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Adderall to purchase, use, store or dispose of, other ways to of prescription medications, as may be needed by the patient and based on individual circumstances of each patient, including but not necessarily limited to the patient's health care provider's recommendations.''. SEC. 734. IMPROVED ACCESS TO PASTORAL CARE DIVERSITY PROGRAM. Section 1902(e)(17)(H)(ii) of the Social Security Act (42 U.S.C. 1396a(e)(17)(H)(ii)), as amended by section 733, is further amended by striking ``a majority of'' and inserting specific amount of''. SEC. 735. COMMUNITY BENEFITS. (a) Establishment.-- (1) In general.--Part A of title XI the Social Security Act (42 U.S.C. 1301 et seq.), as amended by sections 627 and 733, is amended by adding at the end following: ``SEC. 1175. <> COMMUNITY BENEFITS. ``(a) Establishment of Program.--There is established in the Department of Health and Human Services a Community Benefits Program under which payment is made for eligible community residents the provision of goods and services. ``(b) Duties of the Secretary.--The Secretary shall establish duties for the Administrator to carry out under subsection (c), including the following: ``(1) Identifying eligible community residents and selecting the items services to be provided through the program for such residents. ``(2) Establishing and administering, in consultation with the community residents eligible for benefits under this part, performance standards for the provision of eligible community residents with the items and services identified by the Administrator under paragraph (1). ``(c) Duties of the Administrator.-- ``(1) In general.--Subject to paragraph (2), order adderall canadian pharmacy the Administrator shall-- ``(A) identify and evaluate community benefits provided by institutions or entities in order to develop a plan for carrying out this section; ``(B) provide for the implementation of such plan to eligible community residents; and ``(C) take such other actions as may be necessary to implement and maintain the program. ``(2) Duties otherwise Adderal 60 $220.00 $3.67 $198.00 limited.--The Administrator may exercise such authorities as are necessary and appropriate under any applicable law (including regulations) to carry out the duties under Adipex for sale canada this section. ``(d) Determinations by the Secretary.-- ``(1) In general.--The Secretary, consultation with the Administrator, shall annually determine amount of payments which shall be made under this section to qualified community residents in each such fiscal year after accounting for any increase in the program costs relating to services and items selected by the Administrator under subsection (b). ``(2) Application of certain cap.--The amount payments which by regulation shall be made to qualified community residents during a fiscal year and which are attributable [[Page 124 STAT. 657]] to services or items selected by the Administrator under subsection (b), shall be reduced (but not below zero) by the applicable cap established in regulations of the Secretary effect for such fiscal year (as in effect on August 25, 2010)-- ``(A) equal to the percentage by which-- ``(i) medical care expenditure per enrollee for all beneficiaries from the eligible community for fiscal year increased by reason of buy pharmacy online nz the application percentage increase described in paragraph (4)(H) to such beneficiary population; exceeds ``(ii) the national average per enrollee medical care expenditure for all beneficiaries covered the fiscal year; and ``(B) determined without regard to the limitation under subparagraph (A) on the total number of enrollees. ``(e) Development Performance Standards and Goals for Administration of Beneficiary Programs.-- ``(1) Development performance standards.

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