,,ii  #aae? ,,congress  #a/ ,session    
,s4 #dfc  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,febru>y #bh1 #bjag,mr4
 ,cornyn 7= himself & ,mr4 ,c>p]7       
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
e/abli% a national ,oncology ,m$ical    
,home ,demon/ration ,project "u !       
,m$ic>e program = ! purpose ( *ang+ !   
,m$ic>e paym5t = canc] c>e 9 ord] to    
enhance ! quality ( c>e & to improve co/
 effici5cy1 & = o!r purposes4  #a4 ,%ort
 title ,?is ,act may be cit$ z ! ,canc] 
,c>e ,paym5t ,re=m ,act ( #bjag4  #b4   
,e/abli%+ an ,oncology ,m$ical ,home    
,demon/ration ,project "u ! ,m$ic>e     
program to improve quality ( c>e & co/  
effici5cy ,title ,,xviii ( ! ,social    
,security ,act is am5d$ by ins]t+ aft]  
section #ahff;,e 7#db ,u4,s4,c4         
#acie;cc-#e7 ! foll[+ new section3      
#ahff;,f4 ,oncology ,m$ical ,home       
,demon/ration ,project  7a7 ,e/abli%m5t 

( demon/ration project ,n lat] ?an #ab  
mon?s aft] ! date ( ! enactm5t ( ?is    
section1 ! ,secret>y %all e/abli% an    
,oncology ,m$ical ,home ,demon/ration   
,project 79 ?is section ref]r$ to z !   
demon/ration project7 to make paym5ts 9 
! am\nts specifi$ 9 subsection 7f7 to   
ea* p>ticipat+ oncology practice 7z     
def9$ 9 subsection 7b774  7b7 ,def9ition
 ( p>ticipat+ oncology practice ,=      
purposes ( ?is section1 ! t]m p>ticipat+
 oncology practice means an oncology    
practice t-- 7#a7 submits to ! ,secret>y
 an application to p>ticipate 9 !       
demon/ration project 9 accordance )     
subsection 7c72  7#b7 is select$ by !   
,secret>y1 9 accordance ) subsection    
7d71 to p>ticipate 9 ! demon/ration     
project2 &  7#c7 is own$ by a physician1
 or is own$ by or affiliat$ ) a         
hospital1 t submitt$ a claim = paym5t 9 
! prior ye> = an item or s]vice = :i*   
paym5t may be made "u "p ,b4  7c7       
,application ,to ,p>ticipate ,an        
application by an oncology practice to  

p>ticipate 9 ! demon/ration project %all
 include an atte/ation to ! ,secret>y t 
! practice--  7#a7 furni%es physicians' 
s]vices = :i* paym5t may be made "u "p  
,b2  7#b7 coord9ates oncology s]vices   
furni%$ to an individual by ! practice )
 s]vices t are relat$ to su* oncology   
s]vices & t are furni%$ to su*          
individual by practition]s 7includ+     
oncology nurses7 inside or outside !    
practice 9 ord] to ensure t ea* su*     
individual receives coord9at$ c>e2  7#c7
 mean+fully uses electronic heal?       
records2  7#d7 w1 n lat] ?an "o ye> aft]
 ! date on :i* ! practice comm5ces its  
p>ticipation 9 ! demon/ration project1  
be accr$it$ z an ,oncology ,m$ical ,home
 by ! ,commission on ,canc]1 ! ,national
 ,committee = ,quality ,assurance1 or   
su* o!r entity z ! ,secret>y det]m9es   
appropriate2  7#e7 w repay all am\nts   
paid by ! ,secret>y to ! practice "u    
subsection 7f77#a77;,a7 9 ! case t !    
practice does n1 on a date t is n lat]  
?an #fj days aft] ! date on :i* !       

practice's agreem5t p]iod = !           
demon/ration project beg9s1 z det]m9$ by
 ! ,secret>y1 submit an application to  
an entity describ$ 9 p>agraph 7#d7 =    
accr$itation z an ,oncology ,m$ical     
,home 9 accordance ) su* p>agraph2  7#f7
 w1 = ea* ye> 9 :i* ! demon/ration      
project is conduct$1 report to !        
,secret>y1 9 su* =m & mann] z is        
specifi$ by ! ,secret>y1 on--  7,a7 !   
p]=mance ( ! practice ) respect to      
measures describ$ 9 subsection 7e7 z    
det]m9$ by ! ,secret>y1 subject to      
subsection 7e77#a77;,b72 &  7,b7 !      
exp]i5ce ( c>e ( individuals :o are     
furni%$ oncology s]vices by ! practice =
 :i* paym5t may be made "u "p ,b1 z     
measur$ by a pati5t exp]i5ce ( c>e      
survey bas$ on ! ,consum] ,assessm5t (  
,heal?c>e ,provid]s & ,sy/ems survey or 
by su* simil> survey z ! ,secret>y      
det]m9es appropriate2  7#g7 agrees n to 
receive ! paym5ts describ$ 9 subclauses 
7,i7 & 7,,ii7 ( subsection              
7f77#a77;,b77iii7 9 ! case t ! practice 

does n report to ! ,secret>y 9          
accordance ) p>agraph 7#f7 ) respect to 
p]=mance ( ! practice dur+ ! #ab-mon?   
p]iod beg9n+ on ! date on :i* !         
practice's agreem5t p]iod = !           
demon/ration project beg9s1 z det]m9$ by
 ! ,secret>y2  7#h7 w1 = ea* ye> ( !    
demon/ration project1 meet ! p]=mance   
/&>ds develop$ "u subsection            
7e77#d77;,b7 ) respect to ea* ( !       
measures on :i* ! practice has agre$ to 
report "u p>agraph 7#f77;,a7 & ! pati5t 
exp]i5ce ( c>e on :i* ! practice has    
agre$ to report "u p>agraph 7#f77;,b72 &
  7#i7 has ! capacity to utilize %>$    
decision-mak+ tools t facilitate !      
incorporation ( ! pati5t ne$s1          
pref]5ces1 & circum/ances ( an          
individual into ! m$ical plan ( !       
individual & t ma9ta9 provid]           
flexibility to tailor c>e ( ! individual
 bas$ on ! full range ( te/ & treatm5t  
options available to ! individual4  7d7 
,selection ( p>ticipat+ practices  7#a7 
,9 g5]al ,! ,secret>y %all1 n lat] ?an  

#ae mon?s aft] ! date ( ! enactm5t ( ?is
 section1 select oncology practices t   
submit an application to ! ,secret>y 9  
accordance ) subsection 7c7 to          
p>ticipate 9 ! demon/ration project4    
7#b7 ,maximum numb] ( practices ,9      
select+ an oncology practice to         
p>ticipate 9 ! demon/ration project "u  
?is section1 ! ,secret>y %all ensure t !
 p>ticipation ( su* practice 9 !        
demon/ration project does n1 on ! date  
on :i* ! practice comm5ces its          
p>ticipation 9 ! demon/ration project-- 
7,a7 increase ! total numb] ( practices 
p>ticipat+ 9 ! demon/ration project to a
 numb] t is great] ?an #bjj practices   
7or su* numb] z ! ,secret>y det]m9es    
appropriate72 or  7,b7 increase ! total 
numb] ( oncologi/s :o p>ticipate 9 !    
demon/ration project to a numb] t is    
great] ?an #a1ejj oncologi/s 7or su*    
numb] z ! ,secret>y det]m9es            
appropriate74  7#c7 ,div]sity (         
practices  7,a7 ,9 g5]al ,subject to    
subp>agraph 7,b71 9 select+ oncology    

practices to p>ticipate 9 ! demon/ration
 project "u ?is section1 ! ,secret>y    
%all1 to ! ext5t practicable1 include 9 
su* selection--  7i7 small-1 m$ium-1 &  
l>ge-siz$ practices2 &  7ii7 practices  
locat$ 9 diff]5t geographic areas4  7,b7
 ,inclusion ( small oncology practices  
,9 select+ oncology practices to        
p>ticipate 9 ! demon/ration project "u  
?is section1 ! ,secret>y %all1 to !     
ext5t practicable1 ensure t at lea/ #bj 
p]c5t ( ! p>ticipat+ practices are small
 oncology practices 7z det]m9$ by !     
,secret>y74  7#d7 ,no p5alty = c]ta9    
opt-outs by practices ,9 ! case t !     
,secret>y selects an oncology practice  
to p>ticipate 9 ! demon/ration project  
"u ?is section t has agre$ to p>ticipate
 9 a model e/abli%$ "u section #aaae;,a 
= oncology s]vices1 su* practice may n  
be assess$ a p5alty = elect+ n to       
p>ticipate 9 su* model if ! practice    
makes su* election--  7,a7 prior to !   
receipt by ! practice ( any paym5t = su*
 model t w\ld n o!rwise be paid 9 !     

abs5ce ( su* model2 &  7,b7 9 ord] to   
p>ticipate 9 ! demon/ration project "u  
?is section4  7e7 ,measures  7#a7       
,developm5t  7,a7 ,9 g5]al ,! ,secret>y 
%all use measures describ$ 9 p>agraph   
7#b71 & may use measures develop$ "u    
p>agraph 7#c71 to assess ! p]=mance (   
ea* p>ticipat+ oncology practice1 z     
comp>$ to o!r p>ticipat+ oncology       
practices z describ$ 9 p>agraph         
7#d77;,a77i74  7,b7 ,det]m9ation (      
measures report$ ,9 det]m9+ measures to 
be report$ "u subsection 7c77#f77;,a71 !
 ,secret>y1 9 consultation ) /akehold]s1
 %all ensure t report+ "u su* subsection
 is n ov]ly burd5some & t ^? measures   
requir$ to be report$ are align$ )      
applicable requirem5ts f o!r payors4    
7#b7 ,measures describ$ ,! measures     
describ$ 9 ?is p>agraph1 ) respect to   
individuals :o are attribut$ to a       
p>ticipat+ oncology practice1 z det]m9$ 
by ! ,secret>y1 are ! foll[+3  7,a7     
,pati5t c>e measures  7i7 ,! p]c5tage ( 
su* individuals :o receive docum5t$     

cl9ical or pa?ologic /ag+ prior to      
initiation ( a fir/ c\rse ( canc]       
treatm5t4  7ii7 ,! p]c5tage ( su*       
individuals :o und]go advanc$ imag+ & h 
be5 diagnos$ ) /age ,i or ,,ii brea/    
canc]4  7iii7 ,! p]c5tage ( su*         
individuals :o und]go advanc$ imag+ & h 
be5 diagnos$ ) /age ,i or ,,ii pro/ate  
canc]4  7iv7 ,! p]c5tage ( su*          
individuals :o1 prior to receiv+ canc]  
treatm5t1 _h _! p]=mance /atus assess$  
by ! practice4  7v7 ,! p]c5tage ( su*   
individuals :o-- 7,i7 und]go treatm5t ) 
a *emo!rapy regim5 provid$ by !         
practice2  7,,ii7 h at lea/ a #bj-p]c5t 
risk ( develop+ febrile neutrop5ia due  
to a comb9ation ( regim5 risk & pati5t  
risk factors2 &  7,,iii7 h receiv$ f !  
practice ei!r ,,gcsf or :ite cell gr[?  
factor4  7vi7 ,) respect to su*         
individuals :o receive an oncology drug 
!rapy f ! practice1 ! p]c5tage ( su*    
individuals :o und]w5t a diagno/ic te/  
to id5tify specific biom>k]s1 g5etic    
mutations1 or *>act]i/ics prior to      

receiv+ an oncology drug !rapy1 :]e su* 
a diagno/ic te/ exi/s = a giv5 canc]    
type4  7vii7 ,) respect to su*          
individuals :o receive *emo!rapy        
treatm5t f ! practice1 ! p]c5tage ( su* 
individuals s treat$ :o receive a       
treatm5t plan prior to ! adm9i/ration ( 
su* *emo!rapy4  7viii7 ,) respect to    
*emo!rapy treatm5ts adm9i/]$ to su*     
individuals by ! practice1 ! p]c5tage ( 
su* treatm5ts t adh]e to guidel9es      
publi%$ by ! ,national ,compreh5sive    
,canc] ,network or su* o!r entity z !   
,secret>y det]m9es appropriate4  7ix7 ,)
 respect to antiemetic drugs disp5s$ by 
! practice to individuals z "p (        
mod]ately or highly emetog5ic *emo!rapy 
regim5s = su* individuals1 ! ext5t to   
:i* su* drugs are adm9i/]$ 9 accordance 
) evid5ce-bas$ guidel9es or pa?ways t   
are compliant ) guidel9es publi%$ by !  
,national ,compreh5sive ,canc] ,network 
or su* o!r entity z ! ,secret>y det]m9es
 appropriate4  7,b7 ,res\rce utilization
 measures  7i7 ,) respect to em]g5cy    

room visits 9 a ye> by su* individuals  
:o are receiv+ active *emo!rapy treatm5t
 adm9i/]$ by ! practice z ( ! date ( su*
 visits1 ! p]c5tage ( su* visits t are  
associat$ ) qualifi$ canc] diagnoses ( !
 individuals4  7ii7 ,) respect to       
hospital admissions 9 a ye> by su*      
individuals :o are receiv+ active       
*emo!rapy treatm5t adm9i/]$ by !        
practice z ( ! date ( su* visits1 !     
p]c5tage ( su* admissions t are         
associat$ ) qualifi$ canc] diagnoses ( !
 individuals4  7,c7 ,survivor%ip        
measures  7i7 ,survival rates = su*     
individuals :o h be5 diagnos$ ) /age ,i 
?r\gh ,,iv brea/ canc]4  7ii7 ,survival 
rates = su* individuals :o h be5        
diagnos$ ) /age ,i ?r\gh ,,iv colorectal
 canc]4  7iii7 ,survival rates = su*    
individuals :o h be5 diagnos$ ) /age ,i 
?r\gh ,,iv lung canc]4  7iv7 ,) respect 
to su* individuals :o receive *emo!rapy 
treatm5t f ! practice1 ! p]c5tage ( su* 
individuals s treat$ :o receive a       
survivor%ip plan n lat] ?an #de days    

aft] ! completion ( ! adm9i/ration ( su*
 *emo!rapy4  7v7 ,) respect to su*      
individuals :o receive *emo!rapy        
treatm5t f ! practice1 ! p]c5tage ( su* 
individuals :o receive psy*ological     
scre5+4  7,d7 ,end-(-life c>e measures  
7i7 ,! numb] ( times t su* an individual
 receives *emo!rapy treatm5t f !        
practice )9 an am\nt ( "t specifi$ by ! 
,secret>y1 9 consultation ) /akehold]s1 
prior to ! dea? ( ! individual4  7ii7 ,)
 respect to su* individuals :o h a /age 
,,iv disease & h receiv$ treatm5t = su* 
disease f ! practice1 ! p]c5tage ( su*  
individuals s treat$ :o h _h a docum5t$ 
end-(-life c>e conv]sation ) a physician
 9 ! practice or ano!r heal? c>e provid]
 :o is a memb] ( ! canc] c>e team ( !   
practice4  7iii7 ,) respect to su* an   
individual :o is ref]r$ to hospice c>e  
by a physician 9 ! practice or a heal?  
c>e provid] :o is a memb] ( ! canc] c>e 
team ( ! practice1 reg>dless ( ! sett+ 9
 :i* su* c>e is furni%$1 ! av]age numb] 
( days t ! individual receives hospice  

c>e prior to ! dea? ( ! individual4     
7iv7 ,) respect to su* individuals :o   
die :ile receiv+ c>e f ! practice1 !    
p]c5tage ( su* deceas$ individuals ^:   
dea? occurr$ 9 an acute c>e sett+4  7#c7
 ,modification or addition ( measures   
7,a7 ,9 g5]al ,! ,secret>y may1 9       
consultation ) appropriate /akehold]s 9 
a mann] det]m9$ by ! ,secret>y1 modify1 
replace1 remove1 or add to ! measures   
describ$ 9 p>agraph 7#b74  7,b7         
,appropriate /akehold]s describ$ ,=     
purposes ( subp>agraph 7,a71 ! t]m      
appropriate /akehold]s includes oncology
 societies1 oncologi/s :o furni%        
oncology s]vices to "o or m individuals 
= :i* paym5t may be made "u "p ,b1 alli$
 heal? pr(essionals1 heal? insurance    
issu]s t h implem5t$ alt]native paym5t  
models = oncologi/s1 pati5ts &          
organizations t repres5t pati5ts1 &     
bioph>maceutical & o!r m$ical te*nology 
manufactur]s4  7#d7 ,assessm5t  7,a7 ,9 
g5]al ,! ,secret>y %all1 = ea* ye> 9 :i*
 ! demon/ration project is conduct$1    

assess-- 7i7 ! p]=mance ( ea* p>ticipat+
 oncology practice = su* ye> ) respect  
to ! measures on :i* ! practice has     
agre$ to report to ! ,secret>y "u       
subsection 7c77#f77;,a71 z comp>$ to !  
p]=mance ( o!r p>ticipat+ oncology      
practices ) respect to su* measures2 &  
7ii7 ! ext5t to :i* ea* p>ticipat+      
oncology practice has1 dur+ su* ye>1 us$
 break?r\gh or o!r be/-9-class !rapies4 
7,b7 ,p]=mance /&>ds ,! ,secret>y %all1 
9 consultation ) ! appropriate          
/akehold]s describ$ 9 p>agraph 7#c77;,b7
 9 a mann] det]m9$ by ! ,secret>y1      
develop p]=mance /&>ds ) respect to--   
7i7 ea* ( ! measures describ$ 9 p>agraph
 7#b71 includ+ ^? measures z modifi$ or 
add$ "u p>agraph 7#c72 &  7ii7 ! pati5t 
exp]i5ce ( c>e on :i* p>ticipat+        
oncology practices agree to report to ! 
,secret>y "u subsection 7c77#f77;,b74   
7f7 ,paym5ts = p>ticipat+ oncology      
practices & oncologi/s  7#a7 ,c>e       
coord9ation managem5t fee dur+ fir/ two 
ye>s ( demon/ration project  7,a7 ,9    

g5]al ,! ,secret>y %all1 9 addition to  
any o!r paym5ts made by ! ,secret>y "u  
?is title to a p>ticipat+ oncology      
practice1 pay a c>e coord9ation         
managem5t fee to ea* su* practice at ea*
 ( ! times specifi$ 9 subp>agraph 7,b74 
7,b7 ,tim+ ( paym5ts ,! c>e coord9ation 
managem5t fee describ$ 9 subp>agraph    
7,a7 %all be paid to a p>ticipat+       
oncology practice at ! end ( ea* ( !    
foll[+ p]iods3  7i7 ,! p]iod t ends #f  
mon?s aft] ! date on :i* ! practice's   
agreem5t p]iod = ! demon/ration project 
beg9s1 z det]m9$ by ! ,secret>y4  7ii7  
,! p]iod t ends #ab mon?s aft] ! date on
 :i* ! practice's agreem5t p]iod = !    
demon/ration project beg9s1 z det]m9$ by
 ! ,secret>y4  7iii7 ,subject to        
subsection 7c77#g7-- 7,i7 ! p]iod t ends
 #ah mon?s aft] ! date on :i* !         
practice's agreem5t p]iod = !           
demon/ration project beg9s1 z det]m9$ by
 ! ,secret>y2 &  7,,ii7 ! p]iod t ends  
#bd mon?s aft] ! date on :i* !          
practice's agreem5t p]iod = !           

demon/ration project beg9s1 z det]m9$ by
 ! ,secret>y4  7,c7 ,am\nt ( paym5t ,!  
,secret>y %all1 9 consultation )        
oncologi/s :o furni% oncology s]vices = 
:i* paym5t may be made "u "p ,b 9 a     
mann] det]m9$ by ! ,secret>y1 det]m9e ! 
am\nt ( ! c>e coord9ation managem5t fee 
describ$ 9 subp>agraph 7,a74  7#b7      
,p]=mance inc5tive paym5ts  7,a7 ,9     
g5]al ,subject to subp>agraphs 7,c7 &   
7,e71 ! ,secret>y %all1 9 addition to   
any o!r paym5ts made by ! ,secret>y "u  
?is title to a p>ticipat+ oncology      
practice1 pay a p]=mance inc5tive paym5t
 to ea* su* practice = ea* ye> ( !      
demon/ration project describ$ 9         
subp>agraph 7,b74  7,b7 ,tim+ ( paym5ts 
,! p]=mance inc5tive paym5t describ$ 9  
subp>agraph 7,a7 %all be paid to a      
p>ticipat+ oncology practice z soon z   
practicable foll[+ ! end ( ! ?ird1 f\r?1
 & fif? ye>s ( ! demon/ration project4  
7,c7 ,s\rce ( paym5ts ,p]=mance inc5tive
 paym5ts made to p>ticipat+ oncology    
practices "u subp>agraph 7,a7 = ea* ( ! 

ye>s ( ! demon/ration project describ$ 9
 subp>agraph 7,b7 %all be paid f !      
aggregate pool available = mak+ paym5ts 
= ea* su* ye> det]m9$ "u subp>agraph    
7,d71 z available = ea* su* ye>4  7,d7  
,aggregate pool available = mak+ paym5ts
 ,) respect to ea* ( ! ye>s ( !         
demon/ration project describ$ 9         
subp>agraph 7,b71 ! aggregate pool      
available = mak+ p]=mance inc5tive      
paym5ts = ea* su* ye> %all be det]m9$   
by--  7i7 e/imat+ ! am\nt by :i* !      
aggregate exp5ditures t w\ld h be5      
exp5d$ = ! ye> "u p>ts ,a & ,b = items &
 s]vices furni%$ to individuals         
attribut$ to p>ticipat+ oncology        
practices if ! demon/ration project _h n
 be5 implem5t$ exce$s su* aggregate     
exp5ditures = su* individuals = su* ye> 
( ! demon/ration project2  7ii7         
calculat+ ! am\nt t is half ( ! am\nt   
e/imat$ "u clause 7i72 &  7iii7         
subtract+ f ! am\nt calculat$ "u clause 
7ii7 ! total am\nt ( paym5ts made "u    
p>agraph 7#a7 t h n1 9 a prior          

application ( ?is clause1 previ\sly be5 
s subtract$ f a calculation made "u     
clause 7ii74  7,e7 ,am\nt ( paym5ts to  
individual practices t meet p]=mance    
/&>ds & a*ieve sav+s  7i7 ,paym5ts only 
to practices t meet p]=mance /&>ds ,!   
,secret>y may n make p]=mance inc5tive  
paym5ts to a p>ticipat+ oncology        
practice "u subp>agraph 7,a7 ) respect  
to a ye> ( ! demon/ration project       
describ$ 9 subp>agraph 7,b7 unless !    
practice meets or exce$s ! p]=mance     
/&>ds develop$ "u subsection            
7e77#d77;,b7 = ! ye> ) respect to--     
7,i7 ! measures on :i* ! practice has   
agre$ to report to ! ,secret>y "u       
subsection 7c77#f77;,a72 &  7,,ii7 !    
pati5t exp]i5ce ( c>e on :i* ! practice 
has agre$ to report to ! ,secret>y "u   
subsection 7c77#f77;,b74  7ii7          
,consid]ation ( p]=mance assessm5t ,!   
,secret>y %all1 9 consultation ) !      
appropriate /akehold]s describ$ 9       
subsection 7e77#c77;,b7 9 a mann]       
det]m9$ by ! ,secret>y1 det]m9e ! am\nt 

( a p]=mance inc5tive paym5t to a       
p>ticipat+ oncology practice "u         
subp>agraph 7,a7 = a ye> ( !            
demon/ration project describ$ 9         
subp>agraph 7,b74 ,9 mak+ a det]m9ation 
"u ! prec$+ s5t5ce1 ! ,secret>y %all    
take into acc\nt ! p]=mance assessm5t ( 
! practice "u subsection 7e77#d77;,a7 ) 
respect to ! ye> & ! aggregate pool     
available = mak+ paym5ts = su* ye>      
det]m9$ "u subp>agraph 7,d71 z available
 = su* ye>4  7#c7 ,issuance ( guidance  
,n lat] ?an ! date t is #ab mon?s aft] !
 date ( ! enactm5t ( ?is section1 !     
,secret>y %all issue guidance detail+ ! 
me?odology t ! ,secret>y w use to       
implem5t subp>agraphs 7,d7 & 7,e7 (     
p>agraph 7#b74  7g7 ,secret>y reports to
 p>ticipat+ oncology practices ,!       
,secret>y %all in=m ea* p>ticipat+      
oncology practice1 on a p]iodic 7su* z  
qu>t]ly7 basis1 (--  7#a7 ! p]=mance ( !
 practice ) respect to ! measures on :i*
 ! practice has agre$ to report to !    
,secret>y "u subsection 7c77#f77;,a72 & 

7#b7 ! e/imat$ am\nt by :i* !           
exp5ditures t w\ld h be5 exp5d$ "u p>ts 
,a & ,b = items & s]vices furni%$ to    
individuals attribut$ to ! practice if !
 demon/ration project _h n be5 implem5t$
 exce$s ! actual exp5ditures = su*      
individuals4  7h7 ,applications ,f      
,entities ,to ,provide ,accr$itations ,n
 lat] ?an ! date t is #ah mon?s aft] !  
date ( ! enactm5t ( ?is section1 !      
,secret>y %all e/abli% a process = !    
acceptance & consid]ation ( applications
 f entities = purposes ( det]m9+ :i*    
entities may provide accr$itation to    
practices "u subsection 7c77#d7 9       
addition to ! entities describ$ 9 su*   
subsection4  7i7 ,revisions to          
demon/ration project ,! ,secret>y may   
make appropriate revisions to !         
demon/ration project "u ?is section 9   
ord] = p>ticipat+ oncology practices "u 
su* demon/ration project to meet !      
def9ition ( an eligible alt]native      
paym5t entity = purposes ( section      
#ahcc7z74  7j7 ,waiv] au?ority ,!       

,secret>y may waive su* provisions ( ?is
 title & title ,,xi z ! ,secret>y       
det]m9es necess>y 9 ord] to implem5t !  
demon/ration project "u ?is section4    
7k7 ,adm9i/ration ,*apt] #ce ( title    
#dd1 ,unit$ ,/ates ,code1 %all n apply  
to ?is section4  4