Page:United States Statutes at Large Volume 124.djvu/421

124 STAT. 395 PUBLIC LAW 111–148—MAR. 23, 2010 (2) in paragraph (82), by striking the period at the end and inserting ‘‘; and’’; and (3) by inserting after paragraph (82) the following new paragraph: ‘‘(83) provide for implementation of the payment models specified by the Secretary under section 1115A(c) for implementation on a nationwide basis unless the State dem- onstrates to the satisfaction of the Secretary that implementa- tion would not be administratively feasible or appropriate to the health care delivery system of the State.’’. (c) REVISIONS TO HEALTH CARE QUALITY DEMONSTRATION PRO- GRAM.—Subsections (b) and (f) of section 1866C of the Social Secu- rity Act (42 U.S.C. 1395cc–3) are amended by striking ‘‘5-year’’ each place it appears. SEC. 3022. MEDICARE SHARED SAVINGS PROGRAM. Title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) is amended by adding at the end the following new section: ‘‘SHARED SAVINGS PROGRAM ‘‘SEC. 1899. (a) ESTABLISHMENT.— ‘‘(1) IN GENERAL.—Not later than January 1, 2012, the Secretary shall establish a shared savings program (in this section referred to as the ‘program’) that promotes account- ability for a patient population and coordinates items and serv- ices under parts A and B, and encourages investment in infra- structure and redesigned care processes for high quality and efficient service delivery. Under such program— ‘‘(A) groups of providers of services and suppliers meeting criteria specified by the Secretary may work together to manage and coordinate care for Medicare fee- for-service beneficiaries through an accountable care organization (referred to in this section as an ‘ACO’); and ‘‘(B) ACOs that meet quality performance standards established by the Secretary are eligible to receive pay- ments for shared savings under subsection (d)(2). ‘‘(b) ELIGIBLE ACOS.— ‘‘(1) IN GENERAL.—Subject to the succeeding provisions of this subsection, as determined appropriate by the Secretary, the following groups of providers of services and suppliers which have established a mechanism for shared governance are eligible to participate as ACOs under the program under this section: ‘‘(A) ACO professionals in group practice arrangements. ‘‘(B) Networks of individual practices of ACO profes- sionals. ‘‘(C) Partnerships or joint venture arrangements between hospitals and ACO professionals. ‘‘(D) Hospitals employing ACO professionals. ‘‘(E) Such other groups of providers of services and suppliers as the Secretary determines appropriate. ‘‘(2) REQUIREMENTS.—An ACO shall meet the following requirements: ‘‘(A) The ACO shall be willing to become accountable for the quality, cost, and overall care of the Medicare fee-for-service beneficiaries assigned to it. Deadline. 42 USC 1395jjj.