§300e–14 — Title 42 The Public Health and Welfare | U.S. Code

Summary

The Secretary must review these assistance programs from time to time and send Congress an annual summary of what each program did. The report must include a summary of every grant, contract, loan, and loan guarantee made during the period and a list of health maintenance organizations that became qualified under section 300e–9. It must include the statistics and other information reported under section 300e(c)(11). It must give findings about assisted HMOs: whether they can keep running without more Federal money, whether they meet the organization and operation rules in section 300e(c), whether they provide basic and extra services as in section 300e(b), whether they include indigent and high-risk members, and whether they serve medically underserved populations. The report must also compare different HMO categories with each other, compare HMOs as a group to other ways of delivering care, and describe their effects on public health. The Office of Management and Budget may review the report before it goes to Congress, but OMB may not change it or delay sending it. OMB can send its comments, and those of other agencies, to Congress.

Title 42, §300e–14

The Public Health and Welfare — Source: USLM XML via OLRC

(a)The Secretary shall periodically review the programs of assistance authorized by this subchapter and make an annual report to the Congress of a summary of the activities under each program. The Secretary shall include in such summary—

(1)a summary of each grant, contract, loan, or loan guarantee made under this subchapter in the period covered by the report and a list of the health maintenance organizations which during such period became qualified health maintenance organizations for purposes of section 300e–9 of this title;

(2)the statistics and other information reported in such period to the Secretary in accordance with section 300e(c)(11) 11 See References in Text note below. of this title;

(3)findings with respect to the ability of the health maintenance organizations assisted under this subchapter—

(A)to operate on a fiscally sound basis without continued Federal financial assistance,

(B)to meet the requirements of section 300e(c) of this title respecting their organization and operation,

(C)to provide basic and supplemental health services in the manner prescribed by section 300e(b) of this title,

(D)to include indigent and high-risk individuals in their membership, and

(E)to provide services to medically underserved populations; and

(4)findings with respect to—

(A)the operation of distinct categories of health maintenance organizations in comparison with each other,

(B)health maintenance organizations as a group in comparison with alternative forms of health care delivery, and

(C)the impact that health maintenance organizations, individually, by category, and as a group, have on the health of the public.

(b)The Office of Management and Budget may review the Secretary’s report under subsection (a) before its submission to the Congress, but the Office may not revise the report or delay its submission, and it may submit to the Congress its comments (and those of other departments or agencies of the Government) respecting such report.

Notes & Related Subsidiaries

Editorial Notes

References in Text

section 300e(c)(11) of this title, referred to in subsec. (a)(2), was redesignated section 300e(c)(9) of this title by Pub. L. 97–35, title IX, § 942(d)(1), Aug. 13, 1981, 95 Stat. 574, and redesignated section 300e(c)(8) of this title by Pub. L. 100–517, § 5(b), Oct. 24, 1988, 102 Stat. 2579.

§300e–14 Annual report

Summary

Title 42, §300e–14

Notes & Related Subsidiaries

Editorial Notes

References in Text

Citations & Metadata