Page:United States Statutes at Large Volume 124.djvu/356

124 STAT. 330 PUBLIC LAW 111–148—MAR. 23, 2010 interact with similar goals established by other purchasers of health care services.’’; (iv) by inserting after subparagraph (F) (as redesig- nated by clause (ii) of this subparagraph), the following: ‘‘(G) INTERACTIONS WITH MEDICARE AND MEDICAID.— Consistent with paragraph (11), the interaction of policies under Medicaid and the Medicare program under title XVIII, including with respect to how such interactions affect access to services, payments, and dual eligible individuals.’’ and (v) in subparagraph (H) (as so redesignated), by inserting ‘‘and preventive, acute, and long-term serv- ices and supports’’ after ‘‘barriers’’; (C) by redesignating paragraphs (3) through (9) as paragraphs (4) through (10), respectively; (D) by inserting after paragraph (2), the following new paragraph: ‘‘(3) RECOMMENDATIONS AND REPORTS OF STATE-SPECIFIC DATA.—MACPAC shall— ‘‘(A) review national and State-specific Medicaid and CHIP data; and ‘‘(B) submit reports and recommendations to Congress, the Secretary, and States based on such reviews.’’; (E) in paragraph (4), as redesignated by subparagraph (C), by striking ‘‘or any other problems’’ and all that follows through the period and inserting ‘‘, as well as other factors that adversely affect, or have the potential to adversely affect, access to care by, or the health care status of, Medicaid and CHIP beneficiaries. MACPAC shall include in the annual report required under paragraph (1)(D) a description of all such areas or problems identified with respect to the period addressed in the report.’’; (F) in paragraph (5), as so redesignated,— (i) in the paragraph heading, by inserting ‘‘AND REGULATIONS’’ after ‘‘REPORTS’’; and (ii) by striking ‘‘If’’ and inserting the following: ‘‘(A) CERTAIN SECRETARIAL REPORTS.—If’’; and (iii) in the second sentence, by inserting ‘‘and the Secretary’’ after ‘‘appropriate committees of Congress’’; and (iv) by adding at the end the following: ‘‘(B) REGULATIONS.—MACPAC shall review Medicaid and CHIP regulations and may comment through submis- sion of a report to the appropriate committees of Congress and the Secretary, on any such regulations that affect access, quality, or efficiency of health care.’’; (G) in paragraph (10), as so redesignated, by inserting ‘‘, and shall submit with any recommendations, a report on the Federal and State-specific budget consequences of the recommendations’’ before the period; and (H) by adding at the end the following: ‘‘(11) CONSULTATION AND COORDINATION WITH MEDPAC.— ‘‘(A) IN GENERAL.—M ACPAC shall consult with the Medicare Payment Advisory Commission (in this paragraph referred to as ‘MedPAC’) established under section 1805 in carrying out its duties under this section, as appropriate and particularly with respect to the issues specified in Reports.