To make minor changes to the quality measurement systems provisions with respect to value based purchasing under the medicare program.

On page 368, between line 5 and 6, insert the following:

SEC. 6116. QUALITY MEASUREMENT SYSTEMS AMENDMENTS.

Section 1860E-1, as added by section 6110(a)(2), is amended--

(1) in subsection (b)(1)--

(A) in subparagraph (B)--

(i) in clause (vi), by striking “and” at the end;

(ii) in clause (vii), by striking the period at the end and inserting “; and”; and

(iii) by adding at the end the following new clause:

“(viii) measures that address conditions where there is the greatest disparity of health care provided and health outcomes between majority and minority groups.”; and

(B) in subparagraph (E)--

(i) in clause (v), by striking “and” at the end;

(ii) by redesignating clause (vi) as clause (vii); and

(iii) by inserting after clause (v) the following new clause:

“(vi) allows quality measures that are reported to be stratified according to patient group characteristics; and”;

(2) in subsection (c)(4)--

(A) in subparagraph (B), by striking “and” at the end;

(B) in subparagraph (C), by striking the period at the end and inserting “; and”; and

(C) by adding at the end the following new subparagraph:

“(D) The report commissioned by Congress from the Institute of Medicine of the National Academy of Sciences, titled ‘Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care'.”; and

(3) in subsection (d)(2), by inserting “experts in minority health,” after “government agencies,”.