL.—For each of fiscal years 2014 through 2020 the Secretary shall effect the following reductions: