... for the Institute of Medicine 18 to submit to the Secretary and the Congress, not later 19 than year after the date of the enactment of this Act, 20 a report containing a description of the results ... Secretary of Health and Human Services shall enter into an arrangement with the Institute of Medicine of the National Academies to con9 duct a study on the following: 10 (1) The ramifications of Medicare ... of the results of the 21 study conducted under such subsection and the conclu22 sions and recommendations of the Institute of Medicine 23 regarding each of the issues described in paragraphs (1)...