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Public Law 111–5 111th Congress An Act - Loan Programs Office

Public Law 111–5 111th Congress An Act - Loan Programs Office

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123 STAT. 486 PUBLIC LAW <strong>111–5</strong>—FEB. 17, 2009<br />

‘‘(D) APPLICATION OF PAYMENT ADJUSTMENT.—In the<br />

case that a qualifying MA organization attests that not<br />

all eligible hospitals are meaningful EHR users with<br />

respect to an applicable period, the Secretary shall apply<br />

the payment adjustment under this paragraph based on<br />

a methodology specified by the Secretary, taking into<br />

account the proportion of such eligible hospitals, or discharges<br />

from such hospitals, that are not meaningful EHR<br />

users for such period.<br />

‘‘(5) POSTING ON WEBSITE.—The Secretary shall post on<br />

the Internet website of the Centers for Medicare & Medicaid<br />

Services, in an easily understandable format—<br />

‘‘(A) a list of the names, business addresses, and business<br />

phone numbers of each qualifying MA organization<br />

receiving an incentive payment under this subsection for<br />

eligible hospitals described in paragraph (2); and<br />

‘‘(B) a list of the names of the eligible hospitals for<br />

which such incentive payment is based.<br />

‘‘(6) LIMITATIONS ON REVIEW.—There shall be no administrative<br />

or judicial review under section 1869, section 1878,<br />

or otherwise, of—<br />

‘‘(A) the methodology and standards for determining<br />

payment amounts and payment adjustments under this<br />

subsection, including avoiding duplication of payments<br />

under paragraph (3)(B);<br />

‘‘(B) the methodology and standards for determining<br />

eligible hospitals under paragraph (2); and<br />

‘‘(C) the methodology and standards for determining<br />

a meaningful EHR user under section 1886(n)(3), including<br />

specification of the means of demonstrating meaningful<br />

EHR use under subparagraph (C) of such section and selection<br />

of measures under subparagraph (B) of such section.’’.<br />

(d) CONFORMING AMENDMENTS.—<br />

(1) Section 1814(b) of the Social Security <strong>Act</strong> (42 U.S.C.<br />

1395f(b)) is amended—<br />

(A) in paragraph (3), in the matter preceding subparagraph<br />

(A), by inserting ‘‘, subject to section<br />

1886(d)(3)(B)(ix)(III),’’ after ‘‘then’’; and<br />

(B) by adding at the end the following: ‘‘For purposes<br />

of applying paragraph (3), there shall be taken into account<br />

incentive payments, and payment adjustments under subsection<br />

(b)(3)(B)(ix) or (n) of section 1886.’’.<br />

(2) Section 1851(i)(1) of the Social Security <strong>Act</strong> (42 U.S.C.<br />

1395w–21(i)(1)) is amended by striking ‘‘and 1886(h)(3)(D)’’ and<br />

inserting ‘‘1886(h)(3)(D), and 1853(m)’’.<br />

(3) Section 1853 of the Social Security <strong>Act</strong> (42 U.S.C.<br />

1395w–23), as amended by section 4101(d), is amended—<br />

(A) in subsection (c)—<br />

(i) in paragraph (1)(D)(i), by striking ‘‘1848(o)’’ and<br />

inserting ‘‘, 1848(o), and 1886(n)’’; and<br />

(ii) in paragraph (6)(A), by inserting ‘‘and subsections<br />

(b)(3)(B)(ix) and (n) of section 1886’’ after ‘‘section<br />

1848’’; and<br />

(B) in subsection (f), by inserting ‘‘and subsection (m)’’<br />

after ‘‘under subsection (l)’’.<br />

VerDate Nov 24 2008 21:35 Mar 11, 2009 Jkt 079139 PO 00005 Frm 00372 Fmt 6580 Sfmt 6581 E:\PUBLAW\PUBL005.111 APPS06 PsN: PUBL005

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