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Specifically subsection 8 of 1311 would allow the secretary to prevent physicians treating patients in exchanges unless they implement such mechanisms to improve Health Care Quality the secretary may require. Physicians must follow quality directives as defined by the secretary or lose their business. Mr. Smith, are you aware of this provision . I am not familiar with that section. Let me ask you this. In this provision, you may not know this either, but the word quality is not defined in the statute. It is safe to assume that the secretary, not just secretary sebelius, but every secretary to follow, would be able to define for regulation what that word quality means. Yes or no . I believe that is the correct interpretation. Again, we have tried to introduce quality performances into a variety of parts of our programs, both in managed care, both in the feeforservice world, and this is another one of our concerns that we will have states with standards, and the federal government with s

New yorkUnited statesCook countyBen trumanMitch danielsDennis smithAnne applebaumHealth careHealth care qualityAmerican collegeQuality healthQuality health careHealth care patientsSingle personHope committeeCommittee bipartisan