Page:United States Statutes at Large Volume 124.djvu/769

124 STAT. 743 PUBLIC LAW 111–148—MAR. 23, 2010 ‘‘(d) EXPENDITURES FROM FUND.— ‘‘(1) AMOUNTS AVAILABLE TO THE PATIENT-CENTERED OUT- COMES RESEARCH INSTITUTE.—Subject to paragraph (2), amounts in the PCORTF are available, without further appro- priation, to the Patient-Centered Outcomes Research Institute established under section 1181(b) of the Social Security Act for carrying out part D of title XI of the Social Security Act (as in effect on the date of enactment of such Act). ‘‘(2) TRANSFER OF FUNDS.— ‘‘(A) IN GENERAL.—The trustee of the PCORTF shall provide for the transfer from the PCORTF of 20 percent of the amounts appropriated or credited to the PCORTF for each of fiscal years 2011 through 2019 to the Secretary of Health and Human Services to carry out section 937 of the Public Health Service Act. ‘‘(B) AVAILABILITY.—Amounts transferred under subparagraph (A) shall remain available until expended. ‘‘(C) REQUIREMENTS.—Of the amounts transferred under subparagraph (A) with respect to a fiscal year, the Secretary of Health and Human Services shall distribute— ‘‘(i) 80 percent to the Office of Communication and Knowledge Transfer of the Agency for Healthcare Research and Quality (or any other relevant office designated by Agency for Healthcare Research and Quality) to carry out the activities described in section 937 of the Public Health Service Act; and ‘‘(ii) 20 percent to the Secretary to carry out the activities described in such section 937. ‘‘(e) NET REVENUES.—For purposes of this section, the term ‘net revenues’ means the amount estimated by the Secretary of the Treasury based on the excess of— ‘‘(1) the fees received in the Treasury under subchapter B of chapter 34, over ‘‘(2) the decrease in the tax imposed by chapter 1 resulting from the fees imposed by such subchapter. ‘‘(f) TERMINATION.—No amounts shall be available for expendi- ture from the PCORTF after September 30, 2019, and any amounts in such Trust Fund after such date shall be transferred to the general fund of the Treasury.’’. (B) CLERICAL AMENDMENT.—The table of sections for subchapter A of chapter 98 of such Code is amended by adding at the end the following new item: ‘‘Sec. 9511. Patient-centered outcomes research trust fund.’’. (2) FINANCING FOR FUND FROM FEES ON INSURED AND SELF- INSURED HEALTH PLANS.— (A) GENERAL RULE.—Chapter 34 of the Internal Rev- enue Code of 1986 is amended by adding at the end the following new subchapter: ‘‘Subchapter B—Insured and Self-Insured Health Plans ‘‘Sec. 4375. Health insurance. ‘‘Sec. 4376. Self-insured health plans. ‘‘Sec. 4377. Definitions and special rules. ‘‘SEC. 4375. HEALTH INSURANCE. ‘‘(a) IMPOSITION OF FEE.—There is hereby imposed on each specified health insurance policy for each policy year ending after 26 USC 4375. Definition.