,i #aac? ,,congress #a/ ,session ,h4 ,r4 #agag ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,april #bd1 #bjac ,mr4 ,price ( ,georgia 7= himself1 ,mr4 ,l>son ( ,connecticut1 ,mr4 ,?ompson ( ,p5nsylvania1 ,mr4 ,braley ( ,i[a1 ,mr4 ,roe ( ,t5nessee1 ,mr4 ,ryan ( ,ohio1 ,mr4 ,tib]i1 ,mr4 ,loebsack1 ,mr4 ,joyce1 ,mr4 ,mc,kinley1 ,mrs4 ,capito1 ,mr4 ,des,jarlais1 ,mrs4 ,blackburn1 ,mr4 ,b>letta1 ,mr4 ,grimm1 ,mr4 ,au/9 ,scott ( ,georgia1 ,mr4 ,h>p]1 ,mr4 ,m>9o1 ,mr4 ,cr5%aw1 ,mr4 ,k+ ( ,new ,york1 ,mr4 ,johnson ( ,ohio1 ,mr4 ,=t5b]ry1 ,mr4 ,*abot1 ,mr4 ,posey1 ,mr4 ,lank=d1 & ,mr4 ,nunnelee7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committees on ,ways & ,means & ,appropriations1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to am5d title ,,xviii ( ! ,social ,security ,act to e/abli% a m>ket pric+ program = durable m$ical equipm5t1 pro/hetics1 or?otics1 & supplies 7,,dmepos7 "u "p ,b ( ! ,m$ic>e program4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,m$ic>e ,,dmepos ,m>ket ,pric+ ,program ,act ( #bjac4 #b4 ,t]m9ation ( competitive acquisition program ,section #ahdg7;a77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#c7;a77#a77 is am5d$-- 7#a7 9 subp>agraph 7,b71 by /rik+ ,! programs & ins]t+ ,subject to subp>agraph 7,g71 ! programs2 7#b7 9 subp>agraph 7,d71 by /rik+ clauses 7ii7 & 7iii72 & 7#c7 by add+ at ! end ! foll[+ new subp>agraph3 7,g7 ,t]m9ation ( program2 transition 7i7 ,no additional competition r\nds ,not)/&+ subp>agraph 7,b71 ! competition "u ?is section %all end on ,decemb] #ca1 #bjac1 ) r\nd #a4 ,! ,secret>y %all take no fur!r action to implem5t r\nd #b ( ! competitive acquisition program1 ! national mail ord] competitive acquisition program1 or any subsequ5t r\nd ( ! competitive acquisition program "u ?is section4 7ii7 ,contract t]m9ation ,! contracts aw>d$ "u ?is section be=e ! date ( ! enactm5t ( ?is subp>agraph %all t]m9ate on ,july #a1 #bjac1 & no paym5t %all be made "u ?is title aft] su* date bas$ on su* a contract4 ,to ! ext5t t any damages may be applicable z a result ( ! t]m9ation ( su* contracts1 su* damages %all be payable f ! ,f$]al ,supplem5t>y ,m$ical ,insurance ,tru/ ,fund "u section #ahda4 ,no?+ 9 ?is clause %all be con/ru$ to provide an indep5d5t cause ( action or "r to adm9i/rative or judicial review ) reg>d to ! t]m9ation provid$ "u ?is clause4 4 #c4 ,transitional paym5t aft] t]m9ation ( ,,dmepos competitive bidd+ program 7a7 ,transitional paym5t rules 7#a7 ,paym5t = durable m$ical equipm5t 7,a7 ,9 g5]al ,section #ahcd7;a77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7a77#a77 is am5d$-- 7i7 9 subp>agraph 7,f77i7-- 7,i7 by ins]t+ & be=e ,july #a1 #bjac1 aft] ,janu>y #a1 #bjaa12 7,,ii7 by /rik+ 1 subject to subp>agraphs 7,g7 & 7,h712 & 7,,iii7 by add+ & at ! end2 7ii7 9 subp>agraph 7,f77ii7-- 7,i7 by /rik+ 7&1 9 ! case ( cov]$ items & all t foll[s ?r\gh subject to clause 7iii7 %all72 & 7,,ii7 by /rik+ 2 & at ! end & ins]t+ a p]iod2 7iii7 by /rik+ clause 7iii7 ( subp>agraph 7,f72 7iv7 by /rik+ subp>agraphs 7,g7 & 7,h72 & 7v7 by add+ at ! end ! foll[+ new subp>agraph3 7,g7 ,paym5t rates 9 r\nd #a areas dur+ transition 7i7 ,9 g5]al ,9 ! case ( cov]$ items & s]vices t are furni%$ 9 an area t _h be5 designat$ by ! ,secret>y z a competitive acquisition program "u section #ahdg7;a77#a77;,b77i77,i7 on or aft] ! date on :i* contracts = ! furni%+ ( su* cov]$ items & s]vices expire1 ! paym5t basis "u ?is subsection = su* items & s]vices furni%$ 9 su* area %all be ! am\nt describ$ 9 clause 7ii7 or 7iii71 z ! case may be4 7ii7 ,paym5t rates 9 r\nd #b = items & s]vices t are n diabetic te/+ supplies 7,i7 ,9 g5]al ,9 ! case ( cov]$ items t 7 select$ to be furni%$ 9 ! competitive acquisition program 7exclud+ diabetic supplies7 9 a competitive acquisition area select$ pursuant to section #ahdg7;a77#a77;,b77i77,,ii7 on or aft] ,july #a1 #bjac1 & be=e ! date on :i* ! ,secret>y implem5ts ! m>ket pric+ program "u section #ahdg;,c1 subject to subclause 7,,ii71 ! paym5t basis "u ?is subsection = su* items & s]vices furni%$ 9 su* areas %all be #ie p]c5t ( ! am\nt e/abli%$ "u ?is subsection4 7,,ii7 ,fur!r r$uctions 9 #bjad & #bjae ,9 ! case ( cov]$ items describ$ 9 subclause 7,i7 t are furni%$ dur+ #bjad1 ! paym5t basis "u ?is subsection = su* items furni%$ 9 su* areas %all be r$uc$ by #aj p]c5t f ! am\nt describ$ 9 su* subclause4 ,9 ! case ( su* items & s]vices t are furni%$ 9 su* areas on or aft] ,janu>y #a1 #bjae1 & be=e ! date on :i* ! ,secret>y implem5ts ! m>ket pric+ program "u section #ahdg;,c1 ! paym5t basis "u ?is subsection = su* items & s]vices %all be fur!r r$uc$ by #aj p]c5t aft] tak+ into acc\nt ! r$uction effect$ "u ! prec$+ s5t5ce4 7iii7 ,paym5t rates = diabetic supplies 7,i7 ,9 g5]al ,9 ! case ( all diabetic te/+ supplies1 mail ord] & non-mail ord] 7,,hcpcs ,codes ,a#dbcc1 ,a#dbcd1 ,a#dbce1 ,a#dbcf1 ,a#dbec1 ,a#dbef1 ,a#dbeh1 & ,a#dbei1 includ+ ! ,,kl modifi]71 effective ,july #a1 #bjac1 & be=e ! date on :i* ! ,secret>y implem5ts ! m>ket pric+ program "u section #ahdg;,c & subject to subclause 7,,ii71 ! paym5t basis "u ?is subsection = su* supplies %all be #ij p]c5t ( ! am\nt o!rwise e/abli%$ "u ?is subsection4 7,,ii7 ,fur!r r$uctions 9 #bjad & #bjae ,9 ! case ( supplies describ$ 9 subclause 7,i7 t are furni%$ dur+ #bjad1 ! paym5t basis "u ?is subsection = su* items furni%$ 9 su* areas %all be r$uc$ by #ae p]c5t f ! am\nt describ$ 9 su* subclause4 ,9 ! case ( su* supplies t are furni%$ 9 su* areas on or aft] ,janu>y #a1 #bjae1 & be=e ! date on :i* ! ,secret>y implem5ts ! m>ket pric+ program "u section #ahdg;,c1 ! paym5t basis "u ?is subsection = su* supplies %all be fur!r r$uc$ by #ae p]c5t aft] tak+ into acc\nt ! r$uction effect$ "u ! prec$+ s5t5ce4 4 7,b7 ,con=m+ am5dm5ts ,section #ahdb7s7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieu7s77 is am5d$-- 7i7 9 p>agraph 7#c71 9 ! matt] prec$+ subp>agraph 7,a71 by ins]t+ & t are furni%$ 9 su* an area on or be=e ,july #a1 #bjac aft] section #ahdg7;a72 & 7ii7 by add+ at ! end ! foll[+ new p>agraph3 7#d7 7,a7 7i7 ,9 ! case ( items & s]vices describ$ 9 p>agraph 7#b77;,d7 t are furni%$ 9 an area t _h be5 designat$ by ! ,secret>y z a competitive acquisition area "u section #ahdg7;a77#a77;,b77i77,i7 on or aft] ! date on :i* contracts = ! furni%+ ( su* cov]$ items & s]vices expire1 ! paym5t basis "u ?is subsection = su* items & s]vices furni%$ 9 su* area %all be ! am\nts describ$ 9 clause 7ii74 7ii7 7,i7 ,9 ! case ( items & s]vices describ$ 9 p>agraph 7#b77;,d7 t 7 select$ to be furni%$ 9 ! competitive acquisition program 9 a competitive acquisition area select$ pursuant to section #ahdg7;a77#a77;,b77i77,,ii7 on or aft] ,july #a1 #bjac1 & be=e ! date on :i* ! ,secret>y implem5ts ! m>ket pric+ program "u section #ahdg;,c1 subject to subclause 7,,ii71 ! paym5t basis "u ?is subsection = su* items & s]vices furni%$ 9 su* areas %all be #ie p]c5t ( ! am\nt o!rwise e/abli%$ "u ?is subsection4 7,,ii7 ,9 ! case ( cov]$ items & s]vices describ$ 9 subclause 7,i7 t are furni%$ dur+ #bjad1 ! paym5t basis "u ?is subsection = su* items & s]vices furni%$ 9 su* areas %all be r$uc$ by #aj p]c5t f ! am\nt describ$ 9 su* subclause4 ,9 ! case ( su* items & s]vices t are furni%$ 9 su* areas on or aft] ,janu>y #a1 #bjae1 & be=e ! date on :i* ! ,secret>y implem5ts ! m>ket pric+ program "u section #ahdg;,c1 ! paym5t basis "u ?is subsection = su* supplies %all be fur!r r$uc$ by #aj p]c5t aft] tak+ into acc\nt ! r$uction effect$ "u ! prec$+ s5t5ce4 7,b7 7i7 ,9 ! case ( items & s]vices describ$ 9 p>agraph 7#b77;,d7 t are includ$ 9 ! m>ket pric+ program "u section #ahdg;,c1 ! paym5t basis "u ?is subsection = su* items & s]vices furni%$ 9 su* area %all be ! paym5t basis det]m9$ "u su* competitive acquisition program4 7ii7 ,! ,secret>y may use in=mation on ! paym5t det]m9$ "u su* m>ket pric+ program to adju/ ! paym5t am\nt o!rwise applicable "u clause 7i7 = an area t is n a m>ket pric+ area "u section #ahdg;,c1 & 9 ! case ( su* adju/m5t1 p>agraphs 7#h7 & 7#i7 ( subsection 7b7 %all n be appli$4 4 7#b7 ,treatm5t ( suppli]s 9 competitive acquisition program areas ,section #ahdg7;b77#d7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#c7;b77#d77 is am5d$-- 7,a7 9 subp>agraph 7,a7-- 7i7 9 ! fir/ s5t5ce1 by /rik+ ,! ,secret>y may limit & ins]t+ ,until ,decemb] #ca1 #bjac1 ! ,secret>y may limit2 & 7ii7 by ins]t+ aft] ! fir/ s5t5ce ! foll[+3 ,! prec$+ s5t5ce %all n apply to items & s]vices furni%$ 9 an eligible auction area 7)9 ! mean+ ( subsection 7a77#d7 ( section #ahdg;,c7 on or aft] ! date ( ! implem5tation ( ! m>ket pric+ program "u su* section42 & 7,b7 by add+ at ! end ! foll[+ new subp>agraph3 7,c7 ,non-contract$ suppli]s 9 m>ket pric+ program ,! ,secret>y also %all aw>d contracts to any suppli] t meets eligibility requirem5ts "u ?is title = ! furni%+ ( su* items & s]vices s long z ! suppli] accepts ! price e/abli%$ "u su* program z paym5t 9 full = su* items & s]vices4 4 7#c7 ,paym5t = (f-!-%elf or?otics ,section #ahcd7;h77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7h77#a77 is am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,i7 ,application ( m>ket pric+ program2 limitation ( inh]5t reasonabl5ess au?ority ,9 ! case ( or?otics describ$ 9 subsection 7b77#a77,k7 ( section #ahdg;,c furni%$ on or aft] ,janu>y #a1 #bjad1 9 an eligible auction area1 t are includ$ 9 a m>ket pric+ program "u su* section-- 7i7 ! paym5t basis "u ?is subsection = su* or?otics furni%$ 9 su* area %all be ! paym5t basis det]m9$ "u su* m>ket pric+ program2 & 7ii7 ! ,secret>y may use in=mation on ! paym5t det]m9$ "u su* m>ket pric+ program to adju/ ! paym5t am\nt o!rwise recogniz$ "u subp>agraph 7,b77ii7 = an area t is n an eligible auction area "u section #ahdg;,c1 & 9 ! case ( su* adju/m5t1 p>agraphs 7#h7 & 7#i7 ( section #ahdb7;b7 %all n be appli$4 4 7b7 ,policy aft] implem5tation ( ! m>ket pric+ program 7#a7 ,9 g5]al ,section #ahcd7;a77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7a77#a771 z am5d$ by subsection 7a77#a77;,b71 is am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,h7 ,application ( m>ket pric+ program2 limitation ( inh]5t reasonabl5ess au?ority 7i7 ,9 g5]al ,9 ! case ( m>ket pric$ items & s]vices describ$ 9 section #ahdg;,c7b77#a7 furni%$ on or aft] ! date ( implem5tation ( a m>ket pric+ program = :i* a price has be5 e/abli%$ "u ! program conduct$ 9 an eligible auction area "u section #ahdg;,c1 ! paym5t basis "u ?is subsection-- 7,i7 9 ! eligible auction area %all be ! am\nt det]m9$ "u ! auction conduct$ 9 su* eligible auction area = su* items & s]vices2 or 7,,ii7 9 ano!r eligible auction area %all be ! am\nt det]m9$ "u subclause 7,i7 adju/$ by ! appropriate factor describ$ 9 section #ahdg;,c7d77#g77;,b77iv74 7ii7 ,no adju/m5t 9 paym5t am\nt dur+ initial two-ye> p]iod ( pric+ program ,dur+ ! t]m ( any contract aw>d$ pursuant to section #ahdg;,c7d77#f7 = an item & s]vice describ$ 9 clause 7i71 ! ,secret>y may n adju/ ! paym5t basis e/abli%$ "u su* clause to take into acc\nt ! effects ( a lat]-conduct$ auction dur+ t two-ye> contract p]iod4 ,! ,secret>y may1 at ! t]m9ation ( a contract aw>d$ "u section #ahdg;,c7d77#f7 = su* an item or s]vice1 adju/ su* paym5t basis to take into acc\nt ! effects ( a lat]-conduct$ auction4 7iii7 ,m>ket pric+ 9 rural & non-competitive areas ,! ,secret>y1 aft] consultation ) ! auction exp]t "u section #ahdg;,c1 may 7&1 9 ! case ( cov]$ items furni%$ on or aft] ,janu>y #a1 #bjaf1 %all7 use in=mation on ! paym5t det]m9$ "u su* m>ket pric+ program to adju/ ! paym5t am\nt o!rwise recogniz$ "u subp>agraph 7,b77ii7 = an area 9 :i* an auction has n be5 conduct$ pursuant to section #ahdg;,c7a74 7iv7 ,cont9u$ use ( additional in=mation ,9 ! case ( cov]$ items furni%$ on or aft] ,janu>y #a1 #bjaf1 ! ,secret>y %all cont9ue to make su* adju/m5ts describ$ 9 clause 7ii7 z1 "u su* m>ket pric+ program1 additional cov]$ items are phas$ 9 or in=mation is updat$ z contracts are r5ew$ "u su* program4 4 7#b7 ,regulatory au?ority ,section #ahcd7;a77#a77;,g7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#c7;a77#a77;,g77 is am5d$-- 7,a7 9 ! subp>agraph head+1 by ins]t+ or m>ket pric+ be=e rates2 7,b7 by /rik+ subp>agraph 7,f77ii7 & ins]t+ subp>agraph 7,f77ii71 subp>agraph 7,h77iii712 & 7,c7 by ins]t+ or eligible auction areas 9 :i* an auction has be5 conduct$1 aft] ,june #cj1 #bjac1 aft] competitive acquisition areas4 #d4 ,e/abli%m5t ( ,,dmepos m>ket pric+ program 7a7 ,9 g5]al ,"p ,b ( title ,,xviii ( ! ,social ,security ,act is am5d$ by ins]t+ aft] section #ahdg;,b 7#db ,u4,s4,c4 #aciew-#c;b7 ! foll[+ new section3 #ahdg;,c4 ,,dmepos m>ket pric+ program 7a7 ,e/abli%m5t 7#a7 ,9 g5]al ,! ,secret>y %all e/abli% & implem5t a m>ket pric+ program 79 ?is section ref]r$ to z m>ket pric+ program7 "u :i* auctions are conduct$ 9 eligible auction areas 7z def9$ 9 p>agraph 7#d77 ?r\gh\t ! ,unit$ ,/ates = ! furni%+ ( m>ket pric$ items & s]vices 7z def9$ 9 subsection 7b77 = :i* paym5t is made "u ?is "p4 7#b7 ,roles ( auction exp]t & m>ket monitor ,! elem5ts ( ! m>ket pric+ program1 includ+ eligible auction areas1 auction design1 e/abli%+ ( cle>+ prices1 & conduct ( auctions1 %all be e/abli%$ & op]at$ 9 consultation )1 & aft] input & review by1 ! auction exp]t & ! m>ket monitor "u subsection 7g74 ,9 ?is section1 ! t]ms auction exp]t & m>ket monitor ref] to ! respective auction exp]t & m>ket monitor contract$ ) "u subsection 7g77#a74 7#c7 ,implem5tation ,! m>ket pric+ program %all be implem5t$ 9 all eligible auction areas s t m>ket pric+ occurs nationwide 9 ! fir/ ye> ( implem5tation consi/5t ) ! foll[+3 7,a7 ,fir/ ye> ( implem5tation ,9 ! fir/ ye> ( implem5tation-- 7i7 auctions "u ! program %all be held 9 at lea/ #bj p]c5t ( eligible auction areas2 7ii7 prices 9 ^! areas w be set by su* auctions2 7iii7 9 ea* eligible auction area #b categories ( items %all be select$ = auction2 7iv7 prices = categories n select$ = auction 9 ! area %all be set by ref]5ce to auctions held = ^? categories 9 econometrically simil> areas2 & 7v7 9 ^? areas 9 :i* no auctions are held1 prices = all categories w be set by ref]5ce to auctions held = ^? categories 9 econometrically simil> areas4 7,b7 ,second ye> ( implem5tation ,9 ! second ye> ( implem5tation-- 7i7 auctions %all be held 9 o!r eligible auction areas t include #aj p]c5t ( eligible auction areas2 & 7ii7 prices 9 ^? areas 9 :i* no auctions are held or = categories 9 :i* an auction is n held1 %all be set 9 ! same mann] z "u subp>agraph 7,a74 7,c7 ,subsequ5t ye>s ,9 ea* subsequ5t ye> ( implem5tation-- 7i7 auctions %all be held 9 an additional #aj p]c5t ( eligible auction areas1 select$ by ! ,secret>y annually on an ongo+ & rotat+ basis1 until all eligible auction areas h be5 cov]$2 & 7ii7 prices 9 ^? areas 9 :i* no auctions are held or = categories 9 :i* an auction is n held1 %all be set 9 ! same mann] z "u subp>agraph 7,a74 7,d7 ,once ! m>ket pric+ program is appli$ ?r\gh\t ! ,unit$ ,/ates "u subp>agraph 7,c71 ! ,secret>y %all conduct auctions = diff]5t eligible auction areas ?r\gh\t ! ,unit$ ,/ates on an ongo+ & rotat+ basis cov]+ #aj p]c5t ( eligible auction areas no lat] ?an ,m>* = ea* subsequ5t ye>4 7,e7 ,! requirem5ts ( ?is section %all apply to ea* subsequ5t r\nd ( m>ket-pric$ auctions 9 ! same mann] t su* requirem5ts apply to ! initial m>ket-pric$ auction4 7#d7 ,eligible auction areas 7,a7 ,9 g5]al ,9 ?is section & section #ahcd1 ! t]m eligible auction areas means c\nties1 aggregations ( c\nties1 or p>ts ( c\nties1 n exclud$ "u subp>agraph 7,d71 z e/abli%$ by ! ,secret>y4 7,b7 ,m>ket areas mu/ reflect economic int]dep5d5cy ,9 det]m9+ & select+ eligible auction areas1 ! ,secret>y %all *oose1 f among c\nties1 aggregations ( c\nties1 or p>ts ( c\nties1 auction areas t =m an economically int]dep5d5t area reflect+ /&>d econometric m>ket models4 ,no?+ 9 ?is subp>agraph %all preclude ! ,secret>y f subdivid+ a l>ge c\nty to take into acc\nt population & geographic size 9 e/abli%+ auction areas 9 ord] to comply ) ?is subp>agraph4 7,c7 ,selection ( auction areas ,9 select+ auction areas 9 :i* an auction w be conduct$ "u ?is section1 ! ,secret>y %all ensure t sev]al auction areas ( ea* econometric model are *os54 7,d7 ,exclusion ( c]ta9 auction areas ,! ,secret>y %all n subject areas describ$ 9 clause 7iii7 ( section #ahdg7;a77#a77;,d7 to m>ket program reimbursem5t rates be=e ! ye> specifi$ 9 su* clause4 7#e7 ,application ( c]ta9 policies applicable to competitive acquisition programs ,! foll[+ provisions ( subsection 7a77#a7 ( section #ahdg %all apply to ! m>ket pric+ program 9 ! same mann] z !y apply to competitive acquisition programs "u su* section except z o!rwise provid$3 7,a7 ,subp>agraph 7,c7 7relat+ to waiv] ( c]ta9 provisions74 7,b7 ,subp>agraph 7,e7 7relat+ to v]ification by ,,oig71 except t ! assessm5t %all be ( m>ket pric+ & subsequ5t pric+ det]m9ations t are ! basis = auction prices & s+le paym5t am\nts = items & s]vices 9 eligible auction areas & %all be conduct$ 9 ! fir/ two ye>s ( ! m>ket pric+ program & may cont9ue 9 subsequ5t ye>s ( ! program4 7,c7 ,subp>agraph 7,f7 7relat+ to fe$back on miss+ f9ancial docum5tation71 except t any ref]5ce to a r\nd ( a program is deem$ a ref]5ce to a ye> ( ! m>ket pric+ program4 7b7 ,m>ket pric$ items & s]vices def9$ 7#a7 ,9 g5]al ,9 ?is section1 subject to p>agraph 7#b71 ! t]m m>ket pric$ items & s]vices means ! foll[+3 7,a7 ,oxyg5 supplies & equipm5t4 7,b7 ,/&>d p[] :eel*airs1 p[] scoot]s1 & relat$ accessories4 7,c7 ,manual :eel*airs4 7,d7 ,ent]al nutri5ts1 equipm5t1 & supplies4 7,e7 ,cont9u\s positive airway pressure devices1 respiratory assi/ive devices1 & relat$ supplies4 7,f7 ,hospital b$s & relat$ accessories4 7,g7 ,walk]s & relat$ accessories4 7,h7 ,support s]vices 7,gr\p #b mattresses & ov]lays74 7,i7 ,negative pressure w\nd !rapy pumps & relat$ supplies & accessories4 7,j7 ,diabetic supplies4 7,k7 ,(f-!-%elf or?otics describ$ 9 section #ahdg7;a77#b77;,c7 furni%$ on or aft] ,july #a1 #bjac4 7,l7 ,ext]nal infusion pumps & supplies4 7,m7 ,o!r items & s]vices 7o!r ?an ^? items & s]vices specifi$ 9 p>agraph 7#b77 t c\ld h be5 subject to p>ticipation 9 competitive acquisition programs "u section #ahdg7;a77#a74 7#b7 ,exclud$ items ,su* t]m does n include ! foll[+3 7,a7 ,an adju/able sk9 protection cu%ion us$ 9 connection ) a :eel*air4 7,b7 ,a complex rehabilitative p[] :eel*air & relat$ accessories4 7,c7 ,a manual :eel*air bill$ us+ curr5t ,,hcpcs ,codes ,k#jjje or ,e#aafa1 & relat$ accessories = su* a :eel*air4 7,d7 ,a m$ical device classifi$ 9 class ,,iii "u ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act4 7c7 ,m>ket pric+ program requirem5ts 7#a7 ,9 g5]al ,! ,secret>y %all e/abli% an auction design ?r\gh ! process describ$ 9 p>agraph 7#b71 t meets ! requirem5ts ( p>agraph 7#c71 & %all ensure t ! fir/ auction w be conduct$ = all eligible auction areas no lat] ?an #ad mon?s aft] ! date ( ent]+ into ! contract ) ! auction exp]t "u subsection 7g77#a74 7#b7 ,auction process2 input ( /akehold]s2 design 7,a7 ,transp>5t process requir$ 7i7 ,9 g5]al ,9 e/abli%+ su* auction design1 ! ,secret>y %all utilize an op5 & transp>5t process t involves all relevant /akehold]s 7z def9$ 9 clause 7ii77 9 ! m>ket1 includ+ ?r\gh ! auction plan conf]5ce & o!r outrea* ef=ts4 7ii7 ,relevant /akehold]s ,= purposes ( clause 7i71 ! t]m relevant /akehold]s means suppli]s & manufactur]s ( m>ket pric$ items & s]vices 7& trade associations repres5t+ su* suppli]s & manufactur]s71 physicians1 & individuals entitl$ to b5efits "u ?is title 7& repres5tatives ( su* individuals74 7,b7 ,draft auction design ,n lat] ?an #b mon?s aft] ! date ! auction exp]t fir/ beg9s s]vice "u subsection 7g77#a71 ! auction exp]t %all develop a draft auction design t %all propose auction areas nationwide1 lead products = ea* product category1 & ! price index associat$ ) ea* lead product1 & propos$ rules = ! conduct ( auctions4 7,c7 ,design conf]5ce 7i7 ,9 g5]al ,n lat] ?an #d mon?s aft] ! date ! auction exp]t fir/ beg9s s]vice "u subsection 7g77#a71 ! ,secret>y %all conv5e a design conf]5ce 79 ?is p>agraph ref]r$ to z ! design conf]5ce7 = ! auction process "u ?is section4 ,! auction exp]t %all *air ! conf]5ce4 7ii7 ,p>ticipants ,! p>ticipants at ! design conf]5ce %all include at lea/ ! foll[+3 7,i7 ,manufactur]s & suppli]s ( ,,dmepos ,repres5tatives ( m>ket pric$ items & s]vices4 7,,ii7 ,b5efici>ies ,repres5tatives ( individuals entitl$ to b5efits "u ?is "p4 7,,iii7 ,,cms ,! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices & o!r appropriate ,f$]al p]sonnel4 7,,iv7 ,program advisory & ov]sight committee ,! memb]s ( ! committee ref]r$ to 9 p>agraph 7#c74 7iii7 ,purpose ( conf]5ce ,! purpose ( ! design conf]5ce %all be to review ! auction design develop$ by ! auction exp]t "u subp>agraph 7,b7 = ! e/abli%m5t ( an effici5t auction consi/5t ) be/ practices & actu>ial sci5ce4 7iv7 ,elem5ts ( conf]5ce ,) respect to ! design conf]5ce-- 7,i7 ! auction exp]t %all provide a demon/ration ( ! prelim9>y auction design2 7,,ii7 ! auction exp]t %all lead a mock auction bas$ ^u su* design 9 :i* ! att5dees w p>ticipate & (f] comm5ts & sugge/ions = improvem5t2 7,,iii7 ! auction exp]t may e/abli% work+ committees on major issues2 & 7,,iv7 ! design conf]5ce %all be record$ & made available ov] ! ,int]net ?r\gh simultane\s ,web ca/ or o!rwise4 7,d7 ,recomm5dations 7i7 ,work+ committees ,n lat] ?an #b mon?s aft] ! la/ day ( ! design conf]5ce1 ea* work+ committee e/abli%$ "u subp>agraph 7,c77iv77,,iii7 %all submit to ! auction exp]t ! committee's recomm5dations on ! f9al design = auctions "u ?is section4 7ii7 ,f9al design recomm5dation ,n lat] ?an #c mon?s aft] ! la/ day ( ! design conf]5ce1 ! auction exp]t %all submit to ! ,secret>y f9al recomm5dations on ! auction design = approval = exp$it$ rulemak+4 ,9 ?is clause1 ! t]m exp$it$ rulemak+ process means a process ( publication ( ! propos$ auction design & solicitation ( public comm5ts on su* design4 ,! provisions ( section #ahga7;b77#a7 %all n apply to su* process4 7#c7 ,requirem5ts ,9 e/abli%+ ! auction design1 ! ,secret>y %all ensure t rates ( paym5t develop$ ?r\gh ! auction process-- 7,a7 are m>ket-bas$ & bas$ on b9d+ bids & cle>+ prices2 & 7,b7 d n result 9 a dim9ution ( access to or quality ( items ( m>ket pric$ items & s]vices 9 ! applicable m>ket areas4 7d7 ,conduct ( auction 7#a7 ,initial auction ,no lat] ?an #ad mon?s aft] ! date a contract is fir/ ent]$ into ) an auction exp]t "u subsection 7g71 ! ,secret>y %all conduct auctions 7ea* 9 ?is section ref]r$ to z a m>ket-pric$ auction7 among entities supply+ m>ket pric$ items & s]vices 9 eligible auction areas t are select$ 9 ! auction design & consi/5t ) subsection 7a77#c74 ,ea* auction %all conclude no lat] ?an #b mon?s aft] its comm5cem5t4 ,m>ket-bas$ auctions %all be conduct$ 9 accordance ) an auction design develop$ "u subsection 7c74 7#b7 ,items & s]vices subject to auction 7,a7 ,9 g5]al ,9 ea* eligible auction area 9 :i* a m>ket-pric$ auction is conduct$1 ! ,secret>y %all select to be subject to auction a comb9ation ( #b categories ( items & s]vices f among ! m>ket pric$ items & s]vices4 7,b7 ,all li/$ items & s]vices to be subject to auction ,! ,secret>y %all ensure 9 ! m>ket-pric$ auction t ea* lead product t is id5tifi$ "u p>agraph 7#d7 f among ea* m>ket pric$ item & s]vice is subject to auction among all eligible auction areas4 ,! ,secret>y %all ensure t ea* product category is auction$ 9 at lea/ a suffici5t numb] ( eligible auction areas to produce a sample ( bids bas$ on ! p]c5tages set =? 9 subsection 7a77#c74 7#c7 ,requirem5ts to submit bid 9 auction 7,a7 ,submission ( bids ,any suppli] t complies ) ! requirem5ts ( subp>agraph 7,b7 & t is id5tifi$ by ! ,secret>y pursuant to p>agraph 7#e77;,c7 z a suppli] ( a m>ket pric$ item or s]vice t is ! subject ( a m>ket-pric$ auction 9 an eligible auction area may submit a bid at su* auction4 7,b7 ,f9ancial assurances 7i7 ,9 g5]al ,9 ord] to be eligible to p>ticipate 9 a m>ket-pric$ auction1 a suppli] mu/ submit a ca% deposit 9 an am\nt det]m9$ by ! ,secret>y4 7ii7 ,lett] ( cr$it 9 lieu ( ca% deposit ,! ,secret>y may1 9 ! ,secret>y's sole discretion1 accept a lett] ( cr$it f a f9ancial in/itution acceptable to ! ,secret>y in/ead ( ! ca% deposit o!rwise requir$ "u clause 7i74 7,c7 ,treatm5t ( deposits submitt$ by suppli]s 7i7 ,successful bidd]s ,! ,secret>y %all reta9 z a p]=mance gu>antee ! deposit submitt$ "u subp>agraph 7,b77i7 ( a suppli] t has submitt$ a w9n+ bid at a m>ket-pric$ auction4 7ii7 ,unsuccessful bids ,if a suppli] submits a bid t is n accept$ at ! auction1 any su* deposit %all be return$ to ! suppli]4 7iii7 ,deposit return requirem5ts = p>tially successful suppli]s ,if a suppli] submits a bid t is accept$ at ! auction1 b ! suppli] is n aw>d$ a contract = ! full am\nt ( ! bid1 ! ,secret>y %all provide = a proportionate return ( any su* deposit4 7#d7 ,lead product selection = e/abli%+ cle>+ prices 7,a7 ,9 g5]al ,= ea* product category ( items & s]vices specifi$ 9 subsection 7b77#a7 t is ! subject ( a m>ket-pric$ auction1 ! ,secret>y %all e/abli% a lead product4 ,su* lead product %all be select$ bas$ ^u ! price & utilization ( ! product "u ?is "p4 7,b7 ,lead product cle>+ price e/abli%es cle>+ price = o!r products 7i7 ,lead product z ref]5ce po9t = o!r products ,! lead product select$ "u subp>agraph 7,a7 %all be us$ z a ref]5ce po9t = all o!r products 7categoriz$ by ! heal?c>e common proc$ure cod+ sy/em code7 9 ! same category z ! lead product4 ,su* lead product %all be assign$ a weight ( #ajj p]c5t4 7ii7 ,additional products 9 ea* product category ,e o!r product 9 ! same product category z ! lead product id5tifi$ "u subp>agraph 7,a7 %all be assign$ bas$ ^u ea* auction a weight express$ z a p]c5tage ( ! lead product1 :i* p]c5tage ( ! cle>+ price1 e/abli%$ by ! auction exp]t 9 ! plan design & adju/$ aft] input f provid]s at ! design plan conf]5ce1 e/abli%es ! price ( ea* item & s]vice 9 ! category4 7iii7 ,e/abli%+ cle>+ price = items & s]vices ,! ,secret>y %all e/abli% ! cle>+ price = ea* m>ket pric$ item & s]vice t is subject to ! auction bas$ ^u ! data submitt$ "u ?is subp>agraph4 ,su* cle>+ price %all be equal to ! highe/ co/ bid t w meet capacity t>gets 9 ! eligible auction area = su* item & s]vice4 7#e7 ,conduct ( auction 7,a7 ,9 g5]al ,! ,secret>y %all conduct ! m>ket-pric$ auctions consi/5t ) ! provisions ( ?is p>agraph4 7,b7 #c mon?s be=e auction date ,approximately #c mon?s be=e ! s*$ul$ auction date1 ! ,secret>y %all detail auction rules t are consi/5t ) ! auction plan develop$ "u ?is section4 ,^! rules %all include ! foll[+3 7i7 ,f9ancial & o!r qualification requirem5ts = bidd]s4 7ii7 ,algori?ms = det]m9+ w9n]s & prices z a function ( bids4 7iii7 ,p]=mance obligations ( contract suppli]s1 gu>antees1 & p5alties = non-con=mance4 7iv7 ,! product categories to be select$ 7& _! relat$ heal?c>e common proc$ure cod+ sy/em codes7 f )9 ! m>ket pric$ items & s]vices4 7v7 ,! lead product = ea* product category select$ "u p>agraph 7#d77;,a7 & ! price grid = su* category4 7vi7 ,! eligible auction areas nationwide 7& areas id5tifi$ z hav+ ! same econometric model7 & ^? eligible auction areas 9 :i* a m>ket-pric$ auction w be conduct$ ea* ye>4 7,c7 #cj days be=e auction date ,?irty days be=e a s*$ul$ auction date1 ! ,secret>y %all review all applicants & id5tify ! qualifi$ suppli]s eligible to submit bids4 ,9 c>ry+ out ?is subp>agraph1 ! ,secret>y %all specify ! foll[+3 7i7 ,! hi/oric capacity = ea* eligible bidd] = ea* category t w be subject to ! auction4 7ii7 ,bidd] eligibility by eligible auction area4 7iii7 ,= ea* auction area1 ! lead product e/abli%$ "u p>agraph 7#d77;,a74 7iv7 ,! price index 7describ$ 9 subsection 7c77#b77;,b77 9 ea* auction area4 7,d7 ,bidd]s conf]5ce ,prior to conduct+ ea* su* auction1 ! auction exp]t %all conduct a conf]5ce ( prospective bidd]s 9 eligible auction areas 9 :i* an auction w be conduct$4 7,e7 ,dur+ auction ,dur+ ! conduct ( ! auction1 ! ,secret>y %all ann\nce ! foll[+3 7i7 ,! "t ( ! end ( ! r\nd ( auction+4 7ii7 ,! hi/ory ( prior r\nds includ+ ! aggregate supply at ! end ( ! r\nd price = ea* product category by r\nd4 7,f7 ,imm$iately aft] ea* auction r\nd ,n lat] ?an #ae m9utes aft] ! end ( ea* auction1 ! ,secret>y %all ann\nce ! foll[+3 7i7 ,! aggregate supply = ea* item & s]vice t is ! subject ( ! auction at ! price e/abli%$ dur+ ! auction4 7ii7 ,= ea* suppli] t has p>ticipat$ 9 ! auction1 its own supply = all prices 7f ! initial />t+ price to ! end ( r\nd price7 = ea* item & s]vice t is ! subject ( ! auction4 7iii7 ,revis$ s*$ule ( r\nds = ! next bidd+ day4 7,g7 ,at conclusion ( f9al auction r\nd ,n lat] ?an #ae m9utes aft] ! end ( ! f9al auction r\nd1 ! ,secret>y %all ann\nce ! foll[+3 7i7 ,a li/ ( w9n+ suppli]s4 7ii7 ,! m>ket cle>+ price = ea* item & s]vice t is ! subject ( ! auction4 7,h7 ,f9al actions ,n lat] ?an #cj days aft] ! end ( ! f9al auction r\nd1 ! ,secret>y %all adju/ ! p]=mance gu>antees receiv$ f ea* bidd] to reflect ! outcome ( ! auction 9 accordance ) p>agraph 7#c77;,b74 7#f7 ,conditions ( aw>d+ contract 7,a7 ,9 g5]al ,! ,secret>y %all aw>d a contract to any entity 9 an eligible auction area 9 :i* an auction is conduct$ & ^: bid submitt$ pursuant to p>agraph 7#c77;,a7 is at or bel[ ! cle>+ price e/abli%$ pursuant to p>agraph 7#d77;,g77ii74 7,b7 ,t]ms ( contract 7i7 ,m&atory acceptance ( contract ,a suppli] t submits a bid at or bel[ su* cle>+ price %all be treat$ z hav+ agre$ to & accept ! contract aw>d$ pursuant to subp>agraph 7,a74 7ii7 ,contract t]ms ,a contract aw>d$ pursuant to subp>agraph 7,a7 %all be valid = #b ye>s4 7iii7 ,no requirem5t to supply up to bid am\nt ,no?+ 9 ?is subsection %all require a suppli] t is aw>d$ a contract pursuant to subp>agraph 7,a7 to supply a m>k$ pric$ item or s]vice t is ! subject ( an auction 9 ! eligible auction area beyond ! level ( dem& = su* item or s]vice 9 ! eligible auction area1 ev5 if su* level is bel[ ! level t ! suppli] assum$ 9 its bid4 7,c7 ,ensur+ adequate selection ( contractors ,! ,secret>y may n aw>d a contract to any entity "u ! auction to furni% su* items or s]vices unless ! ,secret>y f9ds t ! conditions describ$ 9 section #ahdg7;b77#b77;,a7 apply ) respect to an entity receiv+ a contract "u ?is p>agraph4 7,d7 ,suffici5t capacity 7i7 ,9 g5]al ,! ,secret>y %all id5tify ! capacity ( ea* suppli] t applies to p>ticipate 9 an auction "u ?is section4 ,a suppli]'s capacity %all be bas$ ^u ! capacity ( ! suppli] 9 ! prec$+ ye> 9 ! auction area4 7ii7 ,new suppli]s ,ea* bidd+ suppli] t has no hi/oric capacity 9 ! auction area %all be assign$ a base capacity = ea* produce category made available "u ! auction ( #a p]c5t ( ! total doll> value ( t item or s]vice made available 9 ! eligible auction area4 7#g7 ,paym5t am\nt %all equal auction cle>+ price 7,a7 ,9 g5]al ,) respect to m>ket pric$ items or s]vices t are provid$ 9 an eligible auction area 9 :i*-- 7i7 a m>ket-pric$ auction is conduct$1 ! auction price det]m9$ at su* auction = su* item 9 su* eligible auction area2 or 7ii7 su* an auction is n conduct$1 ! auction price det]m9$ at an auction = ^? items t is conduct$ 9 ano!r eligible auction area1 z adju/$ by ! factor describ$ 9 subp>agraph 7,b77iv71 if appropriate1 %all con/itute ! paym5t am\nt "u section #ahcd7;a77#a77;,h77i77,i7 or section #ahdb7s71 z ! case may be4 7,b7 ,supply+ items or s]vices 7i7 ,9 g5]al ,no entity o!r ?an a suppli] ( a m>ket pric$ item or s]vice t is ! subject ( a m>ket-pric$ auction 9 an eligible auction area & t is a w9n+ bidd] 9 t eligible auction area %all be eligible to receive a contract "u p>agraph 7#f77;,a7 9 su* auction area4 7ii7 ,supply+ items 9 economically equival5t m>kets ,a suppli] ( a m>ket pric$ item or s]vice t is n a w9n+ bidd] 9 ! eligible auction area describ$ 9 clause 7i7 %all1 subject to clauses 7iii7 & 7iv71 be eligible to supply any o!r m>ket pric$ item or s]vice t 0 n ! subject ( an auction 9 t eligible auction area b t 0 ! subject ( a m>ket-pric$ auction 9 ano!r econometrically simil> eligible auction area 7z det]m9$ by ! ,secret>y74 7iii7 ,suppli] mu/ accept auction price ,clause 7ii7 %all only apply to a suppli] t agrees to accept ! price det]m9$ at an auction 9 ano!r eligible auction area = a m>ket pric$ item or s]vice4 7iv7 ,appropriate adju/m5ts ,! ,secret>y %all develop an adju/m5t factor to reflect economic diff]5ces betwe5 ! auction area t 0 ! subject ( ! m>ket-pric$ auction = ! item or s]vice & ! auction area 9 :i* ! suppli] is locat$4 ,! ,secret>y %all use su* adju/m5t factor to adju/ ! paym5t am\nt made to a suppli] pursuant to clause 7iii74 ,! ,secret>y1 auction exp]t1 & m>ket monitor %all consult ) relevant /akehold]s 9 develop+ su* factors4 7#h7 ,monitor access & quality 7,a7 ,9 g5]al ,! ,secret>y %all monitor ! p]=mance ( suppli]s t are aw>d$ a contract pursuant to p>agraph 7#f7 to ensure compliance ) ! requirem5ts ( ?is subsection1 includ+ ! requirem5ts & obligations e/abli%$ by ! auction exp]t "u p>agraph 7#e77;,b74 7,b7 ,en=cem5t ,if ! ,secret>y1 aft] consultation ) ! m>ket monitor1 det]m9es t !re has be5 a mat]ial failure ( a suppli] t has be5 aw>d$ a contract pursuant to p>agraph 7#f7 to comply ) su* requirem5ts1 ! ,secret>y1 aft] consultation ) ! m>ket monitor1 %all implem5t en=cem5t measures4 ,su* en=cem5t measures may include ! foll[+3 7i7 ,a =mal w>n+ lett]4 7ii7 ,=feiture ( am\nts submitt$ z a p]=mance deposit pursuant to subsection 7d77#c77;,b74 7iii7 ,t]m9ation ( a contract aw>d$ "u p>agraph 7#f74 7iv7 ,t]m9ation ( ! suppli]'s agreem5t to p>ticipate 9 ! program "u ?is title = up to #b ye>s4 7e7 ,application ( competitive acquisition program provisions ,9 implem5t+ ! m>ket pric+ program "u ?is section1 ! provisions ( section #ahdg7;b7 %all be appli$ z foll[s3 7#a7 ,p>agraph 7#c7 %all apply1 except t1 = purposes ( contracts aw>d$ "u ! m>ket pric+ program1 subp>agraph 7,b7 ( su* p>agraph %all be appli$ by sub/itut+ #b ye>s = #c ye>s4 7#b7 ,subject to subsection 7d77#g77;,b71 p>agraph 7#d7 %all apply4 7#c7 ,p>agraph 7#e7 %all apply1 except t-- 7,a7 ! ref]5ce 9 subp>agraph 7,a7 ( su* p>agraph to subsection 7a77#b7 is deem$ a ref]5ce to subsection 7b77#a7 ( ?is section2 & 7,b7 ! ref]5ce 9 subp>agraph 7,b77i7 ( su* p>agraph to subp>agraph 7,a7 is deem$ a ref]5ce to subsection 7d77#d7 ( ?is section4 7#d7 ,p>agraph 7#g7 %all n apply4 7#e7 ,p>agraph 7#h7 %all apply4 7#f7 ,p>agraph 7#i7 %all apply1 except t su* p>agraph %all be appli$ z if a ref]5ce to a bidd+ program includes a ref]5ce to ! m>ket pric+ program4 7#g7 ,p>agraph 7#aj7 %all apply1 except t su* p>agraph %all be appli$ z if a ref]5ce to a competitive acquisition program includes a ref]5ce to ! m>ket pric+ program4 7#h7 ,p>agraph 7#aa7 %all n apply1 except t-- 7,a7 ! p5d5cy ( any claim = review "u ?is section %all n delay any auction r\nd conduct$ pursuant to subsection 7a77#c7 or 7d77#a72 & 7,b7 !re %all be no adm9i/rative or judicial review ( any claim to enjo9 ! op]ation ( a m>ket-pric$ auction conduct$4 7f7 ,transp>5cy requirem5ts = m>ket pric+ program ,9 implem5t+ ! m>ket pric+ program1 ! ,secret>y %all provide = publication1 on an ,int]net ,web site op]at$ by ! ,secret>y1 ( ! foll[+ in=mation3 7#a7 ,! qualifications necess>y to submit a bid pursuant to subsection 7d77#c74 7#b7 ,! f9ancial requirem5ts t are applicable = purposes ( subsection 7d77#c77;,b74 7#c7 ,! quality /&>ds & ! p]=mance /&>ds develop$ pursuant to subsection 7c77#c77;,b74 7#d7 ,! calculation ( ! total m>ket capacity ( an eligible auction area = purposes ( subsection 7d77#e77;,c77i74 7#e7 ,! me?odology develop$ = an adju/m5t factor appli$ pursuant to subsection 7d77#g77;,b77iv74 7#f7 ,! process = solicit+ & accept+ bids = purposes ( p>agraphs 7#c7 & 7#e7 ( subsection 7d74 7#g7 ,= purposes ( subsection 7d77#e7-- 7,a7 ! numb] ( bidd]s at ! auction2 7,b7 ! numb] ( w9n+ & los+ bidd]s at ! auction2 & 7,c7 ) respect to reject$ bidd]s1 ! specific reasons = rejections ( any bid1 &1 ) respect to any su* rejection1 a means ( ensur+ ! availability ( ! process ( review or appeal to a reject$ bidd]4 7#h7 ,! calculation ( & compliance ) ! requirem5t ( section #ahdg7;b77#f77;,d71 z made applicable to ! m>ket pric+ program by subsection 7e74 7g7 ,reliance on auction exp]t & m>ket monitor 9 e/abli%+ & op]at+ m>ket pric+ program2 advisory committee report & monitor+ 7#a7 ,auction exp]t & m>ket monitor 7,a7 ,9 g5]al ,! ,secret>y %all1 n lat] ?an #c mon?s aft] ! date ( ! enactm5t ( ?is section1 ?r\gh ! ,(fice ( ! ,assi/ant ,secret>y = ,plann+ & ,evaluation1 ent] into a contract ) an individual to s]ve z ! auction exp]t & su* a contract to s]ve z a m>ket monitor to assi/ 9 ! design1 developm5t1 implem5tation & function+ ( ! auction to be conduct$ pursuant to subsection 7b74 ,! auction exp]t & m>ket monitor %all report & be acc\ntable to ! ,secret>y4 7,b7 ,selection ( auction exp]t & m>ket monitor2 t]m2 access to in=mation 7i7 ,competitive process ,! selection ( ! individual to s]ve z ! auction exp]t & z a m>ket monitor "u subp>agraph 7,a7 %all be und]tak5 ?r\gh a competitive process4 7ii7 ,disqualifications ,an individual may n be select$ z ! auction exp]t if su* individual-- 7,i7 is a curr5t or =m] employee ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices2 7,,ii7 is a curr5t or =m] contractor = ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices t p>ticipat$ 9 ! implem5tation ( ! competitive acquisition program "u section #ahdg7;a72 7,,iii7 does n h significant exp]i5ce 9 implem5t+ auctions ( simil> complexity 9 gov]nm5t programs2 & 7,,iv7 does n h appropriate educational cr$5tials4 7iii7 ,access to in=mation ,! ,secret>y %all make available to ! auction exp]t & ! m>ket monitor all applicable in=mation 7includ+ confid5tial in=mation7 on ! relevant m>kets ?r\gh\t ! duration ( ! m>ket pric+ program4 7iv7 ,t]m ( contract ,! contract = ! auction exp]t & = ! m>ket monitor "u ?is p>agraph %all be = a p]iod ( #d ye>s4 7#b7 ,functions ( auction exp]t ,! auction exp]t %all conduct ! activities z describ$ 9 ?is section1 includ+-- 7,a7 developm5t ( a draft auction design & design conf]5ce "u subp>agraphs 7,b7 & 7,c7 ( subsection 7c77#b72 7,b7 conduct+ bidd]s conf]5ces "u subsection 7d77#e77;,d72 & 7,c7 lead ! auction1 contract+1 & o!r aspects ( implem5t+ ! m>ket pric+ program ) ! advice ( ! m>ket monitor4 7#c7 ,functions ( m>ket monitor 7,a7 ,p>ticipate 9 design conf]5ce ,! m>ket monitor %all p>ticipate 9 ! design conf]5ce "u subsection 7c77#b77;,c7 &1 at ! conf]5ce1 provide a pres5tation on ! responsibilities ( ! m>ket monitor ?r\gh\t ! ye> & common on key aspects ( ! design & _! purpose4 7,b7 ,review ( f9al design ,! m>ket monitor %all review ! f9al auction design recomm5dations submitt$ "u subsection 7c77#b77;,d7 &1 )9 "o mon? ( ! release ( su* recomm5dations1 provide public comm5t on !m4 7,c7 ,monitor+ 7i7 ,9 g5]al ,! m>ket monitor %all provide ongo+ monitor+ ( ! p]=mance ( suppli]s & ! effects ( ! m>ket pric+ program to gu>d aga9/ ! occurr5ce ( any negative effects specifi$ 9 subsection 7d77#h74 7ii7 ,provide transp>5cy ( in=mation ,! monitor+ "u clause 7i7 %all include public availability ( ! numb] ( suppli]s provid+ m>ket pric$ items & s]vices 9 an eligible auction area dur+ ea* ye> ( ! op]ation ( ! m>ket pric+ program4 7,d7 ,biannual reports to ,secret>y ,! m>ket monitor %all provide biannual reports to ! ,secret>y 9 ! initial two ye>s & annually !reaft] on ! developm5t & op]ations ( ! m>ket pric+ program4 ,9 ea* report1 ! monitor %all-- 7i7 id5tify pot5tial problems ) ! program2 & 7ii7 recomm5d solutions to problems s id5tifi$4 7,e7 ,annual report ,! m>ket monitor %all provide an annual report to ,congress on ! op]ation & function+ ( ! m>ket pric+ program4 ,ea* su* report %all include in=mation on-- 7i7 pot5tial problems ) ! program2 7ii7 recomm5d$ solutions to problems id5tifi$ pursuant to subclause 7,i72 7iii7 ! appropriat5ess ( ,,hcpcs codes select$ = auctions2 7iv7 an evaluation on ! ability ( individuals eligible = b5efits "u ?is "p to obta9 items & s]vices subject to ! m>ket pric+ program2 7v7 any adv]se heal? effects result+ f implem5tation ( ! program2 7vi7 any mat]ial det]ioration 9 ! quality ( items & s]vices provid$ "u ! program2 7vii7 ! co/s ( any prev5table or prolong$ hospitalizations due to lack ( timely access to m>ket pric$ items & s]vices2 & 7viii7 any negative bus9ess consequ5ces to ! suppli] ( any m>ket pric$ items & s]vices occurr+ z a result ( errors made 9 ! conduct ( ! program4 4 #e4 ,application ( exi/+ provisions 7a7 ,revisions to ,program ,advisory & ,ov]sight ,committee ,section #ahdg7;c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#c7;c77 is am5d$-- 7#a7 9 p>agraph 7#a71 by add+ at ! end ! foll[+3 ,! ,secret>y %all recon/itute ! ,committee & ext5d ! t]ms ( its memb]s42 7#b7 9 p>agraph 7#c71 by add+ at ! end ! foll[+ new subp>agraph3 7,c7 ,additional report to ,congress ,n lat] ?an #a ye> aft] ! date ( ! appo9tm5t ( ! auction exp]t "u section #ahdg;,c7g77#a71 ! ,committee %all submit to ! ,congress a report on ! m>ket pric+ program e/abli%$ "u section #ahdg;,c4 ,! report %all include in=mation on ! design ( ! m>ket pric+ program1 access to & quality ( m>ket pric$ items & s]vices by b5efici>ies "u ! program4 2 7#c7 by /rik+ p>agraph 7#d7 7relat+ to ,,faca72 & 7#d7 9 p>agraph 7#e71 by ins]t+ be=e ! p]iod at ! end ! foll[+3 1 except t ! recon/itut$ ,committee %all t]m9ate #b ye>s aft] ! date ( ! appo9tm5t ( ! auction exp]t & ! m>ket monitor "u section #ahdg;,c7g77#a74 7b7 ,negative pressure w\nd !rapy /&>ds ,! ,secret>y ( ,heal? & ,human ,s]vices1 9 consultation ) relevant /akehold]s 7z def9$ 9 section #ahdg;,c7c77#b77;,a77ii7 ( ! ,social ,security ,act1 z add$ by section #d71 %all develop /&>ds = cov]age & quality ( negative pressure w\nd !rapy items & s]vices 7)9 ! mean+ ( section #ahdg7;a77#a77;,d77i77,,iv7 ( su* ,act1 #db ,u4,s4,c4 #aciew-#c7;a77#a77;,d77i77,,iv774 #f4 ,additional budget>y (fset 7a7 ,9 g5]al ,9 addition to ! paym5t r$uctions specifi$ 9 ! am5dm5ts made by section #c7;a77#a71 unobligat$ balances ( all discretion>y appropriations = ea* fiscal ye> 7beg9n+ ) fiscal ye> #bjac7 are h]eby resc9d$ 9 an am\nt equal to ! am\nt necess>y to make ?is ,act budget neutral = su* fiscal ye>4 7b7 ,implem5tation ,! ,director ( ! ,(fice ( ,managem5t & ,budget %all det]m9e & id5tify ea* acc\nt1 program1 project1 & activity to :i* ! rescission "u subsection 7a7 %all apply & ! am\nt ( su* rescission t %all apply to ea* su* acc\nt1 program1 project & activity4 ,n lat] ?an #fj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,director ( ! ,(fice ( ,managem5t & ,budget %all submit a report to ! ,secret>y ( ! ,treasury & to ,congress ( ! acc\nts1 programs1 projects1 activities1 & am\nts det]m9$ & id5tifi$ = rescission "u ! prec$+ s5t5ce4 7c7 ,exception ,?is section %all n apply to acc\nts1 programs1 projects & activities op]at$ by ! ,dep>tm5t ( ,def5se or ! ,dep>tm5t ( ,vet]an's ,affairs4