
From the U.S. Code Online via GPO Access
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[Laws in effect as of January 23, 2000]
[Document not affected by Public Laws enacted between
  January 23, 2000 and December 4, 2001]
[CITE: 42USC1320c-10]

 
                 TITLE 42--THE PUBLIC HEALTH AND WELFARE
 
                       CHAPTER 7--SOCIAL SECURITY
 
   SUBCHAPTER XI--GENERAL PROVISIONS, PEER REVIEW, AND ADMINISTRATIVE 
                             SIMPLIFICATION
 
 Part B--Peer Review of Utilization and Quality of Health Care Services
 
Sec. 1320c-10. Annual reports

    The Secretary shall submit to the Congress not later than April 1 of 
each year, a full and complete report on the administration, impact, and 
cost of the program under this part during the preceding fiscal year, 
including data and information on--
        (1) the number, status, and service areas of all utilization and 
    quality control peer review organizations participating in the 
    program;
        (2) the number of health care institutions and practitioners 
    whose services are subject to review by such organizations, and the 
    number of beneficiaries and recipients who received services subject 
    to such review during such year;
        (3) the various methods of reimbursement utilized in contracts 
    under this part, and the relative efficiency of each such method of 
    reimbursement;
        (4) the imposition of penalties and sanctions under this title 
    for violations of law and for failure to comply with the obligations 
    imposed by this part;
        (5) the total costs incurred under subchapters XVIII and XIX of 
    this chapter in the implementation and operation of all procedures 
    required by such subchapters for the review of services to determine 
    their medical necessity, appropriateness of use, and quality; and
        (6) descriptions of the criteria upon which decisions are made, 
    and the selection and relative weights of such criteria.

(Aug. 14, 1935, ch. 531, title XI, Sec. 1161, as added Pub. L. 97-248, 
title I, Sec. 143, Sept. 3, 1982, 96 Stat. 392.)


                            Prior Provisions

    A prior section 1320c-10, act Aug. 14, 1935, ch. 531, title XI, 
Sec. 1161, as added Oct. 30, 1972, Pub. L. 92-603, title II, 
Sec. 249F(b), 86 Stat. 1440, related to giving of notice to a 
practitioner or provider by a Professional Standards Review Organization 
immediately after taking certain action or making certain 
determinations, prior to the general revision of this part by Pub. L. 
97-248.


 Performance of Professional Standards Review Organizations; Report to 
                                Congress

    Pub. L. 97-35, title XXI, Sec. 2112(a)(2)(D), Aug. 13, 1981, 95 
Stat. 793, provided that the Secretary of Health and Human Services, not 
later than September 30, 1982, was to report to the Congress on his 
assessment (under former section 1320c-3(g) of this title) of the 
relative performance of Professional Standards Review Organizations and 
on any determinations made not to renew agreements with such 
Organizations on the basis of such performance.
