MEDICARE IMPROVEMENT FUND^[404]

Sec. 1898. [42 U.S.C. 1395iii] (a) Establishment.—The Secretary shall establish under this title a Medicare Improvement Fund (in this section referred to as the ‘Fund’) which shall be available to the Secretary to make improvements under the original fee-for-service program under parts A and B for individuals entitled to, or enrolled for, benefits under part A or enrolled under part B.

(b) Funding.—

(1) In general.—There shall be available to the Fund, for expenditures from the Fund for services furnished during fiscal year 2014, $2,220,000,000 and, in addition for services furnished during fiscal years 2014 through 2017, $19.900.000,000^[405].

(2) Payment from trust funds.—The amount specified under paragraph (1) shall be available to the Fund, as expenditures are made from the Fund, from the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund in such proportion as the Secretary determines appropriate.

(3) Funding limitation.—Amounts in the Fund shall be available in advance of appropriations but only if the total amount obligated from the Fund does not exceed the amount available to the Fund under paragraph (1). The Secretary may obligate funds from the Fund only if the Secretary determines (and the Chief Actuary of the Centers for Medicare & Medicaid Services and the appropriate budget officer certify) that there are available in the Fund sufficient amounts to cover all such obligations incurred consistent with the previous sentence.

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^[404]  P.L. 110-252, §7002(a), added §1898, effective June 30, 2008.

^[405]  P.L. 110-275, §188(a)(2)(B), inserted “and, in addition for services furnished during fiscal years 2014 through 2017, $19.900.000, 000”, effective July 15, 2008.